Invited Critique
August 2012

Bariatric Surgery as a Highly Effective Intervention for Diabetes: News Flash or Preaching to the Choir?Comments on “Obesity, Type 2 Diabetes Mellitus, and Other Comorbidities”

Author Affiliations

Author Affiliation: Division of General Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee.

Arch Surg. 2012;147(8):700. doi:10.1001/archsurg.2012.227

Leonetti and colleagues1 present a nice study comparing the effects of laparoscopic sleeve gastrectomy and conventional medical therapy on type 2 diabetes mellitus in a prospectively enrolled and matched cohort of diabetic obese patients. The investigators observed that sleeve gastrectomy was a highly effective intervention for diabetes, much more so than conventional medical therapy.1 This is a nice contribution, but, by now, this kind of outcome should not come as a surprise to any bariatric surgeon or regular reader of the Archives of Surgery.2,3

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