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In This Issue of JAMA Surgery
September 2016


JAMA Surg. 2016;151(9):789. doi:10.1001/jamasurg.2015.2940

In this prospective cohort study, Aung and colleagues compared the short- and long-term outcomes of bariatric surgery with a specific focus on the rate of remission of type 2 diabetes mellitus (T2DM) in 339 patients with early-onset (age <40 years) and 299 patients with late-onset (age ≥40 years) T2DM. They found that bariatric surgery may achieve better and more long-lasting glycemic control in select patients with early-onset T2DM than in those with late-onset T2DM.

Invited Commentary

Current trauma guidelines dictate that the cervical spine should not be cleared in intoxicated patients, resulting in prolonged immobilization or additional imaging. Modern computed tomography (CT) technology may obviate this and allow for immediate clearance. Bush et al conducted a prospective observational study of 1668 blunt trauma patients and found that CT scans were highly reliable for identifying all clinically significant cervical spine injuries. Spine clearance based on a normal CT scan among intoxicated patients with no gross motor deficits appears to be safe and avoids prolonged and unnecessary immobilization.