The Role of the Sleeve Gastrectomy and the Management of Type 2 Diabetes

Abstract

Background : Currently, bariatric surgery has promoted weight loss and improved glycemic control in obese patients through different techniques, including vertical sleeve gastrectomy. Aim : 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. Methods : Pubmed database search was used crossing the headings: obesity, type 2 diabetes and sleeve gastrectomy. Results : 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. Conclusion : 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.

Factors associated with complete and partial remission, improvement, or unchanged diabetes status of obese adults 1 year after sleeve gastrectomy

“…Likewise, our 76.6% T2D improvement rate was comparable to the 86% reported elsewhere [30]; while our 4.5% unchanged diabetes status was higher than others who reported no patients with unchanged diabetes status, probably due to their small sample size (44 patients) [31]. T2D remission after SG could be because of the dramatic reductions in caloric intake leading to decreased insulin requirement, together with an increase in glucagon-like protein-1 hormone level critical for glucose homeostasis, as well as improvements in insulin resistance associated with weight loss [32,33].…”

Effektivität der Ernährungsberatung im Adipositaszentrum gegenüber einer Ernährungsberatung bei externen Kooperationspartnern bei Adipositas-Patienten mit Sleeve-Gastrektomie

“…In der Studie von Bobowicz et al [18] konnte eine Verbesserung der aHTN bei 62 % der Patienten und für den DMT2 bei 68,3 % der Operierten festgestellt werden. In der Studie von Both et al [19] wurde die Effizienz von SG und dem Roux-Y-Magenbypass verglichen. Dabei wurde für die SG eine Remissionsrate von 60 % für den DMT2 nachgewiesen.…”

Comparação da força muscular respiratória através da manovacuometria no pós-operatório precoce de cirurgia bariátrica por laparotomia e por videolaparoscopia

“…Isso é mais pronunciado nos casos de obesidade mórbida. Sendo assim, o tratamento cirúrgico da obesidade (cirurgia bariátrica) tem sido documentado como o mais efetivo, tanto na perda do excedente de peso quanto em sua manutenção a longo prazo, acarretando melhora da qualidade de vida e remissão das comorbidades que acompanham a maioria dos casos (CAZZO et al, 2016;FUCHS et al, 2017;.…”