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Bariatric surgery for diabetes: the International Diabetes Federation takes a position
Authors:Dixon John B,Zimmet Paul,Alberti K George,Mbanya Jean Claude,Rubino Francesco  International Diabetes Federation Taskforce on Epidemiology  Prevention
Affiliation:1. Baker IDI Heart & Diabetes Institute, Melbourne, Victoria, Australia;2. Imperial College London, St Mary’s Hospital Campus, London, UK;3. Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon;4. Weill Cornell Medical College of Cornell University, New York, New York, USA
Abstract:Type 2 diabetes (T2D) and obesity are both complex and chronic medical disorders, each with an escalating worldwide prevalence. When obesity is severe, and/or available medical therapies fail to control the diabetes, bariatric surgery becomes a cost-effective therapy for T2D. When there are other major comorbidities and cardiovascular risk, the option of bariatric surgery becomes even more worthy of consideration. National guidelines for bariatric surgery need to be developed and implemented for people with T2D. With this in mind, the International Diabetes Federation convened a multidisciplinary working group to develop a position statement. The key recommendations cover describing those eligible for surgery and who should be prioritized, incorporating bariatric surgery into T2D treatment algorithms, performing surgery in centers with multidisciplinary teams that are experienced in the management of both obesity and diabetes, and developing bariatric surgery registries and reporting standards.
Keywords:gastric  guidelines  registry  surgery  weight loss
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