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Comment & Response |

Mass Treatment With Bariatric Surgery for Type 2 Diabetes Mellitus

Maria Ida Maiorino, MD, PhD1; Giuseppe Bellastella, MD, PhD2; Katherine Esposito, MD, PhD1
[+] Author Affiliations
1Diabetes Unit, Department of Clinical and Experimental Medicine, Second University of Naples, Naples, Italy
2Division of Endocrinology and Metabolic Diseases, Department of Medical Sciences, Surgical, Neurological, Metabolic Sciences, and Aging, Second University of Naples, Naples, Italy
JAMA Surg. 2016;151(2):196-197. doi:10.1001/jamasurg.2015.3405.
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To the Editor We read with interest the article by Courcoulas et al1 comparing the remission rate of type 2 diabetes mellitus (T2DM) following surgical treatment and the remission rate of T2DM following nonsurgical treatment among obese individuals after 3 years of follow-up. They concluded that among the obese participants with T2DM, bariatric surgery resulted in higher remission rates (40% for Roux-en-Y gastric bypass and 29% for laparoscopic adjustable gastric banding) than did lifestyle intervention alone (which resulted in no remission).

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October 1, 2015
Anita P. Courcoulas, MD, MPH; Steven H. Belle, PhD, MScHyg; Rebecca H. Neiberg, MS; Sheila K. Pierson, BS, BA; Jessie K Eagleton, MPH; Melissa A. Kalarchian, PhD; James P. DeLany, PhD; Wei Lang, PhD; John M. Jakicic, PhD
1Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
2Department of Biostatistics, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania3Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania
4Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, South Carolina
5School of Nursing, Duquesne University, Pittsburgh, Pennsylvania
6Division of Endocrinology and Metabolism, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
7Physical Activity and Weight Management Research Center, Department of Health and Physical Activity, University of Pittsburgh, Pittsburgh, Pennsylvania
JAMA Surg. 2015;150(10):931-940. doi:10.1001/jamasurg.2015.1534.
February 1, 2016
Anita P. Courcoulas, MD, MPH; John M. Jakicic, PhD
1Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
2Department of Health and Physical Activity, Physical Activity and Weight Management Research Center, University of Pittsburgh, Pittsburgh, Pennsylvania
JAMA Surg. 2016;151(2):197. doi:10.1001/jamasurg.2015.3408.
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