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Obesity surgery
can be a successful method of controlling non-insulin-dependent
diabetes in obese people, according to researchers at the UCLA
Medical Center.
Most patients
who have non-insulin-dependent diabetes mellitus are obese. Results
of medical weight loss programs, medications, and behavior therapy
have proven disappointing, wrote the researchers.
Researchers
speculated that bariatric (obesity) surgery is the most effective
method of diabetes management and cure in patients who are morbidly
obese. Obesity surgeries can provide a more dramatic effect on
diabetes, especially by bypassing the hormonally active "foregut"
(the beginning portion of the digestive system).
After reviewing
pertinent journal articles spanning the last 40 years, as well
as textbooks, researchers concluded that bariatric surgical procedures
have proven a much more successful method of weight loss and diabetes
control in the obese population than conservative methods. These
surgical procedures have proven safe with reported rates of death
of 0 percent to 1.5 percent, according to the report published
in the Archives of Surgery.
The most effective
bariatric surgeries for controlling diabetes are the Roux-en Y
gastric bypass and biliary-pancreatic diversion, as these procedures
bypass the foregut.
Other
sources: Archives of Surgery
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