Prognostic factors and a new preliminary scoring system for remission of type 2 diabetes mellitus after laparoscopic sleeve gastrectomy

Metabolic surgery in treatment of obese Japanese patients with type 2 diabetes: a joint consensus statement from the Japanese Society for Treatment of Obesity, the Japan Diabetes Society, and the Japan Society for the Study of Obesity

“…Factors such as the type of diabetes medication used in the DiaRem score may be less objective, because the choice reflects the treating physician’s policy. Also, the IMS score is reported not to correlate well with clinical improvement of diabetes in Asian patients [ 47 ]. On the other hand, there is a report of multicenter study in East Asia indicating that the IMS score was as useful as the ABCD score [ 113 ].…”

“…The ABCD score (maximum of 10 points), calculated using age, BMI, serum C-peptide concentration, and duration of diabetes is simple and highly objective. It correlates well with the postoperative outcome for Japanese patients, and is widely used in clinical practices [ 44 , 46 , 47 , 113 ].…”

“…The favorable efficacy of LSG for weight loss and T2D has been reported in Japan as well [ 43 – 47 ]. In a study involving 831 Japanese patients with severe obesity (mean BMI: 42 kg/m 2 ) who had undergone metabolic surgery, the results were favorable, with a percent total weight loss 3 years after operation of 33%, 28%, 26%, and 19% for LRYGB, LSG, LSG with duodenojejunal bypass (LSG–DJB), and laparoscopic adjustable gastric banding (LAGB), respectively.…”

High frequency and long persistency of ballooning hepatocyte were associated with glucose intolerance in patients with severe obesity

“…Bariatric surgery has been renamed “metabolic” surgery as it seems to be a functional cure that enables a return to healthy conditions 7 . Our previous study found several factors associated with T2DM remission in patients who underwent LSG 5 ; by contrast, some patients exhibited persistent glucose intolerance or T2DM despite weight reduction being achieved through metabolic surgery 5 .…”

Formulation and interpretation of the Chinese Guidelines for Surgical Treatment of Obesity and Type 2 Diabetes Mellitus

“…However, there is still no unified standard for personalized treatment based on the patient's condition. Today, three preoperative scoring methods are available: the ABCD score (21), the DiaRem score (22), and the IMS score (23). In the current literature, no studies have clearly demonstrated which scoring method is more accurate, and there is no significant difference in the preoperative prediction of the rate of diabetes mellitus remission among the three scoring methods.…”