Selecting surgical procedures for medically uncontrolled type 2 diabetes

Guiding patients with type 2 diabetes mellitus (T2D) toward the most appropriate bariatric and metabolic procedure is crucial for improving outcomes. Aminian (1) published an interesting review based on high quality scientific data. However, some important issues must be raised. Among the 4 RCTs that back up his review, 2were not powered to detect differences related to T2D outcomes, as weight loss was their primary outcome and Stampede was not powered to detect differences among RYGB and SG, although indirectly shows that RYGB has better cardiovascular and glycemic outcomes than SG.

https://www.soard.org/article/S1550-7289(20)30125-8/fulltext?rss=yes

Source: Surgery for Obesity and Related Diseases - March 17, 2020 Category: Surgery Authors: Ricardo Cohen Tags: Letter to the Editor Source Type: research