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Impact of Gastric Surgery on Type 2 Diabetes in Morbidly Obese
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Impact of Bariatric Surgery on Type 2 Diabetes in Morbidly Obese
The aim of bariatric surgery is to induce major weight loss in those whose obesity places them at high risk of serious health problems. In an attempt to balance the risks of surgery against the benefits of weight loss, bariatric operations are currently performed only in the morbidly obese, or those with a body mass index (BMI) > 35 kgm(-2) who already have developed comorbidity such as type 2 diabetes. Although weight loss is beneficial for obese patients with diabetes, current medical treatment for obesity is difficult.
In contrast, observational studies show a major impact of bariatric surgery on diabetes, raising the question whether this approach should be used more widely to treat diabetes in obese patients? If bariatric surgery were shown to be the best way to treat diabetes in obese subjects the implications for health services would be wide-ranging. Bariatric surgery leads to withdrawal of diabetic treatment in about 60% or more of patients, and reductions of therapy for many others. Although data on bariatric surgery in subjects with diabetes are provocative, most studies have been uncontrolled or flawed in other ways. Most importantly, bariatric surgery has not yet been compared against standard medical treatment for diabetes in randomized controlled trials with diabetes-specific endpoints in all relevant patient groups. Potential indications for bariatric surgery are discussed, and the unanswered questions that need to be addressed by clinical trials are summarized. Although small numbers of patients may be interested in bariatric surgery for type 2 diabetes, current data are insufficient to endorse its wide scale use for this indication. Until essential studies are undertaken the role and economics of bariatric surgery in the diabetic clinic will remain uncertain.
After Jejunoileal Bypass - Binge Eating Bypass Patients - Bariatric Surgery Adolescents - Bypass After Failed Banding Operation - Bypass Diet Exercise - Bypass Super-Obese Patients - Energy Expenditure Bypass - Energy Intake Weight Loss Bypass - Isolated Pouch Terminal Anastomosis - Jejunoileal Bypass Obesity - Gastric Bypass Sleep Apnea - Respiratory Failure Gastric Bypass - Roux Limb Length - Anastomosis Stricture Bypass - Adjustable Gastric Banding Follow-Up - Adjustable Silicone Gastric Banding - Esophagogastric Banding - Heliogast Band - Lap-Band System United States - Body Fluid Gastric Banding - Lap-band Experience - Lap-Band Failure - Lap Band Gastric Banding Italy - Lap-Band System - Low-Pressure Gastric Band - Magenstrasse Gastroplasty - Minimal Invasive Gastric Banding - Morbid Obesity Probnp levels - Non-Adjustable Gastric Banding - Swedish Adjustable Gastric Banding - Lap-Band Surgery Sweet-Eating - Visceral Obesity Banding - Central Obesity Adverse Effects - Laparoscopic Duodenal Switch - Gastric Bypass Obese Adolescents - Laparoscopic Adjustable Gastric Banding Adolescents - Radiology Laparoscopic Adjustable Gastric Banding - Laparoscopic Roux-en-Y Gastric Bypass - Laparoscopic Gastric Bypass Versus Banding - Laparoscopic Duodenal Switch - Review Laparoscopic Gastric Banding - Laparoscopic Gastric Bypass Study - Results Laparoscopic Lap-Band Bariatric Surgery - Laparoscopic Silicone Banding - Laparoscopic Surgical Procedures - Laparoscopic Versus Open Bypass - Linear Gastroenterostomy - Posterior Rectus Sheath - Repair Ventral Hernias Bypass - Results Laparoscopic Banding - Review Lap Banding Results - Roux-en-Y Gastric Bypass Hospital - Roux-en-Y Gastric Bypass Recalcitrant Gerd - Stapled Gastrojejunal Anastomosis - Access-Port Complications - Acylation-Stimulating Protein - Anastomotic Stricture Complication - Band Leakage After Gastric Banding - Lipid Profile Biliopancreatic Bypass - Body Composition After Bypass - Body Composition Gastric Banding - Cholecystectomy Combined Bypass - Comorbidities After Lap Band Surgery - Diabetes Hypertension Gastric Bypass - Weight Loss Obese Diabetics - Bariatric Surgery Diabetes Obese - Effects Adjustable Gastric Banding - Fat Soluble Vitamin Deficiency - Gastric Band Infection - Bone Metabolism Gastric Banding - Gastric Banding Crural Repair - Gastric Banding Renal Disease - Bypass Surgery Ghrelin Leptin - Gastric Bypass Surgery Ghrelin Levels - Bypass Surgery Immunity Effects - LAGB Two-Step Technique - LAGB Weight Health - Effect Of Laparoscopic Bypass Diabetes - Laparoscopic Heliogast Band - Laparoscopic Revisional Surgery - Gastrointestinal Symptoms After Bypass Surgery - Post-Operative Band Management - Pouch Dilation Slippage - Prophylactic Cholecystectomy - Radiological Examination Lap-Band - Reoperative Sleeve Gastrectomy - Safety of Duodenal Switch Bypass - Silicone Gastric Banding - Quality of Life After Gastric Bypass - Gastric Banding Outcomes - Health-Related Gastric Bypass - Preoperative Gastric Band Therapy - Psychological Effects After Gastric Banding - Psychosocial Outcomes Bypass Surgery - Counseling Support After Gastric Banding - Abdominoplasty Dermolipectomy - Fleur-de-Lys Abdominoplasty - Autologous Breast Augmentation - Breast Enlargement Liposuction
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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources