Research
Metabolic adaptation
Roux en-Y gastric bypass (RYGB) surgery is more effective than medical therapy in ameliorating the clinical manifestations of type 2 diabetes (T2D).
Practitioners should consider RYGB as a more effective treatment option for obese patients with T2D compared to medical therapy.
StrongSupportsmedium confidence
High-level evidence reveals that RYGB ameliorates the clinical manifestations of T2D to a significantly higher degree than medical therapy.
Why this rating
Based on high-level evidence from randomized clinical trials.
Source
Pros and cons of Roux en-Y gastric bypass surgery in obese patients with type 2 diabetes
Tummas Justinussen et al. · Expert Review of Endocrinology & Metabolism · 2019
DOI 10.1080/17446651.2019.1628639
reviewCited 6×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
More from this paper
- The postoperative incidence of beneficial effects and complications from RYGB varies across patient subgroups with different preoperative characteristics.Strong
- There are key knowledge gaps regarding long-term complications, microvascular and macrovascular events, and mortality associated with RYGB.Strong
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