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Sleeve Gastrectomy

  • Chapter
Metabolic Syndrome and Diabetes

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Abstract

Diabetes is a heterogeneous disease with three main types: type 1, type 2, and latent autoimmune diabetes. The main condition that develops in type 2 diabetes is insulin resistance. In type 1 diabetes and LADA, lack of insulin production is the primary condition but one should be aware that many of these patients also develop a resistance to exogenous insulin if they become obese. It is generally well understood that any weight loss or improved dietary management can help to control diabetes. However, when these attempts prove ineffective, bariatric surgery is considered. This chapter reviews the current role of the Sleeve Gastrectomy in the treatment of obesity related diabetes. Concepts reviewed include diabetes outcomes by BMI, duration of diabetes, time to resolution, C-peptide production, Pouch/Bougie size, and comparison to other procedures. The heterogeneity of diabetes and the variations in sleeve gastrectomy technique make it difficult to analyze outcomes but many reasonable conclusions can be made.

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Author information

Authors and Affiliations

  1. California Pacific Medical Center, 2340 Clay street, 2nd floor, San Francisco, CA, 94115, USA

    Gregg H. Jossart M.D., F.A.C.S.

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  1. Gregg H. Jossart M.D., F.A.C.S.
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Correspondence to Gregg H. Jossart M.D., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Department of Surgery, NYU School of Medicine, New York, New York, USA

    Marina Kurian

  2. Department of Surgery, Oregon Health and Science University, Portland, Oregon, USA

    Bruce M. Wolfe

  3. Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA

    Sayeed Ikramuddin

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© 2016 Springer Science+Business Media New York

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Jossart, G.H. (2016). Sleeve Gastrectomy. In: Kurian, M., Wolfe, B., Ikramuddin, S. (eds) Metabolic Syndrome and Diabetes. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3220-7_12

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  • DOI: https://doi.org/10.1007/978-1-4939-3220-7_12

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-3219-1

  • Online ISBN: 978-1-4939-3220-7

  • eBook Packages: MedicineMedicine (R0)

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