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Review: Bariatric surgery: to treat diabesity

School of Biomedical Sciences, University of Ulster, Coleraine, Northern Ireland, UK

Caroline Day

Diabetes Research Group, Aston University, Birmingham, UK

Clifford J Bailey

Diabetes Research Group, Aston University, Birmingham, UK, c.j.bailey{at}aston.ac.uk

In obese patients bariatric surgery is increasing in popularity as a strategy to promote, and maintain, weight loss. In obese type 2 diabetes bypass, bariatric surgery improves glycaemic control — often to a greater extent than would be anticipated by weight loss alone. Surgical bypass procedures appear to initially offer a greater glucose-lowering effect than surgical restriction procedures. This review considers the rationale for bariatric surgery as a treatment for diabesity and the implications of the different procedures on the secretion and action of enteral hormones.

Key Words: bariatric surgery • GIP • GLP-1 • obesity • type 2 diabetes

The British Journal of Diabetes & Vascular Disease, Vol. 9, No. 3, 103-107 (2009)
DOI: 10.1177/1474651409103927


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