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Evid Based Med 2009;14:138 doi:10.1136/ebm.14.5.138
  • Therapeutics

Review: bariatric surgery reduces weight and improves type 2 diabetes in adults

Question

Does bariatric surgery reduce weight and improve type 2 diabetes in adults?

Review scope

Included studies evaluated any kind of bariatric surgery (gastric banding, gastroplasty, gastric bypass, and biliopancreatic diversion/duodenal switch) and reported weight loss and type 2 diabetes status. Outcomes included absolute weight, percentage of excess body weight (ie, amount above normal body weight) lost, and resolution (ie, being off medication and fasting plasma glucose [FPG] concentration <100 mg/dl) or improvement (reduced medication or FPG concentration 100–125 mg/dl) of diabetes.

Review methods

Medline, Current Contents, Cochrane Library, and reference lists were searched for interventional …

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