title: Preoperatively determinable factors predictive of diabetes mellitus remission following Roux-en-Y gastric bypass: a review of the literature.
abstract: It is well established that weight loss in general and bariatric surgery in particular can improve glycaemic control in diabetics. Current NICE guidelines recommend that those patients with type 2 diabetes mellitus and a BMI of 35 kg/m(2) or more should be considered for bariatric surgery in order to optimise their glycaemic control and minimise their risk of long-term complications. The commonest bariatric procedure in the UK is the Roux-en-Y gastric bypass that has been shown to result in long-standing type 2 diabetes resolution in 83 % of patients. Since such surgery carries a small but significant risk of mortality, as well as posing considerable lifestyle implications for the patient, numerous studies have been performed with a view to identifying which patients and which procedures are most likely to result in these desired benefits. This paper summarises the existing literature on this topic.
authors.affiliation: Department of General Surgery, York Hospital, Wigginton Road, York, YO318HE, UK, rpbgt@hotmail.com.
authors.forename: S T
authors.initials: ST
authors.lastname: Adams
authors.forename: M
authors.initials: M
authors.lastname: Salhab
authors.forename: Z I
authors.initials: ZI
authors.lastname: Hussain
authors.forename: G V
authors.initials: GV
authors.lastname: Miller
authors.forename: S H
authors.initials: SH
authors.lastname: Leveson
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000601:surgery*; D015390:Gastric Bypass; D006801:Humans; D011237:Predictive Value of Tests; D057234:Preoperative Period