PMID- 38125226
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231222
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 11
DP  - 2023 Nov
TI  - The Impact of Bariatric Surgery on Weight Loss and Glycemic Control in Patients 
      With Obesity and Type 2 Diabetes: A Systematic Review.
PG  - e49122
LID - 10.7759/cureus.49122 [doi]
LID - e49122
AB  - Obesity and type 2 diabetes mellitus (T2DM) are global health challenges. 
      Bariatric surgery has emerged as a potential intervention for managing these 
      conditions, but its efficacy and impact need comprehensive evaluation. This 
      systematic review aimed to assess the impact of bariatric surgery on weight loss 
      and glycemic control in patients with obesity and T2DM. Following Preferred 
      Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a 
      systematic search was conducted in October 2023, primarily using PubMed. Studies 
      were selected based on specific inclusion and exclusion criteria, focusing on 
      bariatric surgery's relationship with weight loss and glycemic control. The 
      quality of the included studies was assessed using the ROBINS-I (risk of bias in 
      non-randomized studies of interventions) risk of bias assessment approach. Out of 
      272 initially identified studies, nine met the inclusion criteria. These studies, 
      encompassing 10,445 participants from various global locations, predominantly 
      targeted middle-aged participants. The findings consistently highlighted the 
      benefits of bariatric surgery in weight reduction and improved glycemic control. 
      However, the degree of benefits varied based on the type of surgical procedure, 
      patient's BMI, and other individual factors. Bariatric surgery offers significant 
      advantages in managing obesity and T2DM. While it consistently aids in weight 
      reduction and glycemic control, individualized treatment approaches considering 
      various patient and procedural factors are crucial for optimal outcomes. When 
      applied to the right patient, bariatric surgery can offer significantly better 
      glycemic control and weight reduction when compared to only medication control 
      and lifestyle adjustments. However, future research should focus on long-term 
      outcomes and the integration of surgical interventions with lifestyle and medical 
      management.
CI  - Copyright (c) 2023, Mirghani et al.
FAU - Mirghani, Hyder
AU  - Mirghani H
AD  - Internal Medicine, University of Tabuk, Tabuk, SAU.
FAU - Alamrani, Sultan Abdulrahman S
AU  - Alamrani SAS
AD  - Faculty of Medicine, University of Tabuk, Tabuk, SAU.
FAU - Alkonani, Amira A
AU  - Alkonani AA
AD  - Faculty of Medicine, University of Tabuk, Tabuk, SAU.
FAU - Al Madshush, Abdullah M
AU  - Al Madshush AM
AD  - Faculty of Medicine, University of Tabuk, Tabuk, SAU.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20231120
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10732469
OTO - NOTNLM
OT  - bariatric surgery
OT  - glycemic control
OT  - overweight
OT  - t2dm
OT  - weight loss
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/12/21 06:43
MHDA- 2023/12/21 06:44
PMCR- 2023/11/20
CRDT- 2023/12/21 04:10
PHST- 2023/11/20 00:00 [accepted]
PHST- 2023/12/21 06:44 [medline]
PHST- 2023/12/21 06:43 [pubmed]
PHST- 2023/12/21 04:10 [entrez]
PHST- 2023/11/20 00:00 [pmc-release]
AID - 10.7759/cureus.49122 [doi]
PST - epublish
SO  - Cureus. 2023 Nov 20;15(11):e49122. doi: 10.7759/cureus.49122. eCollection 2023 
      Nov.