2011
DOI: 10.1590/s0102-67202011000400012 View full text |Buy / Rent full text
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Abstract: -Introduction -Type 2 diabetes is a metabolic disease characterized by chronic hyperglycemia associated with several organs damage and failure. It is the most common cause of blindness, amputation and kidney failure in western adults, besides increase the risk of coronary disease and stroke with high mortality of patients. The association of type 2 diabetes with obesity is really significant. Obese diabetic patients had a better glucose control after bariatric surgery even prior to weight loss. Methods -A syst… Show more

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“…Despite the fact that evidence supporting surgery in the treatment of diabetes has been published 4,9,12,25,30 , this concept meets resistance from specialists who regard the disease as one of exclusively clinical treatment. These experts raise the argument of surgery-related morbidity and mortality, even though studies have demonstrated safety with 0.28% mortality, as described by DeMaria et al 9 in 58,000 operated patients.…”
Section: Discussionmentioning
“…The absence of DM2 remission can vary from 11% to 43%; recurrence may be related to a number of factors, such as time since DM2 diagnosis 5,25,27 and lower BMI 9,13 . This range of results shows the need to intensify studies in order to determine the cause of failure, improve techniques and increase the success rate.…”
Section: Discussionmentioning
“…A evolução da doença é a causa mais comum de cegueira, amputações e doença renal crônica, além de aumentar a incidência de infarto agudo do miocárdio e acidente vascular cerebral. Estudos epidemiológicos têm demonstrado que o excesso de peso eleva o risco de ocorrência do DM2 em 10 vezes 3,4 .…”
Section: Introductionunclassified
“…The present investigation is part of the SURMetaGIT study (10) Virtual Nutri Plus® software (VNP) (12) was used to calculate the total calories, macro and micronutrients intake, from the data obtained by both 7dR and 24hR. The following data sources were used to estimate the nutritional composition of the ingested meals: Table of Chemical Composition of Food, developed by Sonia Tucunduva Philippi (13), and Brazilian Table of Food Composition (TACO) (14). For the qualitative food intake assessment a food frequency query (FFQ) meeting the most usual diet of our patients was applied.…”
Section: Ethical Issues and Subjectsmentioning
“…Diversas comorbidades apresentam relação direta com excesso de peso: hipertensão arterial sistêmica (HAS), diabetes mellitus tipo 2 (DM2), apnéia obstrutiva do sono, dislipidemias, doenças cardiovasculares, síndrome metabólica (SM) e outras desordens metabólicas que afetam de forma negativa o estilo de vida do paciente 1,6,7,8,9,10 . O tratamento da obesidade é desafiador, visto que intervenções clínicas conservadoras apresentam baixo índice de adesão, especialmente em longo prazo 8,10,11,12,13 .…”
Section: Introductionunclassified