Mecanismos cirúrgicos de controle do diabetes mellitus tipo 2 após cirurgia bariátrica

Revista do Colégio Brasileiro de Cirurgiões

Marcus Vinicius Dantas de Campos Martins¹  Antônio Augusto Peixoto de Souza² 

[1] Universidade Estácio de Sá;Universidade Federal do Rio de Janeiro;

关键词: Bariatric Surgery;    Diabetes Mellitus;    Type 2;    Gastrointestinal Hormones;   

DOI  :  10.1590/S0100-69912007000500013

来源: DOAJ

【 摘 要 】

Type 2 diabetes mellitus is an epidemic health problem. Approximately, 90% of diabetic patients are overweight or are obese. The current increase in the prevalence of obesity has been associated with an increase in the prevalence of type 2 diabetes. Bariatric surgery is the most effective treatment for morbid obese patients in terms of controlling weight and co-morbidities. Sustained normal plasma concentration of glucose has been reported in most diabetic morbid obese patients, which has been managed surgically. Available data show a significant alteration in the production of some gastrointestinal hormones, which might explain the improvement of glucose metabolism following these procedures. Diabetic patient improvements following some bariatric surgeries seems to be an independent factor unrelated to the amount of weight loss. The authors reviewed data published on the effects of bariatric surgery in diabetic patient improvements and the possible mechanisms responsible for this control.

【 授权许可】

Unknown