He YF, Hu XD, Liu JQ, Li HM, Lu SF. Bariatric surgery and diabetes: Current challenges and perspectives. World J Diabetes 2024; 15(8): 1692-1703 [PMID: 39192861 DOI: 10.4239/wjd.v15.i8.1692]
Corresponding Author of This Article
Yan-Fei He, MD, Associate Chief Physician, Doctor, Health Management Center, The Sixth Medical Center, Chinese PLA General Hospital, No. 6 Fu Cheng Road, Haidian District, Beijing 100048, China. heyanfeilc@163.com
Research Domain of This Article
Endocrinology & Metabolism
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Diabetes. Aug 15, 2024; 15(8): 1692-1703 Published online Aug 15, 2024. doi: 10.4239/wjd.v15.i8.1692
Bariatric surgery and diabetes: Current challenges and perspectives
Yan-Fei He, Xiao-Dong Hu, Jun-Qiang Liu, Hu-Ming Li, Shuang-Feng Lu
Yan-Fei He, Shuang-Feng Lu, Health Management Center, The Sixth Medical Center, Chinese PLA General Hospital, Beijing 100048, China
Xiao-Dong Hu, Department of Endocrinology, The Sixth Medical Center, Chinese PLA General Hospital, Beijing 100048, China
Jun-Qiang Liu, Department of Thoracic Surgery, The Sixth Medical Center, Chinese PLA General Hospital, Beijing 100048, China
Hu-Ming Li, Department of Respiratory Medicine, The Sixth Medical Center, Chinese PLA General Hospital, Beijing 100048, China
Author contributions: He YF conceptualized the study, reviewed literature, and drafted the manuscript; Hu XD and Liu JQ retrieved and summarized the literature; Li HM was involved in data collection; Lu SF advised on the revision of the manuscript; and all authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Fei He, MD, Associate Chief Physician, Doctor, Health Management Center, The Sixth Medical Center, Chinese PLA General Hospital, No. 6 Fu Cheng Road, Haidian District, Beijing 100048, China. heyanfeilc@163.com
Received: March 24, 2024 Revised: June 13, 2024 Accepted: July 9, 2024 Published online: August 15, 2024 Processing time: 123 Days and 17.3 Hours
Abstract
Diabetes mellitus (DM) and obesity have become public issues of global concern. Bariatric surgery for the treatment of obesity combined with type 2 DM has been shown to be a safe and effective approach; however, there are limited studies that have systematically addressed the challenges of surgical treatment of obesity combined with DM. In this review, we summarize and answer the most pressing questions in the field of surgical treatment of obesity-associated DM. I believe that our insights will be of great help to clinicians in their daily practice.
Core Tip: Obesity and diabetes are now public problems that threaten the health of people worldwide. Although bariatric surgery for the treatment of obesity associated with type 2 diabetes mellitus has been shown to be a safe and effective approach, its challenges have not been described systematically and comprehensively. This review is at the forefront of presenting and answering the challenges faced in the field of surgical management of obesity-associated diabetes mellitus today. It provides an up-to-date insight into the daily practice of clinicians.