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Duodenal switch confers better metabolic improvement vs. sleeve gastrectomy in type 2 diabetes

June 26, 2017

Adults with obesity and type 2 diabetes who underwent duodenal switch surgery saw a greater improvement in postprandial glucose excursion and beta-cell function in the 3 days after the procedure compared with those who underwent sleeve gastrectomy, according to published findings.

“Substantial improvement in glucose metabolism has been observed after bariatric surgery, but the degree of glycemic improvement varies depending on the type of procedure,” Andre C. Carpentier, MD, of the department of medicine at the University of Sherbrooke in Quebec, Canada, and colleagues wrote. “We designed the present study to compare the short-term effect of [sleeve gastrectomy] and [duodenal switch] in order to test the hypothesis that exclusion of the upper gastrointestinal tract would confer greater metabolic improvement in patients with [type 2 diabetes] undergoing bariatric surgery, independent of weight loss.”

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