Use of bariatric surgery in patients with type 2 diabetes: help to the practitioner | Zendy

Е. В. Ершова | Zendy; Е. А. Трошина | Zendy

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Use of bariatric surgery in patients with type 2 diabetes: help to the practitioner

Author(s) -

Е. В. Ершова,

Е. А. Трошина

Publication year - 2016

Publication title -

obesity and metabolism

Language(s) - English

Resource type - Journals

eISSN - 2306-5524

pISSN - 2071-8713

DOI - 10.14341/omet2016150-56

Subject(s) - medicine , type 2 diabetes , obesity , diabetes mellitus , surgery , type 2 diabetes mellitus , obesity surgery , hypoglycemia , gastric bypass , weight loss , gastric bypass surgery , endocrinology

The use of bariatric surgery in patients with obesity and type 2 diabetes mellitus (T2DM) has its own features. In this lecture we discuss indications and contraindications for bariatric surgery, including specific, e.g. presence of type 2 diabetes. Various types of bariatric surgery and the mechanisms of their effects on glucose and lipid metabolism. We show the results of the restrictive and bypass bariatric surgery in patients with obesity and type 2 diabetes, we present requirements for bariatric surgery and parameters of assessment of its effectiveness, including remission of type 2 diabetes after bariatric surgery. The reasons postsurgical hypoglycemia, as well as predictors of effectiveness of bariatric surgery for the metabolic control in patients with obesity and type 2 diabetes.

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