Sustained remission of type 2 diabetes mellitus and significantly improved hyperlipidemia and control of arterial hypertension has been achieved in lean and obese patients after bariatric surgical procedures or other types of gastrointestinal surgical procedures. It has been demonstrated that the metabolic effects of bariatric surgery in these patients include not only reducing weight and caloric intake but also demonstrate endocrine changes resulting from surgical manifestation of the gastrointestinal tract. In this article we review the clinical outcomes of such interventions (collectively called "metabolic surgery") and the perspectives on the role that these surgeries play in the treatment of patients with type 2 diabetes mellitus.
机构:
Baylor Coll Med, Michael E DeBakey Dept Surg, One Baylor Plaza,MS BCM 390, Houston, TX 77030 USABaylor Coll Med, Michael E DeBakey Dept Surg, One Baylor Plaza,MS BCM 390, Houston, TX 77030 USA
Rachlin, Eric
Galvani, Carlos
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Baylor Coll Med, Michael E DeBakey Dept Surg, One Baylor Plaza,MS BCM 390, Houston, TX 77030 USABaylor Coll Med, Michael E DeBakey Dept Surg, One Baylor Plaza,MS BCM 390, Houston, TX 77030 USA
机构:
Diabet Zentrum Bad Lauterberg, Bad Lauterberg im Harz, GermanyChristliches Krankenhaus Quakenbruck, Diabet Zentrum Quakenbruck, Abt Diabetol Stoffwechsel & Endokrinol, D-49610 Quakenbruck, Germany
Nauck, M.
Schernthaner, G.
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Diabet Zentrum Bad Lauterberg, Bad Lauterberg im Harz, GermanyChristliches Krankenhaus Quakenbruck, Diabet Zentrum Quakenbruck, Abt Diabetol Stoffwechsel & Endokrinol, D-49610 Quakenbruck, Germany
Schernthaner, G.
Siegel, E.
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St Vincenz Krankenhaus Limburg, Med Klin, Limburg, GermanyChristliches Krankenhaus Quakenbruck, Diabet Zentrum Quakenbruck, Abt Diabetol Stoffwechsel & Endokrinol, D-49610 Quakenbruck, Germany