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September 15, 2017

Professor Francesco Rubino, Chief of the Gastrointestinal Metabolic Surgery Program at NewYork-Presbyterian Hospital/Weill Cornell Medical Center and Director of the 2nd World Congress on Interventional Therapies for Type 2 Diabetes, said, "This is the first time the International Diabetes Federation or any major international organisation has made recommendations on this rapidly developing area of therapy. It did so because of the urgent need for worldwide expert guidance on the use of bariatric surgery because of the increasing usage. We note the need to establish appropriate measures in education and selection of patients and safe and standardized surgical procedures. Long-term follow-up after surgery is essential."

Professor John Dixon, Head of Obesity Research Unit, Department of General Practice, Monash University, Melbourne, said: "It is very important for health authorities and policy makers to understand that almost all severely obese patients cannot achieve and maintain significant weight loss. They should be treated where appropriate with bariatric surgery, which can lead to remission of diabetes in up to 80% of patients. National guidelines and registers for bariatric surgery need to be developed and implemented for people with type 2 diabetes."

The expert group warns the situation in low- and middle-income nations presents special problems because severe obesity is increasing at an alarming rate. As health care resources are limited, bariatric surgery should only be performed where the health budget can afford it, and when the expertise is available for both the surgery and the long-term follow-up.

Source: International Diabetes Federation