BARIATRIC SURGERY FOR THE TREATMENT OF TYPE 2 DIABETES
DOI:
https://doi.org/10.47820/recima21.v3i8.1778Keywords:
most adult patients with diabetes are overweightAbstract
Introduction: most adult patients with diabetes are overweight or obese, resulting in the connotation of 'diabesity'. Bariatric surgeries have been shown to be the most efficient treatment for obesity and T2DM. Given the above, the study aims to group the most recent studies and directly and scientifically clarify the relationship between bariatric surgery for the treatment of type 2 diabetes mellitus. Materials and methods: this is an integrative literature review, in which the terms “bariatric surgery”, “treatment” and “type 2 diabetes” were searched, combined with Boolean operators. Articles published between 2020 and 2022 were delimited. Result and discussion: Lipid and glucose profiles were substantially improved after Roux-en-Y gastric bypass, including decrease in total cholesterol, LDL, triglycerides, insulin resistance and increase in HDL. However, it demonstrates that biliopancreatic diversion without duodenal switch appears to be the most effective surgery to achieve long-term remission of diabetes in patients with obesity and T2DM. Conclusion: according to the studies that were analyzed, there was an improvement in glycemic levels after bariatric surgery, especially in young patients. There is still a need for more specific studies to clarify which bariatric surgery technique benefits the patient the most, since current articles do not reach a consensus.
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References
TELO, Gabriela H. et al. Prevalence of diabetes in Brazil over time: a systematic review with meta-analysis. Diabetology & metabolic syndrome, v. 8, n. 1, p. 1-13, 2016.
SUDESNA, Chatterjee; KHUNTI, Kamlesh; DAVIES, Melanie J. Type 2 diabetes. The Lancet, v. 389, n. 10085, p. 2239-2251, 2017.
ARTASENSI, Angelica et al. Type 2 diabetes mellitus: a review of multi-target drugs. Molecules, v. 25, n. 8, p. 1987, 2020.
CHO, Nam H. et al. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes research and clinical practice, v. 138, p. 271-281, 2018.
BAR-TANA, Jacob. Type 2 diabetes–unmet need, unresolved pathogenesis, mTORC1-centric paradigm. Reviews in Endocrine and Metabolic Disorders, v. 21, n. 4, p. 613-629, 2020.
PAPPACHAN, Joseph M.; VISWANATH, Ananth K. Medical management of diabesity: do we have realistic targets?. Current Diabetes Reports, v. 17, n. 1, p. 1-10, 2017.
AFFINATI, Alison H. et al. Bariatric surgery in the treatment of type 2 diabetes. Current diabetes reports, v. 19, n. 12, p. 1-10, 2019.
TSILINGIRIS, Dimitrios; KOLIAKI, Chrysi; KOKKINOS, Alexander. Remission of type 2 diabetes mellitus after bariatric surgery: fact or fiction?. International journal of environmental research and public health, v. 16, n. 17, p. 3171, 2019.
SOUZA, Marcela Tavares de; SILVA, Michelly Dias da; CARVALHO, Rachel de. Revisão integrativa: o que é e como fazer. Einstein (São Paulo), v. 8, p. 102-106, 2010.
MENDES, Karina Dal Sasso; SILVEIRA, Renata Cristina de Campos Pereira; GALVÃO, Cristina Maria. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & contexto-enfermagem, v. 17, p. 758-764, 2008.
KIRWAN, John P. et al. Foregut Exclusion Enhances Incretin and Insulin Secretion After Roux-en-Y Gastric Bypass in Adults With Type 2 Diabetes. The Journal of Clinical Endocrinology & Metabolism, v. 106, n. 10, p. e4192-e4201, 2021.
ALMBY, Kristina E. et al. Time Course of Metabolic, Neuroendocrine, and Adipose Effects During 2 Years of Follow-up After Gastric Bypass in Patients With Type 2 Diabetes. The Journal of Clinical Endocrinology & Metabolism, v. 106, n. 10, p. e4049-e4061, 2021.
RUBAN, Aruchuna et al. Duodenal-jejunal bypass liner for the management of type 2 diabetes mellitus and obesity: a multicenter randomized controlled trial. Annals of surgery, v. 275, n. 3, p. 440, 2022.
MIRAS, Alexander Dimitri et al. The effect of standard versus longer intestinal bypass on GLP-1 regulation and glucose metabolism in patients with type 2 diabetes undergoing Roux-en-Y gastric bypass: the long-limb study. Diabetes Care, v. 44, n. 5, p. 1082-1090, 2021.
KATSOGIANNOS, Petros et al. Rapid changes in neuroendocrine regulation may contribute to reversal of type 2 diabetes after gastric bypass surgery. Endocrine, v. 67, n. 2, p. 344-353, 2020.
COURCOULAS, Anita P. et al. Bariatric surgery vs lifestyle intervention for diabetes treatment: 5-year outcomes from a randomized trial. The Journal of Clinical Endocrinology & Metabolism, v. 105, n. 3, p. 866-876, 2020.
MERKEVIČIUS, Kajus et al. Microbiome changes after type 2 diabetes treatment: a systematic review. Medicina, v. 57, n. 10, p. 1084, 2021.
JIN, Zhang-Liu; LIU, Wei. Progress in treatment of type 2 diabetes by bariatric surgery. World Journal of Diabetes, v. 12, n. 8, p. 1187, 2021.
FRÜHBECK, Gema. Bariatric and metabolic surgery: a shift in eligibility and success criteria. Nature Reviews Endocrinology, v. 11, n. 8, p. 465-477, 2015.
VAZ, Matilde; PEREIRA, Sofia S.; MONTEIRO, Mariana P. Metabolomic signatures after bariatric surgery–a systematic review. Reviews in Endocrine and Metabolic Disorders, p. 1-17, 2021.
ZENNO, Anna; NADLER, Evan P. Surgical Treatment of Type 2 Diabetes Mellitus in Youth. Diabetes: from Research to Clinical Practice, p. 321-330, 2020.
CHEN, Xi; ZHANG, Jingjing; ZHOU, Zhiguang. Targeting islets: metabolic surgery is more than a bariatric surgery. Obesity Surgery, v. 29, n. 9, p. 3001-3009, 2019.
INGE, Thomas H. et al. Five-year outcomes of gastric bypass in adolescents as compared with adults. New England Journal of Medicine, v. 380, n. 22, p. 2136-2145, 2019.
DING, Li et al. Comparative effectiveness of bariatric surgeries in patients with obesity and type 2 diabetes mellitus: A network meta‐analysis of randomized controlled trials. Obesity Reviews, v. 21, n. 8, p. e13030, 2020.
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