Sleeve Gastrectomy in Low BMI Diabetic patients

Background: Bariatric/metabolic surgery is already accepted as a treatment option for type 2 diabetes mellitus (T2DM) in patients with body mass index (BMI)   ≧  35 kg/m2. BMI based guidelines were established and are being followed since 1991. However, after more than 25years, we know the inadequacy of planning surgery only based on BMI criteria. We now know that the risk of diabetes and/or metabolic syndrome is determined more by ethnicity , waist circumference, fat distribution, hepatic steatosis etc.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research