Open AccessBariatric surgery does not cure all type 2 diabetes
Author(s) -
Khalid Jadoon,
Helen Anne Van der Wijngaart,
S Olczak
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.08.2008.0755
Subject(s) - medicine , type 2 diabetes , diabetes mellitus , diabetic ketoacidosis , surgery , obesity , gastric bypass , ketoacidosis , weight loss , gastric bypass surgery , insulin , gastric banding , type 1 diabetes , general surgery , endocrinology
Bariatric surgery is a treatment increasingly used for morbid obesity and a significant number of patients undergoing this procedure will have diabetes. While bariatric surgery has been shown to be one of the most effective treatments for long term weight control, it has also been shown that it leads to improvements in comorbidities associated with obesity including type 2 diabetes. In fact one large series showed that over 80% of patients treated with gastric bypass procedures no longer required treatment for their diabetes. We report the case of a patient with insulin-treated type 2 diabetes who underwent gastric banding and 2 days post-operatively presented with severe diabetic ketoacidosis.