UPDATE OF BARIATRIC AND METABOLIC SURGERY
Obesity increases the risk of developing or worsening many disorders particularly type 2 diabetes, a difficult-to-control chronic disease, treated with different drugs even with insulin, frequently without reaching therapeutic goals neither reducing cardiovascular risk. Therapy becomes more complex...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Sello Editorial Lugones
2020-07-01
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| Series: | Revista de la Sociedad Argentina de Diabetes |
| Subjects: | |
| Online Access: | https://www.revistasad.com/index.php/diabetes/article/view/211 |
| _version_ | 1823996198018613248 |
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| author | Graciela Álvarez Susana Fuentes Juliana Mociulsky Victoria Salinas María Yuma Susana Gutt Marianela Ackerman Paula Lifszyc Frank Espinoza |
| author_facet | Graciela Álvarez Susana Fuentes Juliana Mociulsky Victoria Salinas María Yuma Susana Gutt Marianela Ackerman Paula Lifszyc Frank Espinoza |
| author_sort | Graciela Álvarez |
| collection | DOAJ |
| description | Obesity increases the risk of developing or worsening many disorders particularly type 2 diabetes, a difficult-to-control chronic disease, treated with different drugs even with insulin, frequently without reaching therapeutic goals neither reducing cardiovascular risk. Therapy becomes more complex when type 2 diabetes is associated with severe obesity. The use of bariatric and metabolic surgery in patients with severe obesity and diabetes is assessed, and the different surgical techniques, assumptions about its mechanism of action, selection of patients and results are also reviewed. Bariatric surgery has proven to be effective in the treatment of severe obesity and type 2 diabetes in patients with BMI >35 kg/m2. This type of surgery has shown to be acceptable and well tolerated in selected and low risk patients capable of treatment Bariatric surgery has sufficient scientific evidence in these patients. However, there is no strong evidence of metabolic surgery in patients with BMI <35 kg/m2 and even with BMI <30 kg/m2. Preliminary data shows promising results in the short and intermediate term, but there is no sufficient evidence available supporting its indication in these patients. More research is needed to establish the efficacy and safety of these surgical techniques in the long term. |
| first_indexed | 2024-12-18T16:59:31Z |
| format | Article |
| id | doaj.art-19223447cc1e4dec8069933e47404a9b |
| institution | Directory Open Access Journal |
| issn | 0325-5247 2346-9420 |
| language | Spanish |
| last_indexed | 2024-12-18T16:59:31Z |
| publishDate | 2020-07-01 |
| publisher | Sello Editorial Lugones |
| record_format | Article |
| series | Revista de la Sociedad Argentina de Diabetes |
| spelling | doaj.art-19223447cc1e4dec8069933e47404a9b2022-12-21T21:00:35ZspaSello Editorial LugonesRevista de la Sociedad Argentina de Diabetes0325-52472346-94202020-07-01473698010.47196/diab.v47i3.211159UPDATE OF BARIATRIC AND METABOLIC SURGERYGraciela Álvarez0Susana Fuentes1Juliana Mociulsky2Victoria Salinas3María Yuma4Susana Gutt5Marianela Ackerman6Paula Lifszyc7Frank Espinoza8Universidad Favaloro, Centro de Estudio y Tratamiento de la Obesidad Severa (CETOS), Ciudad Autónoma de Buenos Aires, ArgentinaHospital de Alta Complejidad El Cruce, Florencio Varela, Provincia de Buenos Aires, ArgentinaUnidad Nutrición, Instituto Cardiovascular Buenos Aires ICBA, Ciudad Autónoma de Buenos Aires, ArgentinaClínica Médica y Nutrición, Ciudad Autónoma de Buenos Aires, ArgentinaHospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, ArgentinaHospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, ArgentinaÁrea Diabetes y Nutrición, Centro Integral de Endocrinología y Nutrición (CIEN), Corrientes, ArgentinaUnidad de Nutrición del Hospital Carlos Durand, Ciudad Autónoma de Buenos Aires, ArgentinaInstituto Cardiovascular Lezica, Martínez, Provincia de Buenos Aires, ArgentinaObesity increases the risk of developing or worsening many disorders particularly type 2 diabetes, a difficult-to-control chronic disease, treated with different drugs even with insulin, frequently without reaching therapeutic goals neither reducing cardiovascular risk. Therapy becomes more complex when type 2 diabetes is associated with severe obesity. The use of bariatric and metabolic surgery in patients with severe obesity and diabetes is assessed, and the different surgical techniques, assumptions about its mechanism of action, selection of patients and results are also reviewed. Bariatric surgery has proven to be effective in the treatment of severe obesity and type 2 diabetes in patients with BMI >35 kg/m2. This type of surgery has shown to be acceptable and well tolerated in selected and low risk patients capable of treatment Bariatric surgery has sufficient scientific evidence in these patients. However, there is no strong evidence of metabolic surgery in patients with BMI <35 kg/m2 and even with BMI <30 kg/m2. Preliminary data shows promising results in the short and intermediate term, but there is no sufficient evidence available supporting its indication in these patients. More research is needed to establish the efficacy and safety of these surgical techniques in the long term.https://www.revistasad.com/index.php/diabetes/article/view/211diabetes tipo 2, obesidad mórbida, cirugía bariátrica, cirugía metabólica. |
| spellingShingle | Graciela Álvarez Susana Fuentes Juliana Mociulsky Victoria Salinas María Yuma Susana Gutt Marianela Ackerman Paula Lifszyc Frank Espinoza UPDATE OF BARIATRIC AND METABOLIC SURGERY Revista de la Sociedad Argentina de Diabetes diabetes tipo 2, obesidad mórbida, cirugía bariátrica, cirugía metabólica. |
| title | UPDATE OF BARIATRIC AND METABOLIC SURGERY |
| title_full | UPDATE OF BARIATRIC AND METABOLIC SURGERY |
| title_fullStr | UPDATE OF BARIATRIC AND METABOLIC SURGERY |
| title_full_unstemmed | UPDATE OF BARIATRIC AND METABOLIC SURGERY |
| title_short | UPDATE OF BARIATRIC AND METABOLIC SURGERY |
| title_sort | update of bariatric and metabolic surgery |
| topic | diabetes tipo 2, obesidad mórbida, cirugía bariátrica, cirugía metabólica. |
| url | https://www.revistasad.com/index.php/diabetes/article/view/211 |
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