Metabolic surgery – a new approach to the management of selected diseases

Czech version

Authors: M. Fried ^1,2; K. Doležalová ¹
Authors‘ workplace: Centrum pro léčbu obezity a metabolických poruch OB kliniky Praha, přednosta prof. MUDr. Martin Fried, CSc. ¹; 1. lékařská fakulta UK Praha, děkan prof. MUDr. Tomáš Zima, DrSc., MBA ²
Published in: Vnitř Lék 2011; 57(4): 402-404
Category: 12th national Symposium diabetes, "Diabetes and Gastroenterology", Hradec Kralove, 4 to 5 June 2010

Overview

Treatment options for type 2 diabetes have changed dramatically in the past few years. Experimental works followed by evidence based studies proved long-term efficacy of metabolic surgery in type 2 diabetes treatment. Moreover diabetes resolution is not directly correlated with weight loss and occurs independently to it. Large literature metaanalyses showed that type 2 diabetes can be subtantially improved with metabolic surgery in about 85 % of all diabetic patients, out of which can be resolved in more than 75%. Metabolic surgery affects hormonal secretion on multiple levels namely in the small intestine. Restrictive as well as combined and malabsorptive surgical procedures have positive effect on type 2 diabetes improvement as well as on metabolic syndrome, sleep apnea syndrome and on other comorbidities.

Key words:
metabolic surgery – type 2 diabetes mellitus – surgical treatment of diabetes

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