Bariatric Surgery, Safety and Type 2 Diabetes

被引:13
|
作者
Spanakis, Elias [1 ,2 ]
Gragnoli, Claudia [1 ,2 ,3 ,4 ,5 ]
机构
[1] Penn State Milton S Hershey Med Ctr, Lab Mol Genet Complex & Monogen Disorders, Dept Med, Hershey, PA 17033 USA
[2] Penn State Univ, Coll Med, Hershey, PA USA
[3] Temple Univ, Coll Sci & Technol, Sbarro Inst Canc Res & Mol Med, Ctr Biotechnol, Philadelphia, PA 19122 USA
[4] Temple Univ, Coll Sci & Technol, Dept Biol, Philadelphia, PA 19122 USA
[5] Bios Biotech Multidiagnost Hlth Ctr, Mol Biol Lab, Rome, Italy
关键词
Bariatric; Obesity; RYGB; Type; 2; diabetes; ROUX-EN-Y; VERTICAL BANDED GASTROPLASTY; LAPAROSCOPIC GASTRIC BYPASS; WEIGHT-LOSS; SURGICAL-TREATMENT; GLUCOSE-TOLERANCE; ACYLATED PEPTIDE; PLASMA GHRELIN; MORBID-OBESITY; OUTCOMES;
D O I
10.1007/s11695-008-9687-4
中图分类号
R61 [外科手术学];
学科分类号
摘要
Obesity and type 2 diabetes (T2D) represent major health concerns in the USA. Weight loss is the most important aspect in T2D management, as it reduces both morbidity and mortality. Available lifestyle, behavioral, and pharmacological strategies provide just mild to moderate weight loss. The greatest degree of T2D prevention or T2D amelioration in obese subjects has been reported in subjects who underwent bariatric surgery. In the current review, we will describe various types of bariatric surgery, related safety profiles, and their effect on T2D, as well as the potential mechanisms involved in the remission of T2D. Finally, we hereby examine whether bariatric surgery may be considered a treatment for T2D in pregnant women, children, adolescents and subjects at least 65 years old.
引用
收藏
页码:363 / 368
页数:6
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