Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Comparative effectiveness of Roux-en-Y gastric bypass and sleeve gastrectomy for treatment of type ii diabetes: a review of reviews. Lansdale: HAYES, Inc. Directory Publication. 2017 Authors' conclusions Roux-en-Y gastric bypass is a surgery that reduces the capacity of the stomach and the length of the small intestine through which food travels. Sleeve gastrectomy reduces stomach capacity only. These bariatric surgeries are widely accepted as very effective for weight loss in people with morbid obesity; however, recent research has explored their use for the treatment of type II diabetes mellitus.
Rationale:
Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) bariatric surgeries may improve type II diabetes mellitus (T2DM) by multiple mechanisms, including induction of weight loss and hormonal changes. Controversy:
RYGB has been considered the first choice of metabolic surgery, but it has recently been displaced as the most popular bariatric surgery by SG. Their comparative efficacy for T2DM resolution and comparative safety in patients with T2DM has not been comprehensively characterized.
Relevant Questions:
How do RYGB and SG outcomes compare in terms of diabetes remission or improvement and prevention of diabetesrelated complications? Do improvements endure long term? What complications are associated
with RYGB and SG in patients with T2DM, and how do they compare? Have definitive patient selection criteria been established for RYGB or SG in patients with T2DM? Indexing Status Subject indexing assigned by CRD MeSH Diabetes Mellitus, Type 2; Gastrectomy; Gastric Bypass; Humans; Obesity, Morbid Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com AccessionNumber 32018000020 Date abstract record published 30/01/2018 |