PMID- 29063974 OWN - NLM STAT- MEDLINE DCOM- 20180404 LR - 20181202 IS - 1534-6242 (Electronic) IS - 1523-3804 (Linking) VI - 19 IP - 12 DP - 2017 Oct 24 TI - Is Mini-Gastric Bypass a Rational Approach for Type-2 Diabetes? PG - 51 LID - 10.1007/s11883-017-0689-3 [doi] AB - PURPOSE OF REVIEW: Morbid obesity and type-2 diabetes mellitus (T2DM) are both major public health problems. Bariatric surgery is a proven and effective treatment for these conditions; laparoscopic Roux-en-Y gastric bypass (RYGB) is currently the gold-standard treatment. One-anastomosis gastric bypass (OAGB) is described as a simpler, safer, and non-inferior alternative to RYGB to treat morbid obesity. Concerning T2DM, experts of the OAGB procedure report promising metabolic results with good long-term remission of T2DM; however, heterogeneity within the literature prompted us to analyze this issue. RECENT FINDINGS: OAGB has gained popularity given its safety and long-term efficacy. Concerning the effect of OAGB for the treatment of T2DM, most reports involve non-controlled single-arm studies with heterogeneous methodologies and a few randomized controlled trials. However, this available literature supports the efficacy of OAGB for remission of T2DM in obese and non-obese patients. Two years after OAGB, the T2DM remission and improvement rate increased from 67 to 100%. The results were improved and stable in the long term. The 5-year T2DM remission rate increased from 82 to 84.4%. OAGB is non-inferior compared with RYGB and even superior to other accepted bariatric procedures, such as sleeve gastrectomy and adjustable gastric banding. OAGB is an efficient, safe, simple, and reversible procedure to treat T2DM. The literature reveals interesting results for T2DM remission in non-obese patients. High-level comparative studies are required to support these data. FAU - Abou Ghazaleh, Reem AU - Abou Ghazaleh R AD - Service de chirurgie digestive, Hopital Europeen Georges-Pompidou, 20 rue Leblanc, 75015, Paris Cedex, France. FAU - Bruzzi, Matthieu AU - Bruzzi M AD - Service de chirurgie digestive, Hopital Europeen Georges-Pompidou, 20 rue Leblanc, 75015, Paris Cedex, France. matthieu.bruzzi@aphp.fr. AD - Universite Paris Descartes, Paris, France. matthieu.bruzzi@aphp.fr. AD - ANCRE, EA 4465, Universite Paris Descartes, Paris, France. matthieu.bruzzi@aphp.fr. FAU - Bertrand, Karen AU - Bertrand K AD - Service de chirurgie digestive, Hopital Europeen Georges-Pompidou, 20 rue Leblanc, 75015, Paris Cedex, France. FAU - M'harzi, Leila AU - M'harzi L AD - Service de chirurgie digestive, Hopital Europeen Georges-Pompidou, 20 rue Leblanc, 75015, Paris Cedex, France. FAU - Zinzindohoue, Franck AU - Zinzindohoue F AD - Service de chirurgie digestive, Hopital Europeen Georges-Pompidou, 20 rue Leblanc, 75015, Paris Cedex, France. AD - Universite Paris Descartes, Paris, France. FAU - Douard, Richard AU - Douard R AD - Service de chirurgie digestive, Hopital Europeen Georges-Pompidou, 20 rue Leblanc, 75015, Paris Cedex, France. AD - Universite Paris Descartes, Paris, France. AD - ANCRE, EA 4465, Universite Paris Descartes, Paris, France. FAU - Berger, Anne AU - Berger A AD - Service de chirurgie digestive, Hopital Europeen Georges-Pompidou, 20 rue Leblanc, 75015, Paris Cedex, France. AD - Universite Paris Descartes, Paris, France. FAU - Czernichow, Sebastien AU - Czernichow S AD - Universite Paris Descartes, Paris, France. AD - Service de Nutrition, Hopital Europeen Georges-Pompidou, 20 rue Leblanc, 75015, Paris Cedex, France. FAU - Carette, Claire AU - Carette C AD - Service de Nutrition, Hopital Europeen Georges-Pompidou, 20 rue Leblanc, 75015, Paris Cedex, France. FAU - Chevallier, Jean-Marc AU - Chevallier JM AD - Service de chirurgie digestive, Hopital Europeen Georges-Pompidou, 20 rue Leblanc, 75015, Paris Cedex, France. AD - Universite Paris Descartes, Paris, France. AD - ANCRE, EA 4465, Universite Paris Descartes, Paris, France. LA - eng PT - Journal Article PT - Review DEP - 20171024 PL - United States TA - Curr Atheroscler Rep JT - Current atherosclerosis reports JID - 100897685 SB - IM MH - Bariatric Surgery MH - Diabetes Mellitus, Type 2/*surgery MH - Gastric Bypass/*methods MH - Humans MH - Obesity, Morbid/*surgery OTO - NOTNLM OT - Mini-gastric bypass OT - Morbid obesity OT - One-anastomosis gastric bypass OT - Type-2 diabetes EDAT- 2017/10/25 06:00 MHDA- 2018/04/05 06:00 CRDT- 2017/10/25 06:00 PHST- 2017/10/25 06:00 [entrez] PHST- 2017/10/25 06:00 [pubmed] PHST- 2018/04/05 06:00 [medline] AID - 10.1007/s11883-017-0689-3 [pii] AID - 10.1007/s11883-017-0689-3 [doi] PST - epublish SO - Curr Atheroscler Rep. 2017 Oct 24;19(12):51. doi: 10.1007/s11883-017-0689-3.