Category Archives: Bariatric Surgery

At Five Years Out, Gastric Bypass is as Effective in Adolescents as in Adults 

From The New England Journal of Medicine:

Adolescents and adults who underwent gastric bypass had marked weight loss that was similar in magnitude 5 years after surgery. Adolescents had remission of diabetes and hypertension more often than adults.

Note, however,

Three adolescents (1.9%) and seven adults (1.8%) died in the 5 years after surgery. The rate of abdominal reoperations was significantly higher among adolescents than among adults (19 vs. 10 reoperations per 500 person-years, P=0.003).

Source: Five-Year Outcomes of Gastric Bypass in Adolescents as Compared with Adults | NEJM

Steve Parker MD, Advanced Mediterranean Diet

Not linked to any deaths as far as I know

 

Does Gastric Bypass Cure Type 2 Diabetes?

It does,…according to Seattle researchers.

Steve Parker MD, bariatric surgery

Band Gastric Bypass Surgery

They looked at over 4,000 type 2 diabetics who had gastric bypass surgery for weight loss, following their cases thereafter over many years. Almost seven in 10 had a “complete diabetes remission” within five years of surgery. (Remission was defined as non-diabetic lab values on blood tests and absence of diabetic drug use.) Of those going into remission, 35% redeveloped diabetes within five years of surgery. Those with the more severe or longstanding cases of diabetes before surgery were  more likely to have a recurrence of diabetes.

So it looks to me like, on average, gastric bypass surgery “cures” half of the cases of type 2 diabetes, as measured five years after surgery. As the years pass, even more failures will arise. Nevertheless, that’s an impressive improvement. Given the potential complications of bypass surgery, I’d try a very-low-carb diet before going under the knife. Examples are Dr. Bernstein’s Diabetes Solution and Conquer Diabetes and Prediabetes.

Steve Parker, M.D.

PS: Cure or remission of type 2 diabetes could be defined in other ways. For instance, a more reliable definition of cure might include return of normal pancreas/insulin function as judged by insulin levels and insulin sensitivity. If you have normal blood sugar levels and hemoglobin A1c, yet have ongoing insulin resistance, you’re more likely to develop overt diabetes going forward.