Medicinsk vs. kirurgisk behandling af svaert overvaegtige patienter med type 2-diabetes
Sammanfattning
Bariatric surgery induces large and sustainable weight loss in obese patients and improves glycaemic control in patients with Type 2
diabetes. Eleven randomized controlled trials have shown superior glycaemic outcomes after bariatric procedures vs medical
therapy/intensive lifestyle interventions in obese patients with Type 2 diabetes. Furthermore, many patients experience remission of Type 2
diabetes after surgery but relapse may occur during follow-up. Data from observational studies show reduced incidence of micro- and
macrovascular complications in addition to reduced cardiovascular and total mortality after surgery.