Erschienen in:
01.11.2018 | Therapies and New Technologies in the Treatment of Diabetes (M Pietropaolo, Section Editor)
Metabolic Surgery as a Treatment Option for Type 2 Diabetes Mellitus: Surgical View
verfasst von:
Eric Rachlin, Carlos Galvani
Erschienen in:
Current Diabetes Reports
|
Ausgabe 11/2018
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Abstract
Purpose of Review
Type 2 diabetes mellitus (T2DM) is increasing in prevalence and associated with numerous metabolic complications leading to increased mortality and costs. Metabolic surgery, or surgery to treat T2DM and obesity, is effective at achieving remission from T2DM. This review discusses the most commonly used surgical options including the adjustable gastric band, the Roux-en-Y gastric bypass, the sleeve gastrectomy, and the biliopancreatic diversion with duodenal switch and their ability to treat and prevent T2DM.
Recent Findings
There is an increasing body of literature that justifies the inclusion of metabolic surgery into the treatment algorithm for patients with obesity and T2DM. Metabolic procedures should be performed at centers that offer comprehensive treatment of metabolic disorders and have expertise in gastrointestinal surgery. The incremental improvement in the quality and safety of metabolic surgery has significantly reduced the risk of serious post-operative complications.
Summary
Metabolic surgery is a safe and effective treatment option for obese patients with T2DM.