THE ROLE OF THE SLEEVE GASTRECTOMY AND THE MANAGEMENT OF TYPE 2 DIABETES

THE ROLE OF THE SLEEVE GASTRECTOMY AND THE MANAGEMENT OF TYPE 2 DIABETES

Currently, bariatric surgery has promoted weight loss and improved glycemic control in obese patients through different techniques, including vertical sleeve gastrectomy. Present and update the different vertical sleeve gastrectomy ways of action, both in the treatment of obesity and diabetes, appro...

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Bibliographic Details
Published in:Arquivos brasileiros de cirurgia digestiva : ABCD Vol. 30; no. 4; pp. 283 - 286
Main Authors: Fuchs, Taíse, Loureiro, Marcelo, Both, Gabriela Heloise, Skraba, Heloise Helena, Costa-Casagrande, Thaís Andrade
Format: Journal Article
Language:English
Published: Brazil Colégio Brasileiro de Cirurgia Digestiva 01-10-2017
Subjects:
Bariatric surgery
Diabetes Mellitus, type 2
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - surgery
Gastrectomy
Gastric Bypass
Gastroplasty
Humans
Metabolic syndrome
Obesity
Obesity - complications
Obesity - surgery
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Summary:Currently, bariatric surgery has promoted weight loss and improved glycemic control in obese patients through different techniques, including vertical sleeve gastrectomy. Present and update the different vertical sleeve gastrectomy ways of action, both in the treatment of obesity and diabetes, approaching its potential effect on gastrointestinal physiology, as well as the benefits achieved by this manipulation. Pubmed database search was used crossing the headings: obesity, type 2 diabetes and sleeve gastrectomy. Published data have shown that short-term weight loss tends to be higher in patients undergoing vertical sleeve gastrectomy compared to Roux-en-Y gastric bypass. In relation to glycemic control, the procedure demonstrated remission of diabetes in up to 60% after one year of surgery. After three years, however, differences in remission rate between surgical and clinical group was not observed, questioning the durability of the technical in a long-term. Despite showing good results, both in the weight loss and co-morbidities, conflicting results reinforce the need for more studies to prove the efficiency of the vertical sleeve gastrectomy as well as to understand its action about the molecular mechanisms involved in the disease.
Bibliography:Conflict of interest: none
ISSN:0102-6720
2317-6326
DOI:10.1590/0102-6720201700040013