The role of bariatric surgery on diabetes mellitus type 2 control

Introduction - One of the today's biggest health problems is diabetes mellitus and is projected to have 366 million patients in 2030, between insulin (DM I) and non-insulin dependent (DM II). Aim - To evaluate through a literature review the surgical results in the type II using surgical methods available in bariatric surgery. Method - The scientific databases Lilacs, Medline and Pubmed were used to collect papers with the surgical treatment of diabetes and 73 articles were found, being 22 specifically related to the subject. Results - Surgery shows inicial acceptable results with best ones related to biliopancreatic diversion in 98,9% of cases, gastric bypass 83,7%, gastroplasty 71,6%, and gastric banding 47,9%. There are mentioned many complications some of them progressing to death and, so, surgical treatment must be done with responsibility and analyzing cost-benefit in each procedure. Conclusion - Bariatric surgery gives improvement in type II diabetes and biliopancreatic diversion and Roux-em-Y gastric bypass are the most indicated to this type.