PMID- 37383590 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230702 IS - 1948-9358 (Print) IS - 1948-9358 (Electronic) IS - 1948-9358 (Linking) VI - 14 IP - 6 DP - 2023 Jun 15 TI - State of art on the mechanisms of laparoscopic sleeve gastrectomy in treating type 2 diabetes mellitus. PG - 632-655 LID - 10.4239/wjd.v14.i6.632 [doi] AB - Obesity and type-2 diabetes mellitus (T2DM) are metabolic disorders. Obesity increases the risk of T2DM, and as obesity is becoming increasingly common, more individuals suffer from T2DM, which poses a considerable burden on health systems. Traditionally, pharmaceutical therapy together with lifestyle changes is used to treat obesity and T2DM to decrease the incidence of comorbidities and all-cause mortality and to increase life expectancy. Bariatric surgery is increasingly replacing other forms of treatment of morbid obesity, especially in patients with refractory obesity, owing to its many benefits including good long-term outcomes and almost no weight regain. The bariatric surgery options have markedly changed recently, and laparoscopic sleeve gastrectomy (LSG) is gradually gaining popularity. LSG has become an effective and safe treatment for type-2 diabetes and morbid obesity, with a high cost-benefit ratio. Here, we review the me-chanism associated with LSG treatment of T2DM, and we discuss clinical studies and animal experiments with regard to gastrointestinal hormones, gut microbiota, bile acids, and adipokines to clarify current treatment modalities for patients with obesity and T2DM. CI - (c)The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Liu, Fa-Shun AU - Liu FS AD - Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China. FAU - Wang, Song AU - Wang S AD - Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China. FAU - Guo, Xian-Shan AU - Guo XS AD - Department of Endocrinology, Xinxiang Central Hospital, Xinxiang 453000, Henan Province, China. FAU - Ye, Zhen-Xiong AU - Ye ZX AD - Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China. FAU - Zhang, Hong-Ya AU - Zhang HY AD - Central Laboratory, Yangpu District Control and Prevention Center, Shanghai 200090, China. FAU - Li, Zhen AU - Li Z AD - Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China. lizhen3829@126.com. LA - eng PT - Journal Article PT - Review PL - United States TA - World J Diabetes JT - World journal of diabetes JID - 101547524 PMC - PMC10294061 OTO - NOTNLM OT - Adipokines OT - Bile acids OT - Gastrointestinal hormones OT - Gut microbiota OT - Laparoscopic sleeve gastrectomy OT - Obesity OT - Type-2 diabetes mellitus COIS- Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article. EDAT- 2023/06/29 13:42 MHDA- 2023/06/29 13:43 PMCR- 2023/06/15 CRDT- 2023/06/29 11:53 PHST- 2022/12/17 00:00 [received] PHST- 2023/04/01 00:00 [revised] PHST- 2023/04/24 00:00 [accepted] PHST- 2023/06/29 13:43 [medline] PHST- 2023/06/29 13:42 [pubmed] PHST- 2023/06/29 11:53 [entrez] PHST- 2023/06/15 00:00 [pmc-release] AID - 10.4239/wjd.v14.i6.632 [doi] PST - ppublish SO - World J Diabetes. 2023 Jun 15;14(6):632-655. doi: 10.4239/wjd.v14.i6.632.