Rol de la cirugía bariátrica/metabólica en el manejo de la diabetes mellitus 2. Consenso SOCHED/SCCBM
| Autor: | Alex Escalona, María Juliana Bastías, Camilo Boza, Alberto Maiz, Enrique Lanzarini, Néstor Soto, Félix Raimann, Attila Csendes A, Rodrigo Muñoz, Ricardo Funke, Jorge Sapunar, Carlos Cárcamo, Verónica Mujica, Patricio Salman, Matias Sepulveda, Gustavo Pérez, Rodolfo Lahsen, Patricio Davidof F, Patricia Gómez, Carmen Gloria Aylwin, María Isabel González, A. Verónica Araya, Rodrigo Villagrán |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Consensus business.industry Class III obesity Bariatric Surgery General Medicine medicine.disease Obesity Clinical trial Diabetes Mellitus Type 2 Class II obesity Weight loss Diabetes mellitus Medicine medicine.symptom business Intensive care medicine Body mass index Glycemic |
| Zdroj: | Revista médica de Chile v.146 n.10 2018 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0034-9887 |
| DOI: | 10.4067/s0034-98872018001001175 |
| Popis: | Diabetes Mellitus (DM) and obesity are a public health problem in Chile. Bariatric surgery is the most effective treatment alternative to achieve a significant and sustained weight reduction in patients with morbid obesity. The results of controlled clinical trials indicate that, compared to medical treatment, surgery for obese patients with DM2 allows a better control of blood glucose and cardiovascular risk factors, reduces the need for medications and increases the likelihood for remission. Consensus conferences and clinical practice guidelines support bariatric surgery as an option to treat DM2 in Class III Obesity (Body Mass Index (BMI) > 40) regardless of the glycemic control and the complexity of pharmacological treatment and in Class II Obesity (BMI 35-39,9) with inadequate glycemic control despite optimal pharmacological treatment and lifestyle. However, surgical indication for patients with DM2 and BMI between 30-34.9, the most prevalent sub-group, is only suggested. The Chilean Societies of Endocrinology and Diabetes and of Bariatric and Metabolic Surgery decided to generate a consensus regarding the importance of other factors related to DM2 that would allow a better selection of candidates for surgery, particularly when weight does not constitute an indication. Considering the national reality, we also need a statement regarding the selection and characteristics of the surgical procedure as well as the role of the diabetologist in the multidisciplinary team. |
| Databáze: | OpenAIRE |
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