TITLE:
Review: Surgical Treatment of Type 2 Diabetes
AUTHORS:
María Dolores Hellín Gil, Pedro Pujante Alarcón, Alfonso López Ruiz, María Ángeles Ibañez, Alicia Hernández Torres, Ana Belén Hernández Cascales
KEYWORDS:
DM2; Bariatric Surgery; Gastric Bypass
JOURNAL NAME:
Pharmacology & Pharmacy,
Vol.5 No.1,
January
9,
2014
ABSTRACT:
In the last decades we have witnessed a significant increase
in the incidence of type 2 diabetes mellitus, and obesity in parallel. So 90%
of patients with Diabetes Mellitus type 2 (DM2) are obese. Changes in lifestyle
(diet and exercise), behavioral therapies or the use of certain anti-obesity
drugs have shown a limited effect and are not maintained over
time. Currently, bariatric surgery is the most effective anti-obesity
treatment, which is durable and resolves associated
comorbidities. The surgical treatment of obesity for
the modification of the anatomy of the digestive system is to produce gastric capacity constraints alone or associate with varying degrees of intestinal malabsorption and reduce body weight,
improve and maintain the comorbidities associated weight loss by reduced food
intake alone or in combination with malabsorption of this. The development of
these surgical techniques has occurred in stages. With these techniques, setting to bariatric surgery is an effective, safe and proven procedure for the treatment of obesity and its
complications especially DM2, as their post surgery referral mechanisms provide
us with information for potential therapeutic treatment aimed at optimizing the
control DM2 patients metabolic obese. In this review, we expose the evidence in
treatment of DM2 with bariatric surgery and the actual hypothesis trying to explain how it is possible.