1329 Can One Size Fit All: Is Laparoscopic Roux-En-Y Gastric Bypass the Best Bariatric Procedure for Treating Type 2 Diabetes Mellitus (T2DM)?

Abstract Introduction Bariatric surgery produces superior weight loss and reversal of comorbidities in morbidly obese individuals compared to medical therapy alone. Laparoscopic Roux-en-Y gastric bypass (LRYGB) was traditionally considered prolonged remission T2DM other procedures such as Sleeve-Gastrectomy (LSG). But recently published studies seek disprove this by emphasising on duration severity before rather than the type procedure. We aim verify if operation (LRYGB Vs LSG) influence rates. Method In retrospective cohort study, 204 patients were diagnosed with pre-operatively had undergone either LRYGB or LSG. used Individualised Metabolic Surgery Score (IMSS) tool divide into mild, moderate, severe categories. Results showed that 15% (n = 31) mild disease, 62%( n 127) moderate disease 23% 46) disease. Remission rates each category follows: Conclusions agree longstanding have low after bariatric surgery, probably due diminished beta-cell reserve. It is contrary recent publications which recommend LSG over This evidence necessitates further prospective deciding best procedure for T2DM.