Bariatric surgery is increasingly seen as an effective and cost-effective treatment for obesity. There is even some evidence that it can reverse type 2 diabetes.
The American Association of Clinical Endocrinologists (AACE) have co-produced a guideline for bariatric surgery that includes within its scope, its use in patients with type 2 diabetes.
The guideline covers:
- Who should be offered bariatric surgery
- Which procedure should be offered
- Preoperative management
- Optimal posoperative care and follow-up.
The guideline is freely available on the AACE website, along with their other diabetes publications.
- We have not assessed the extent the guideline accords with AGREE criteria
- The long-term effect of bariatric surgery on remission rates of type 2 diabetes is currently not well studied
- The guideline is written from a US perspective.
- Mechanick JI, Youdim A, Jones DB, Timothy Garvey W, Hurley DL, Molly McMahon M, Heinberg LJ, Kushner R, Adams TD, Shikora S, Dixon JB, Brethauer S. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient–2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Surg Obes Relat Dis. 2013 Mar-Apr;9(2):159-91. doi: 10.1016/j.soard.2012.12.010. Epub 2013 Jan 19.
- NICE guidelines: Type 2 diabetes (2008); CG43 Obesity (2006).