title: The Diabetes Surgery Summit II Guidelines: a Disease-Based Clinical Recommendation.
abstract: There is mounting evidence, derived from mechanistic studies, RCTs, and other high-quality studies that there are weight loss independent antidiabetic effects of gastrointestinal surgery. Additionally, there appears to be no relation between the positive metabolic outcomes to baseline BMI. The outdated US National Health Institutes guidelines from 1991 were centered on BMI only criterion and often misleading. The Second Diabetes Surgery Summit held in collaboration with leading diabetes organizations and endorsed by a large group of international Professional Societies developed guidelines that defined eligibility based on the severity and degree of T2D medical control while referring to obesity as a qualifier and not the sole criterion. That is the first time that guidelines are provided to put metabolic surgery into the T2D treatment algorithms.
authors.affiliation: The Center for Obesity and Diabetes, Oswaldo Cruz German Hospital, Sao Paulo, SP, Brazil. ricardo.cohen@haoc.com.br.
authors.forename: Ricardo V
authors.initials: RV
authors.lastname: Cohen
authors.affiliation: Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: Scott
authors.initials: S
authors.lastname: Shikora
authors.affiliation: The Center for Obesity and Diabetes, Oswaldo Cruz German Hospital, Sao Paulo, SP, Brazil.
authors.forename: Tarissa
authors.initials: T
authors.lastname: Petry
authors.affiliation: The Center for Obesity and Diabetes, Oswaldo Cruz German Hospital, Sao Paulo, SP, Brazil.
authors.forename: Pedro Paulo
authors.initials: PP
authors.lastname: Caravatto
authors.affiliation: Diabetes Complication Research Centre, UCD Conway Institute, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland.
authors.forename: Carel W
authors.initials: CW
authors.lastname: Le Roux
mesh_terms: D050110:Bariatric Surgery / Q000592:standards*; D032921:Consensus; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000592:standards*; D006801:Humans; D008131:London; D009765:Obesity / Q000145:classification / Q000150:complications / Q000601:surgery; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery; D017410:Practice Guidelines as Topic; D012955:Societies, Medical / Q000458:organization & administration / Q000592:standards
keywords: Bariatric surgery; Clinical guidelines; Diabetes surgery; Metabolic surgery; Type 2 diabetes