Sasse Surgical Associates Blog

Studies Evaluate Long-Term Remission of Diabetes After Sleeve Gastrectomy

With obesity and Type 2 diabetes continuing to grow as major health problems and causes of early morbidity and mortality, improved studies have examined longer follow-up time periods for diabetes remission after metabolic surgery. Sleeve gastrectomy is a 45-minute laparoscopy procedure. Ten-year studies help paint a picture of the durability of the remission rates for…
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Diabetes Care: Intensive Medical Management vs. Surgery with 5 year Follow Up

Intensive medical management of Type 2 diabetes at the Cleveland Clinic consists of intensive tight control medical management with oral and injectable medication including GLP-1 agonists, together with dietary counseling and modification, an exercise program and support groups. This strategy was compared to metabolic surgery in a randomized, prospective controlled trial called the Stampede Trial published…
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Metabolic Surgery: A Crucial Aspect of Diabetes Care

In its 2018 guidelines, the ADA elevated metabolic surgery to its Top Tier of recommendations for the treatment of type 2 diabetes. According to both the National Institutes of Health and the American Diabetes Association, bariatric surgery is recommended for all individuals with a BMI of 35 or more who have type 2 diabetes -without…
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Why am I not feeling restriction after weight loss surgery?

Most of the science shows, and most experts believe, the gastric sleeve (and the gastric bypass and duodenal switch) works by a hormonal mechanism that helps decrease hunger, increase satiety, and change food preferences. Feeling “restriction” is super variable, and some people feel a lot of it and some people none, based on a bunch…
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