Possibilities of metabolic surgery for the treatment of type 2 diabetes mellitus in patients with grade 1 alimentary obesity
| Autor: | Evgenii V. Vasil'ev, Ruslan T. Sardinov, Nikita S. Ilinskii, Dmitrii V. Gladyshev, Vladimir V. Salukhov |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
obesity RC620-627 type 2 diabetes mellitus Endocrinology Diabetes and Metabolism bariatric surgery 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Endocrinology Weight loss Diabetes mellitus Internal Medicine medicine In patient 030212 general & internal medicine Intensive care medicine Nutritional diseases. Deficiency diseases business.industry Metabolic surgery Type 2 Diabetes Mellitus medicine.disease Obesity Metabolic control analysis medicine.symptom business Body mass index |
| Zdroj: | Сахарный диабет, Vol 21, Iss 1, Pp 15-25 (2018) |
| ISSN: | 2072-0378 2072-0351 |
| Popis: | Many studies have demonstrated the high effectiveness of bariatric surgery in patients with grade 23 obesity and type 2 diabetes mellitus. Currently, surgery is one of the most effective ways to decrease body mass, to maintain long-term weight loss and to manage type 2 diabetes mellitus. Particular interest has been generated by the strong influence of bariatric surgical interventions on the disruption of carbohydrate metabolism in patients who undergo surgery. This change leads to an improvement in the course of type 2 diabetes mellitus as well as its full remission. This review presents information on the mechanisms that are needed to improve glycaemic control in patients with obesity even after bariatric surgery. This review also contains a comparative analysis of how various surgical interventions influence the course of diabetes, the reasons for postbariatric glycaemia and predictors of the effectiveness of bariatric surgeries in terms of metabolic control in patients with type 2 diabetes mellitus. Until recently, the primary focus of the studies by bariatric surgeons was on patients with grade 23 obesity and type 2 diabetes mellitus. However, in this review, special attention is given to the patients with a body mass index that ranges from 30 to 35 kg/m. Gained experience of the bariatric surgeons leads to high effectiveness with respect to the influence on the course of diabetes in patients with grade 1 obesity, which allows us to significantly expand the range of patients who should be recommended for this surgery. In addition, some information concerning surgical and metabolic complications of bariatric surgical intervention is provided, which allows us to seriously consider this treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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