To the Editor: The study by Adams et al. (Sept. 21 issue)1 provides further evidence regarding the durable effects of bariatric surgery on both weight loss and type 2 diabetes. It also supports data from randomized, controlled trials indicating that bariatric surgery is the most effective current therapy for the management of both conditions. However, we note that the authors chose to define diabetes outcomes using criteria that differ from those used in other recent similar studies. Indeed, a number of differing diabetes outcome definitions have been used in the published literature, which raises concern regarding the comparability of these . . .

中文翻译：

---

胃绕道术后12年的体重和代谢结果

致编辑：亚当斯等人的研究。（9月21日发行）1提供了有关减肥手术对减肥和2型糖尿病的持久影响的进一步证据。它还支持来自随机对照试验的数据，表明减肥手术是目前治疗两种疾病最有效的疗法。但是，我们注意到，作者选择使用与其他近期类似研究中所使用的标准不同的标准来定义糖尿病的预后。实际上，在公开的文献中已经使用了许多不同的糖尿病结果定义，这引起了对这些结果可比性的关注。。。