Banding surgery offer patients with type 2 diabetes a
greater chance of getting rid of their disease than conventional treatments,
researchers revealed.
Patients suffering from type 2 diabetes that underwent gastric
banding, a procedure, which allows only a small amount of food to be eaten at
once, were five times as likely to cure two years later compared to those who
tried to control their diabetes though diet, exercise and medication, the study
showed.
Researcher John B. Dixon, MBBS, PhD, of Melbourne,
Australia’s Monash University and colleagues included in their study just 60
patients who had been recently diagnosed with type 2 diabetes and had body mass
index or BMI greater than 30 but less than 40. Body mass index is a ratio of
height and weight. A BMI of 30 or greater is considered obese.
The patients were divided into two groups. First group were
given gastric band surgery and the second group had normal weight-loss
treatments.
Seventy-three percent of patients given gastric band surgery
found their diabetes was in remission two years after the surgery. For those
given normal weight-loss treatments, only 13 percent found their disease was in
remission.
Patients who underwent surgery lost an average of 62 percent
of their excess weight compared with an average loss of 4.3 percent in patients
who did not have the surgery.
No patients suffered serious complications.
“An important finding of this study is that degree of weight
loss, not the method, appears to be the major driver of glycaemic improvement
and diabetes in remission in obese participants. This has important
implications, as it suggests that intensive weight-loss therapy may be a more
effective first step in the management of diabetes than simple lifestyle
change,” Dixon
said in the study.
Endocrinologist David E. Cummings, a professor of medicine
at the University of Washington, Seattle
said the evidence in favor of weight loss surgery as an early treatment for
type 2 diabetes is mounting.
“I think it is reasonable to conclude that [weight loss] surgery
should be offered to more people with diabetes,” he told in a commentary
accompanying the study that appears in the today issue of The Journal of the
American Medical Association.
Dr. Cummings and his colleague Dr. Davis Flum of the UW said
policy and health leaders would need to balance the costs and risks of surgery
against the chance of reversing diabetes. However, they added that “the
insights already beginning to be gained by studying surgical interventions for
diabetes may be the most profound since the discovery of insulin.”
Banding surgery has been growing at a rapid pace, with the
number of procedures rising to 200,000 in the United States in 2006, from just
13,000 in 1998.