What is the impact of sleeve gastrectomy and gastric bypass on metabolic control of diabetes? A clinic-based cohort of Mediterranean diabetic patients

Bruno, Graziella; Gruden, Gabriella; Barutta, Federica; Perin, Paolo Cavallo; Morino, Mario; Toppino, M

doi:10.1016/j.soard.2015.02.017

Cited by 9 publications

(5 citation statements)

References 29 publications

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“…At weight loss, data analysis stresses that no difference between sleeve and gastric by-pass in both short and long term were found. They produce a sudden and good improvement of subjects' physical condition, particularly for diabetes and hypertension [21]. The improvement of physical condition, peculiar to the effect of bariatric surgery, contributes to the enhancement of quality of life reinforcing change of eating behavior [22].…”

Section: Discussionmentioning

confidence: 99%

Preventing Weight Regain: What’s the Importance of Body Image Change after Bariatric Surgery?

Micanti¹,

Loiarro²,

Pecoraro³

et al. 2016

J Nutr Disorders Ther

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Introduction: Obese patients have a high degree of body dissatisfaction and uneasiness inducing feelings of low self-esteem, sadness and loneliness leading to the development of pathological social withdrawal. Change of body image dimension is considered a factor for weight maintenance. The aim of this study is to show that, after bariatric surgery at weight loss, body image partially changes which could be considered one of the reasons for long term weight regain after bariatric surgery. Method: 40 patients: mean age 38 SD ± 10,71; 28 women, 12 men; mean body mass index (BMI) 48 SD ± 8,31, suffering from severe obesity, were enrolled in this study. All participants were evaluated before and after bariatric surgery. The assessment at weight loss after bariatric surgery (t 1) was performed using BUT test. The statistical data analysis was performed with the t-Student method (p<0.05). Results: Results after bariatric surgery were: sufficient ability to cope with the nutritional program for bariatric surgery; change in eating behavior; fulfilled perception of satiety and reduction in food intake impulse; improvement of body image in its cognitive and behavioral components, but not in the emotional one. Conclusion: Weight loss is insufficient to determine a change in the emotional component of body image. It does not interfere with the emotional regulation system or with the ability to use non-verbal communication. Improving ability to perceive one's new body and the knowledge of how to use it in relationship with others is necessary to prevent risk of weight regain after bariatric surgery.

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Section: Discussionmentioning

confidence: 99%

Preventing Weight Regain: What’s the Importance of Body Image Change after Bariatric Surgery?

Micanti¹,

Loiarro²,

Pecoraro³

et al. 2016

J Nutr Disorders Ther

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“…La cirugía bariátrica se ha convertido en la opción de tratamiento más eficaz para la mejoría o remisión de la DT2 (1) . Es la enfermedad asociada a la obesidad que presenta una mejora rápida y evidente tras la intervención quirúrgica (5) .…”

Section: Conclusionesunclassified

“…La prevalencia de la obesidad mórbida ha aumentado de manera exponencial en los últimos años y es considerada por muchas sociedades científicas como la epidemia del siglo XXI. Además del grave problema para la salud, la obesidad se ha convertido en un gran reto para el sistema sanitario (1) .…”

Section: Introductionunclassified

Cirugía bariátrica: ¿tratamiento eficaz de la diabetes mellitus tipo 2?

Tomas Martínez,

Bravo Hernández,

Pérez Legaz

et al. 2024

BMI Journal

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“…A study comparing metabolic syndrome of severely obese T2DM subjects following SG and RYGB surgery found equivalent resolution rates, with 84.6% of both cohorts achieving resolution of T2DM at 1 year (p = 0.618) [123]. Another study comparing RYGB and SG in patients with obesity found a remission rate of 22 and 21.5%, respectively, 1 and 2 years post-surgery [124].…”

Section: Sleeve Gastrectomy (Sg)mentioning

confidence: 99%

The many faces of diabetes. Is there a need for re-classification? A narrative review

et al. 2022

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The alarming rise in the worldwide prevalence of obesity and associated type 2 diabetes mellitus (T2DM) have reached epidemic portions. Diabetes in its many forms and T2DM have different physiological backgrounds and are difficult to classify. Bariatric surgery (BS) is considered the most effective treatment for obesity in terms of weight loss and comorbidity resolution, improves diabetes, and has been proven superior to medical management for the treatment of diabetes. The term metabolic surgery (MS) describes bariatric surgical procedures used primarily to treat T2DM and related metabolic conditions. MS is the most effective means of obtaining substantial and durable weight loss in individuals with obesity. Originally, BS was used as an alternative weight-loss therapy for patients with severe obesity, but clinical data revealed its metabolic benefits in patients with T2DM. MS is more effective than lifestyle or medical management in achieving glycaemic control, sustained weight loss, and reducing diabetes comorbidities. New guidelines for T2DM expand the use of MS to patients with a lower body mass index.Evidence has shown that endocrine changes resulting from BS translate into metabolic benefits that improve the comorbid conditions associated with obesity, such as hypertension, dyslipidemia, and T2DM. Other changes include bacterial flora rearrangement, bile acids secretion, and adipose tissue effect.This review aims to examine the physiological mechanisms in diabetes, risks for complications, the effects of bariatric and metabolic surgery and will shed light on whether diabetes should be reclassified.

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What is the impact of sleeve gastrectomy and gastric bypass on metabolic control of diabetes? A clinic-based cohort of Mediterranean diabetic patients

Cited by 9 publications

References 29 publications

Preventing Weight Regain: What’s the Importance of Body Image Change after Bariatric Surgery?

Preventing Weight Regain: What’s the Importance of Body Image Change after Bariatric Surgery?

Cirugía bariátrica: ¿tratamiento eficaz de la diabetes mellitus tipo 2?

The many faces of diabetes. Is there a need for re-classification? A narrative review

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