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Diabetes surgery summit consensus lays foundation for new field of medicine
Date:11/23/2009

nt, together with the combined American Diabetes Association/European Association for the Study of Obesity guidelines for treating diabetes published in January 2009, are major steps forward toward leading diabetes experts in recognizing the important role that surgery may play in the treatment of diabetes," says Dr. Philip R. Schauer of the Bariatric and Metabolic Institute, Lerner College of Medicine, Cleveland Clinic, another co-author of the report.

The NIH has already responded to the document's call for research, issuing several recent Requests for Applications for projects focusing on the effects of gastrointestinal surgery on diabetes, including in patients with a BMI as low as 30 kg/m2 (i.e., with only mild obesity).

"That's in line with the recommendations of the Rome summit," says co-author Dr. Lee M. Kaplan of the Boston Obesity and Nutrition Research Center, Harvard Medical School, Massachusetts General Hospital. "Understanding the mechanisms of action of surgery on diabetes is a unique opportunity to advance the treatment of the disease."

"In the United States, type 2 diabetes is a leading cause of death and the number-one cause of blindness, kidney failure and amputation," Dr. Cummings says. "It is also alarmingly on the rise worldwide, creating an increasing economic burden on both developed and developing countries. Given the global epidemic growth of diabetes and the relevance of ethnic and socio-economic aspects for diabetes surgery, geographical criteria were considered in the selection of delegates to ensure appropriate representation of regional issues."

"Prevention will always be the best strategy to approach the global epidemic of diabetes," says Dr. Rubino. "But gastrointestinal surgery promises to be an important addition to the armamentarium of available treatments, and its study may also allow us to understand the disease mechanism in depth. We can only prevent what we truly understand."

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Contact: Linda Kamateh
lib9027@med.cornell.edu
212-821-0560
New York- Presbyterian Hospital/Weill Cornell Medical Center/Weill Cornell Medical College
Source:Eurekalert

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