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  • Title: Long-term resolution of type 2 diabetes after biliopancreatic diversion and duodenal switch procedure: a retrospective analysis from a high-volume institution.
    Author: Goriparthi RG, Martins A, Yerragorla P, Antanavicius G.
    Journal: Surg Obes Relat Dis; 2022 Aug; 18(8):1025-1031. PubMed ID: 35644807.
    Abstract:
    BACKGROUND: Biliopancreatic diversion with duodenal switch (BPD-DS) has been shown to result in better weight loss than other bariatric procedures. Very limited data are available, especially long term, in terms of the resolution of diabetes. OBJECTIVE: The objective of this study was to evaluate the long-term resolution (>5 years) of type 2 diabetes after BPD-DS. SETTING: Academic hospital. METHODS: This is a retrospective chart review of patients with diabetes who underwent primary BPD-DS at our institution from 2010 to 2015. Data for that cohort were collected until January 2021. RESULTS: A total of 151 patients who had met the criteria were included in the final analysis. More than 1 year of follow-up data was available for 94% of patients, and more than 5 years of follow-up data was available for 51%. Most of the patients (98.1%) had either partial or complete resolution or improvement. CONCLUSION: Patients with type 2 diabetes who underwent BPD-DS had profound improvement of their diabetes postoperatively. A significant percentage experienced complete resolution, with most of the remaining patients having demonstrated much improvement in their condition.
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