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Surgical Innovation April 2018 JAMA Surg. 2018;153(4):376-377. doi:10.1001/jamasurg.2017.5306 What Is the Innovation? The transoral endoscopic thyroidectomy vestibular approach (TOETVA) represents a new remote access endoscopic technique for thyroid gland excision.
Importance Controlling glycemia, blood pressure, and cholesterol is important for patients with diabetes. How best to achieve this goal is unknown. Objective To compare Roux-en-Y gastric bypass with lifestyle and intensive medical management to achieve control of comorbid risk factors.
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