Bariatric surgery for diabetes management

@article{Frachetti2009BariatricSF,
  title={Bariatric surgery for diabetes management},
  author={Katherine J Frachetti and Allison B Goldfine},
  journal={Current Opinion in Endocrinology, Diabetes and Obesity},
  year={2009},
  volume={16},
  pages={119–124}
}
Purpose of reviewTo review the role of bariatric surgery in the treatment of patients with type 2 diabetes. Recent findingsMultiple studies demonstrate that bariatric surgical approaches to obesity lead to substantial and sustained weight loss. Patients with diabetes have remission of hyperglycemia or require reduced medications. Surgical intervention for patients with more recent diabetes onset may have higher rates of resolution than patients with longer duration disease. In addition… Expand
Monitoring for and preventing the long-term sequelae of bariatric surgery
TLDR
As surgical management of obesity becomes more prevalent in an attempt to improve health-related quality of life, reduce mortality, and address the comorbidities that are prevalent in this population, nurse practitioners (NPs) need to understand what long-term management these patients will require. Expand
Cardiovascular benefits of bariatric surgery in morbidly obese patients
TLDR
In morbidly obese patients bariatric surgery is safe and appears to reduce cardiovascular morbidity and mortality, and Laparoscopic Roux‐en‐Y gastric bypass (LRYGB) appears to be more effective than laparoscopic adjustable gastric banding (LAGB) in terms of weight loss and resolution of comorbidities. Expand
Monitoring for and preventing the long‐term sequelae of bariatric surgery
TLDR
As surgical management of obesity becomes more prevalent in an attempt to improve health‐related quality of life, reduce mortality, and address the comorbidities that are prevalent in this population, nurse practitioners need to understand what long‐term management these patients will require. Expand
Medical management of diabetes after bariatric surgery.
TLDR
Diet and pharmacological prescriptions are indispensable in patients in remission as well as in patients who continue to be diabetic to avoid nutritional deficiencies, and to delay diabetes relapse by optimizing the control of risk factors. Expand
Metabolic Laparoscopic Gastric Bypass for Obese Patients with Type 2 Diabetes
TLDR
Gastric bypass in obese patients is associated with a high remission rate of diabetes and improvement of the metabolic control, and results suggest that this type of surgery might be particularly indicated for obese diabetic patients with good pancreatic reserve. Expand
Techniques, assessment, and effectiveness of bariatric surgery in combating obesity
TLDR
The techniques of the currently used surgical procedures and the clinical effectiveness of bariatric surgery are described and the possible complications and mortality rates after bariatric operations are discussed. Expand
Preoperatively determinable factors predictive of diabetes mellitus remission following Roux-en-Y gastric bypass: a review of the literature
TLDR
This paper summarises the existing literature on bariatric surgery and identifies which patients and which procedures are most likely to result in these desired benefits. Expand
Bariatric surgery and the gut hormone response.
  • Susan Thomas, P. Schauer
  • Medicine
  • Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
  • 2010
TLDR
Bariatric surgery is reported to be the most effective method for achieving major, long-term weight loss, with weight loss ranges of 35%-40% lasting as long as 15 years, and the resultant metabolic changes have been linked to alterations in the gut hormones. Expand
Laparoscopic gastric banding resolves the metabolic syndrome and improves lipid profile over five years in obese patients with body mass index 30-40 kg/m(2.).
TLDR
LGB produces significant weight loss, resolution of MS and changes in lipid profile suggestive of beneficial HDL remodeling five years after laparoscopic gastric banding, which persist five years following LGB. Expand
Assessment of Different Bariatric Surgeries in the Treatment of Obesity and Insulin Resistance in Mice
TLDR
DIO mice had increased insulin promoter activity, suggesting overactivation of pancreatic beta cells, which was regulated by the mRYGB procedure, and the GI bypass procedure showed more severe symptoms of malnutrition following bariatric surgery. Expand
...
1
2
3
...

References

SHOWING 1-10 OF 65 REFERENCES
Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial.
TLDR
People randomized to surgical therapy were more likely to achieve remission of type 2 diabetes through greater weight loss, and these results need to be confirmed in a larger, more diverse population and have long-term efficacy assessed. Expand
Effects of bariatric surgery on mortality in Swedish obese subjects.
TLDR
Bariatric surgery for severe obesity is associated with long-term weight loss and decreased overall mortality. Expand
Bariatric Surgery: A Systematic Review and Meta-analysis
TLDR
Effective weight loss was achieved in morbidly obese patients after undergoing bariatric surgery, and a substantial majority of patients with diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea experienced complete resolution or improvement. Expand
Bariatric surgery: a systematic review and meta-analysis.
TLDR
Effective weight loss was achieved in morbidly obese patients after undergoing bariatric surgery, and a substantial majority of patients with diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea experienced complete resolution or improvement. Expand
Gastrointestinal Surgery for Severe Obesity.
TLDR
A consensus panel recommended that patients seeking therapy for severe obesity for the first time should be considered for treatment in a nonsurgical program with integrated components of a dietary regimen, appropriate exercise, and behavioral modification and support. Expand
Trends in bariatric surgical procedures.
TLDR
Findings suggest that use of bariatric surgical procedures increased substantially from 1998 to 2003, while rates of in-hospital complications were stable and length of stay decreased. Expand
Is Type 2 Diabetes an Operable Intestinal Disease?
Type 2 diabetes, which accounts for 90–95% of all cases of diabetes, is a growing epidemic that places a severe burden on health care systems, especially in developing countries. Because of both theExpand
Effect of laparoscopic Roux-en Y gastric bypass on type 2 diabetes mellitus.
TLDR
LRYGBP resulted in significant weight loss (60% percent of excess body weight loss) and resolution of type 2 diabetes mellitus resolution after surgery, suggesting that early surgical intervention is warranted to increase the likelihood of rendering patients euglycemic. Expand
NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel.
  • Medicine
  • Annals of internal medicine
  • 1991
TLDR
The National Institutes of Health Consensus Development Panel recommended that patients seeking therapy for severe obesity for the first time should be considered for treatment in a nonsurgical program that integrates a dietary regimen, appropriate exercise, behavior modification, and psychological support. Expand
Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients.
TLDR
Concerns are raised about the characteristics of the matched-control subjects and the methods used for matching that generate concern for the possibility of uncontrolled confounding either by comorbidity or by socioeconomic status. Expand
...
1
2
3
4
5
...