Metabolic changes after bariatric/metabolic operations
Authors:
Pavol Holéczy 1,2,5; Marek Bužga 3; Eva Figurová 4
Authors‘ workplace:
Katedra chirurgických oborů, LF Ostravské univerzity v Ostravě, Česká republika
1; Chirurgické oddělení, Vítkovická nemocnice a. s., Ostrava-Vítkovice, Česká republika
2; Katedra fyziologie a patofyziologie, LF Ostravské univerzity v Ostravě, Česká republika
3; Interná klinika, Fakultná nemocnica Trnava, Slovensko
4; Chirurgická klinika, Fakultná nemocnica Trnava, Slovensko
5
Published in:
Forum Diab 2016; 5(1): 35-40
Category:
Topic
Overview
Bariatric surgery is well known throughout the world. Well known is its impact on weight loss, as well. From focusing on weight reduction is the concentration shifting nowadays on influence of surgery on comorbidities. The operations have different metabolic impact, different influence on gastrointestinal hormones and differently influenced basic metabolic processes. Most important is positive effect on diabetes mellitus type II. Recently were new defined types of operations according the aim of their indications. There are defined criteria for assessment of diabetes mellitus type II resolution, as well. The authors refer about most important metabolic changes on the base of literature review and their own experience, as well.
Key words:
bariatric-metabolic surgery – diabetes mellitus type II. – therapy of comorbidities – metabolic changes
Sources
1. Buchwald H, Varco RL (eds). Metabolic surgery. Grune and Stratton: New York 1978.
2. Buchwald H, Stoller DK, Campos CT et al. Partial ileal bypass for hypercholesterolemia. 20- to 26-year follow-up of the first 57 consecutive cases. Ann Surg 1990; 212(3): 318–331.
3. Pories WJ, Swanson MS, MacDonald KG et al. Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg 1995; 222(3): 339–350.
4. Rubino F, Forgione A, Cummings et al. The Mechanism of Diabetes Control After Gastrointestinal Bypass Surgery Reveals a Role of the Proximal Small Intestine in the Pathophysiology of Type 2 Diabetes. Ann Surg 2006; 244(5): 741–749.
5. Buchwald H, Avidor Y, Braunwald E et al. Bariatric surgery: a systematic review and meta-analysis. JAMA 2004; 292(14): 1724–1737. Erratum in JAMA 2005; 293(14): 1728.
6. Buchwald H. The Evolution of Metabolic/Bariatric Surgery. Obes Surg 2014; 24(8): 1126–1135.
7. Sjöström L, Lindroos AK, Peltonen M et al. Lifestyle, Diabetes, and Cardiovascular Risk Factors 10 Years after Bariatric Surgery. N Engl J Med 2004; 351(26): 2683–2693.
8. Gastrointestinal Surgery for Severe Obesity. NIH Consens Statement 1991 Mar 25–27; 9(1): 1–20. Dostupné z WWW: <https://consensus.nih.gov/1991/1991gisurgeryobesity084html.htm>.
9. Fried M, Yumuk V, Oppert JM et al. Interdisciplinary European Guidelines on metabolic and bariatric surgery. Obes Facts 2013; 6(5): 449–468.
10. Scinta W. Measuring Success: A Comparison of Weight Loss Calculations. Bariatric Times 2012; 9(7): 18–20. Dostupné z WWW: <http://bariatrictimes.com/measuring-success-a-comparison-of-weight-loss-calculations/>.
11. Svačina Š. Potenciální mechanizmy účinku bariatrické a metabolické chirurgie na metabolická onemocnění. In: Fried M et al. Bariatrická a metabolická chirurgie. Mladá fronta: Praha 2011: 221–229. ISBN 978–80–204–2424–2.
12. Via MA, Mechanick JI. The role of bariatric surgery in the treatment of type 2 diabetes: current evidence and clinical guidelines. Curr Atheroscler Rep 2013; 15(11): 366.
13. Bužga M, Zavadilová V, Holéczy P et al. Dietary intake and ghrelin and leptin changes after sleeve gastrectomy. Wideochir Inne Tech Maloinwazyjne 2014; 9(4): 554–561.
14. Adamczyk P, Bužga M, Holéczy P et al. Bone mineral density and body composition after laparoscopic sleeve gastrectomy in men: A short-term longitudinal study. Int J Surg 2015; 23(Pt A): 101–107.
15. Bužga M , Holéczy P, Švagera Z et al. Laparoscopic gastric plication and its effect on saccharide and lipid metabolism: a 12-month prospective study. Wideochir Inne Tech Maloinwazyjne. 2015; 10(3): 398–405.
16. Scopinaro N. Metabolická chirurgie u pacientů s BMI ≤ 35 kg/m2. In: Fried M et al. Bariatrická a metabolická chirurgie. Mladá fronta: Praha 2011:221–229. ISBN 978–80–204–2424–2.
17. Fried M et al. Medzinárodné Európske záväzné odporúčania pre metabolickú a bariatrickú chirurgiu. Diabetes a obezita 2014; 27: 113–122.17
Labels
Diabetology Endocrinology Internal medicineArticle was published in
Forum Diabetologicum
2016 Issue 1
Most read in this issue
- New drugs in the treatment of obesity: their availability for clinical practice
- GLP1-analogs – suitable choice in obese patients with type 2 diabetes mellitus
- Nonalcoholic fatty liver disease – a serious comorbidity of diabesis
- Metabolic changes after bariatric/metabolic operations