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Войти в исследования Current opinion in endocrinology, diabetes, and obesity · 2013
Metabolic surgery for type 2 diabetes: efficacy and risks.
СтатьяПоддержка NIH: внешняя программаОбзорНазвание и аннотация: Перевод в очереди
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Halperin Florencia, Goldfine Allison B
Аннотация
PURPOSE OF REVIEW: Bariatric surgery has emerged as a highly effective treatment for obesity and is increasingly recognized to have benefits for glycemic management in patients with pre-existing type 2 diabetes mellitus (T2DM), and for diabetes prevention. This article will review the efficacy and mechanisms of metabolic surgery for the treatment of T2DM.
RECENT FINDINGS: Recent small randomized studies with 1-2 years of follow-up begin to provide level 1 data of the effects of surgical procedures compared to medical management on glycemic control. Physiology studies using sophisticated metabolic techniques to evaluate insulin secretion, action, and entero-endocrine changes in patients preoperatively and postoperatively have shed light on the mechanisms that lead to changes in glycemia observed after bariatric surgery.
SUMMARY: Understanding the efficacy and physiologic effects of bariatric surgery on metabolism will help guide patient management in the context of a growing epidemic of obesity and T2DM, and may also ultimately enable us to develop less invasive but equally effective therapeutic strategies for weight loss and metabolic control.
RECENT FINDINGS: Recent small randomized studies with 1-2 years of follow-up begin to provide level 1 data of the effects of surgical procedures compared to medical management on glycemic control. Physiology studies using sophisticated metabolic techniques to evaluate insulin secretion, action, and entero-endocrine changes in patients preoperatively and postoperatively have shed light on the mechanisms that lead to changes in glycemia observed after bariatric surgery.
SUMMARY: Understanding the efficacy and physiologic effects of bariatric surgery on metabolism will help guide patient management in the context of a growing epidemic of obesity and T2DM, and may also ultimately enable us to develop less invasive but equally effective therapeutic strategies for weight loss and metabolic control.
Предметные рубрики MeSH
Bariatric SurgeryBlood GlucoseDiabetes Mellitus, Type 2Follow-Up StudiesHyperinsulinismHypoglycemiaIntestinal AbsorptionObesity, MorbidOutcome Assessment, Health CarePatient SelectionPostoperative ComplicationsPulmonary EmbolismRandomized Controlled Trials as TopicRemission InductionSepsisTreatment OutcomeWeight Loss