PMID- 31480306 OWN - NLM STAT- MEDLINE DCOM- 20200116 LR - 20200309 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 16 IP - 17 DP - 2019 Aug 30 TI - Remission of Type 2 Diabetes Mellitus after Bariatric Surgery: Fact or Fiction? LID - 10.3390/ijerph16173171 [doi] LID - 3171 AB - Although type 2 diabetes mellitus (T2DM) has been traditionally viewed as an intractable chronic medical condition, accumulating evidence points towards the notion that a complete remission of T2DM is feasible following a choice of medical and/or surgical interventions. This has been paralleled by increasing interest in the establishment of a universal definition for T2DM remission which, under given circumstances, could be considered equivalent to a "cure". The efficacy of bariatric surgery in particular for achieving glycemic control has highlighted surgery as a candidate curative intervention for T2DM. Herein, available evidence regarding available surgical modalities and the mechanisms that drive metabolic amelioration after bariatric surgery are reviewed. Furthermore, reports from observational and randomized studies with regard to T2DM remission are reviewed, along with concepts relevant to the variety of definitions used for T2DM remission and other potential sources of discrepancy in success rates among different studies. FAU - Tsilingiris, Dimitrios AU - Tsilingiris D AD - First Department of Propaedeutic Internal Medicine and Diabetes Center, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens 11527, Greece. FAU - Koliaki, Chrysi AU - Koliaki C AD - First Department of Propaedeutic Internal Medicine and Diabetes Center, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens 11527, Greece. FAU - Kokkinos, Alexander AU - Kokkinos A AD - First Department of Propaedeutic Internal Medicine and Diabetes Center, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens 11527, Greece. akokkinos@med.uoa.gr. LA - eng PT - Journal Article PT - Review DEP - 20190830 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Bariatric Surgery/*statistics & numerical data MH - Diabetes Mellitus, Type 2/*surgery MH - Humans MH - Remission Induction MH - Treatment Outcome PMC - PMC6747427 OTO - NOTNLM OT - bariatric surgery OT - diabetes remission OT - metabolic surgery OT - type 2 diabetes COIS- The authors declare no conflict of interest. EDAT- 2019/09/05 06:00 MHDA- 2020/01/17 06:00 PMCR- 2019/09/01 CRDT- 2019/09/05 06:00 PHST- 2019/07/13 00:00 [received] PHST- 2019/08/20 00:00 [revised] PHST- 2019/08/29 00:00 [accepted] PHST- 2019/09/05 06:00 [entrez] PHST- 2019/09/05 06:00 [pubmed] PHST- 2020/01/17 06:00 [medline] PHST- 2019/09/01 00:00 [pmc-release] AID - ijerph16173171 [pii] AID - ijerph-16-03171 [pii] AID - 10.3390/ijerph16173171 [doi] PST - epublish SO - Int J Environ Res Public Health. 2019 Aug 30;16(17):3171. doi: 10.3390/ijerph16173171.