Mohamed Ahmed M, Aljabal Hussain, Alalawi Ammar S, Al-Nooh Nooruddin
Orthopaedics, The James Cook University Hospital, Middlesbrough, GBR.
Orthopaedics, University Hospital of North Tees, Stockton-on-Tees, GBR.
Cureus. 2024 Nov 29;16(11):e74755. doi: 10.7759/cureus.74755. eCollection 2024 Nov.
Bariatric surgery has been shown to significantly affect type 2 diabetes mellitus (T2DM) remission, particularly in obese individuals. This systematic review aims to evaluate the effectiveness of bariatric surgical interventions in inducing remission of T2DM as well as to identify factors influencing surgical outcomes. The systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search was performed across multiple databases, including PubMed, Embase, and Cochrane Library, utilizing text words and controlled vocabulary in various combinations with Boolean operators "AND" and "OR." The search was limited to open-access, full-text articles in English published from 2005 to 2024, including studies involving human subjects. The quality of the included studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. In the study selection process for the systematic review, records were initially identified from three databases: Cochrane (31 records), Embase (62 records), and PubMed (52 records). This yielded 145 records. After removing 107 records, 38 records remained for screening. Of these, five records were excluded based on irrelevant problems and irrelevant outcomes. Subsequently, 33 reports were sought for full-text retrieval, with all reports being retrievable. The 33 reports were assessed for eligibility. Out of these, six were excluded due to an inaccessible full-text record. Finally, 33 studies met the inclusion criteria and were included in the review. Bariatric surgery is a highly effective intervention for individuals with T2DM, particularly those with obesity. It leads to significant weight loss and improved glycemic control through mechanisms that reduce stomach size and alter hormonal responses. This surgery not only helps many patients achieve remission from diabetes but also decreases the risk of obesity-related health issues. Beyond physical health, patients often report enhanced psychological well-being and quality of life. Overall, bariatric surgery can transform the health trajectory of select individuals, offering them a renewed sense of control and improved overall health.
减肥手术已被证明能显著影响2型糖尿病（T2DM）的缓解，尤其是在肥胖个体中。本系统评价旨在评估减肥手术干预诱导T2DM缓解的有效性，并确定影响手术结果的因素。该系统评价是按照系统评价和Meta分析的首选报告项目（PRISMA）指南进行的。通过在多个数据库（包括PubMed、Embase和Cochrane图书馆）中进行全面的文献检索，使用文本词和控制词汇，并结合布尔运算符“AND”和“OR”进行各种组合。检索仅限于2005年至2024年发表的英文开放获取全文文章，包括涉及人类受试者的研究。使用乔安娜·布里格斯研究所（JBI）批判性评价清单评估纳入研究的质量。在系统评价的研究选择过程中，最初从三个数据库中识别记录：Cochrane（31条记录）、Embase（62条记录）和PubMed（52条记录）。这产生了145条记录。在删除107条记录后，剩下38条记录进行筛选。其中，5条记录因无关问题和无关结果而被排除。随后，寻求33份报告进行全文检索，所有报告均可检索到。对这33份报告进行了资格评估。其中，6份报告因无法获取全文记录而被排除。最后，33项研究符合纳入标准并被纳入评价。减肥手术对T2DM患者，尤其是肥胖患者来说是一种非常有效的干预措施。它通过减小胃的大小和改变激素反应的机制导致显著的体重减轻和血糖控制改善。这种手术不仅帮助许多患者实现糖尿病缓解，还降低了肥胖相关健康问题的风险。除了身体健康外，患者通常报告心理幸福感和生活质量有所提高。总体而言，减肥手术可以改变特定个体的健康轨迹，给他们一种新的控制感并改善整体健康状况。
