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Current Diabetes Reports

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01-08-2017 | Pediatric Type 2 and Monogenic Diabetes (PS Zeitler, Section Editor)

Bariatric Surgery for Adolescents with Type 2 Diabetes: an Emerging Therapeutic Strategy

Authors: M. A. Stefater, T. H. Inge

Published in: Current Diabetes Reports | Issue 8/2017

Abstract

Purpose of Review

Type 2 diabetes (T2D) is a growing public health problem in youth, but conventional treatments are often insufficient to treat this disease and its comorbidities. We review evidence supporting an emerging role for bariatric surgery as a treatment for adolescent T2D.

Recent Findings

Paralleling what has been seen in adult patients, bariatric surgery dramatically improves glycemic control in patients with T2D. In fact, remission of T2D has been observed in as many as 95–100% of adolescents with diabetes after bariatric surgery, particularly vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB) surgery. This striking outcome may be due to both weight-dependent- and weight-independent factors, and recent studies suggest that T2D-related comorbidities may also improve after surgery.

Summary

Bariatric surgery including RYGB and VSG is a powerful therapeutic option for obese adolescents with T2D. Benefits must be weighed against risk for postoperative complications such as nutritional deficiencies, but earlier surgical intervention might lead to more complete metabolic remission in obese patients with T2D.

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Title: Bariatric Surgery for Adolescents with Type 2 Diabetes: an Emerging Therapeutic Strategy
Authors: M. A. Stefater
T. H. Inge
Publication date: 01-08-2017
Publisher: Springer US
Published in: Current Diabetes Reports / Issue 8/2017
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI: https://doi.org/10.1007/s11892-017-0887-y

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Dietary Advanced Glycation End Products and Cardiometabolic Risk

Biopsychosocial Aspects of Weight Management in Type 1 Diabetes: a Review and Next Steps

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

At a glance: The STEP trials