Assessing the obese diabetic patient for bariatric surgery: which candidate do I choose?

Marco Raffaelli,1 Luca Sessa,1 Geltrude Mingrone,2 Rocco Bellantone1 1Division of Endocrine and Metabolic Surgery, 2Division of Obesity Diseases, Università Cattolica del Sacro Cuore, Rome, Italy Abstract: The worldwide prevalence of type 2 diabetes is rising in association with an incre...

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Autores principales:	Raffaelli M, Sessa L, Mingrone G, Bellantone R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/5a04b3536a544eb68ce474afa92ba475
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spelling	oai:doaj.org-article:5a04b3536a544eb68ce474afa92ba4752021-12-02T01:40:42ZAssessing the obese diabetic patient for bariatric surgery: which candidate do I choose?1178-7007https://doaj.org/article/5a04b3536a544eb68ce474afa92ba4752015-06-01T00:00:00Zhttp://www.dovepress.com/assessing-the-obese-diabetic-patient-for-bariatric-surgery-which-candi-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Marco Raffaelli,1 Luca Sessa,1 Geltrude Mingrone,2 Rocco Bellantone1 1Division of Endocrine and Metabolic Surgery, 2Division of Obesity Diseases, Università Cattolica del Sacro Cuore, Rome, Italy Abstract: The worldwide prevalence of type 2 diabetes is rising in association with an increasing frequency of overweight and obesity. Bariatric-metabolic procedures are considered as additional therapeutic options, allowing improved diabetes control in most patients. Multiple factors play in concert to achieve the improvements in diabetic remission observed after bariatric-metabolic surgery. Several studies have demonstrated that bariatric-metabolic surgery is an effective treatment for type 2 diabetes when compared with conventional nonsurgical medical treatment. Because the best results are achievable in patients with a relatively short history of diabetes and less advanced controlled disease, the surgical option could be considered early, especially in morbid obese subjects (BMI ≥35 kg/m2) after failure of medical treatment. Patients with extensive weight loss are more likely to achieve type 2 diabetes remission after bariatric surgery. At present, Roux-en-Y gastric bypass seems the surgical procedure of choice because it has fewer risks than biliopancreatic diversion, and it is associated with higher weight loss and metabolic improvements compared with adjustable gastric banding. Recent evidences regarding the effectiveness of sleeve gastrectomy in diabetes remission have to be confirmed by controlled trials with longer follow-up. Keywords: bariatric surgery, metabolic surgery, diabetes, morbid obesityRaffaelli MSessa LMingrone GBellantone RDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2015, Iss default, Pp 255-262 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Specialties of internal medicine RC581-951
spellingShingle	Specialties of internal medicine RC581-951 Raffaelli M Sessa L Mingrone G Bellantone R Assessing the obese diabetic patient for bariatric surgery: which candidate do I choose?
description	Marco Raffaelli,1 Luca Sessa,1 Geltrude Mingrone,2 Rocco Bellantone1 1Division of Endocrine and Metabolic Surgery, 2Division of Obesity Diseases, Università Cattolica del Sacro Cuore, Rome, Italy Abstract: The worldwide prevalence of type 2 diabetes is rising in association with an increasing frequency of overweight and obesity. Bariatric-metabolic procedures are considered as additional therapeutic options, allowing improved diabetes control in most patients. Multiple factors play in concert to achieve the improvements in diabetic remission observed after bariatric-metabolic surgery. Several studies have demonstrated that bariatric-metabolic surgery is an effective treatment for type 2 diabetes when compared with conventional nonsurgical medical treatment. Because the best results are achievable in patients with a relatively short history of diabetes and less advanced controlled disease, the surgical option could be considered early, especially in morbid obese subjects (BMI ≥35 kg/m2) after failure of medical treatment. Patients with extensive weight loss are more likely to achieve type 2 diabetes remission after bariatric surgery. At present, Roux-en-Y gastric bypass seems the surgical procedure of choice because it has fewer risks than biliopancreatic diversion, and it is associated with higher weight loss and metabolic improvements compared with adjustable gastric banding. Recent evidences regarding the effectiveness of sleeve gastrectomy in diabetes remission have to be confirmed by controlled trials with longer follow-up. Keywords: bariatric surgery, metabolic surgery, diabetes, morbid obesity
format	article
author	Raffaelli M Sessa L Mingrone G Bellantone R
author_facet	Raffaelli M Sessa L Mingrone G Bellantone R
author_sort	Raffaelli M
title	Assessing the obese diabetic patient for bariatric surgery: which candidate do I choose?
title_short	Assessing the obese diabetic patient for bariatric surgery: which candidate do I choose?
title_full	Assessing the obese diabetic patient for bariatric surgery: which candidate do I choose?
title_fullStr	Assessing the obese diabetic patient for bariatric surgery: which candidate do I choose?
title_full_unstemmed	Assessing the obese diabetic patient for bariatric surgery: which candidate do I choose?
title_sort	assessing the obese diabetic patient for bariatric surgery: which candidate do i choose?
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/5a04b3536a544eb68ce474afa92ba475
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Assessing the obese diabetic patient for bariatric surgery: which candidate do I choose?

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