Open AccessUse of bariatric surgery in patients with type 2 diabetes: help to the practitioner
Author(s) -
Е. В. Ершова,
Ершова Екатерина Владимировна,
Ekaterina A. Troshina,
Трошина Екатерина Анатольевна
Publication year - 2016
Publication title -
ožirenie i metabolizm
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 , gastric bypass surgery , weight loss , 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.