21. Weight and Type 2 Diabetes after Bariatric Surgery: Systematic Review and Meta-analysis 1990-2006; 19 studies, 4, 070 diabetic patients The American Journal of Medicine (2009) 122, 248-256
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23. Mortality Rates Following Common Operations in U.S. Hospitals ] Dimick JB, Welch HG, Birkmeyer JD. Surgical mortality as an indicator of hospital quality. JAMA 2004,292, 847-851 SRC: Bariatric Surgery Mortality 0.28% (55,567 patients) Aortic Aneur CABG Craniot Esophag Resect Hip Replac Panc Ped. Heart Surgery Number of Hospitals performing operation 2485 1036 1600 1717 3445 1302 458 National Average Mortality rate( %) 3.9 3.5 10.7 9.1 0.3 8.3 5.4 Average Hospital caseloads Median 30 491 12 5 24 8 4
30. Diabetes & BMI at least 50 % of DM in the world have BMI<35 Int J Clin Practice, 2007(NHANEMCS and SHIELD) Dtsch Int Arztebl. 2010 SOARD, 2010
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33. 70 60 50 40 30 20 10 0 Number Of Patients Cohen RV….. Cummings DE 6-Year Study of RYGB for Type 2 DM in Patients With BMI 30–35 kg/m 2 1% No Change 11% T2DM Improvement 88% T2DM Remission
34. A 5 6 7 8 9 10 11 0 6 12 24 48 60 72 Months After Surgery Hemoglobin A1c (%) Rapid & Durable Improvement in HbA1c Cohen RV….. Cummings DE
35. LRYGB, BMI 30-35 Cohen at al. Cohen at al. Significant decrease-p<0.05