Bariatric Surgery in the Treatment of Type 2 Diabetes Mellitus

Yıl 2019, Cilt: 7 Sayı: 3, 11 - 14, 05.04.2019

Uzm. Dr. Feray Akbaş

Öz

Abstract

Bariatric and metabolic surgeries, can be effective weightloss tools with a lifelong lifestyle support and annual medical monitoring at a minimum in morbid obesity, as asensible part of weight management program. Bariatric surgery may be considered for adults with BMI 35 kg/m2 and type 2 diabetes, especially if diabetesor associated comorbidities are difficult to control with lifestyle changes and pharmacological therapy. Although bariatric surgery has risks like mortality, early and late complications, morbidity and mortality related-to-surgery has significantly decreased. But; choosing the right patient, right surgeon and center and also appropriate technique is very important. To place bariatric surgery into routine diabetes therapy guidelines; long-term results should be seen, indications must become exact, surgery’s place in the treatment of diabetes mustbe clarified as much as medical treatments; thus more time is needed.

Anahtar Kelimeler

Diabetes mellitus, bariatricsurgery, obesityi

Tip 2 Diyabet Tedavisinde Bariyatrik Cerrahinin Yeri

Öz

Öz

Bariyatrik ve metabolik cerrahiler, ağır obezitede, mantıklı bir kilo yönetimi programının parçası olarak, ömür boyu süren bir yaşam tarzı desteği ve medikal monitorizasyon ile etkili kilo kaybı tedavileri olabilirler. Bariyatrik cerrahi VKİ 35 kg/m2 ve tip 2 diyabetli, özellikle diyabet ilişkili komorbiditeleri olan ve yaşam tarzı değişikliği ve farmakolojik tedavi ile kontrolü güç olan hastalarda uygulanabilir. Bariyatrik cerrahinin mortalite, erken ve geç komplikasyon riskleri bulunmasına rağmen, direkt cerrahiye bağlı morbidite ve mortalite ciddi şekilde düşmüştür. Ancak uygun hasta, doğru cerrah ve doğru merkez ile uygun teknik seçimi çok önemlidir. Rutin tedavi kılavuzlarında yer alması içinise; uzun vadedeki sonuçların görülmesi, endikasyonların kesinleştirilmesi ve cerrahinin diyabet tedavisindeki yerinin medikal tedaviler kadar netleştirilmesine, dolayısıyla zamana ihtiyaç vardır.

Anahtar Kelimeler

Diyabetes mellitus, bariyat-rikcerrahi, obezite

Kaynakça

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