Update of bariatric and metabolic surgery

Authors

  • Graciela Álvarez Favaloro University, Center for the Study and Treatment of Severe Obesity (CETOS), Autonomous City of Buenos Aires, Argentina
  • Susana Fuentes El Cruce High Complexity Hospital, Florencio Varela, Province of Buenos Aires, Argentina
  • Juliana Mociulsky Buenos Aires ICBA Cardiovascular Institute, Autonomous City of Buenos Aires, Argentina
  • María Victoria Salinas Medical and Nutrition Clinic, Autonomous City of Buenos Aires, Argentina
  • María Yuma Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • Susana Gutt Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina
  • Marianela Ackerman Diabetes and Nutrition Area, Comprehensive Center for Endocrinology and Nutrition (CIEN), Corrientes, Argentina
  • Paula Lifszyc Carlos Durand Hospital, Autonomous City of Buenos Aires, Argentina
  • Frank Espinoza Lezica Cardiovascular Institute, Martínez, Buenos Aires Province, Argentina

DOI:

https://doi.org/10.47196/diab.v47i3.211

Keywords:

type 2 diabetes, morbid obesity, bariatric surgery, metabolic surgery

Abstract

Obesity increases the risk of developing or worsening many disorders particularly type 2 diabetes, a difficult-to-control chronic disease, treated with different drugs even with insulin, frequently without reaching therapeutic goals neither reducing cardiovascular risk. Therapy becomes more complex when type 2 diabetes is associated with severe obesity. The use of bariatric and metabolic surgery in patients with severe obesity and diabetes is assessed, and the different surgical techniques, assumptions about its mechanism of action, selection of patients and results are also reviewed. Bariatric surgery has proven to be effective in the treatment of severe obesity and type 2 diabetes in patients with BMI >35 kg/m2. This type of surgery has shown to be acceptable and well tolerated in selected and low risk patients capable of treatment Bariatric surgery has sufficient scientific evidence in these patients. However, there is no strong evidence of metabolic surgery in patients with BMI <35 kg/m2 and even with BMI <30 kg/m2. Preliminary data shows promising results in the short and intermediate term, but there is no sufficient evidence available supporting its indication in these patients. More research is needed to establish the efficacy and safety of these surgical techniques in the long term.

Author Biographies

Graciela Álvarez, Favaloro University, Center for the Study and Treatment of Severe Obesity (CETOS), Autonomous City of Buenos Aires, Argentina

Medical Clinic; Nutrition Specialist with orientation in Obesity; Professor at Favaloro University; Clinical Doctor and Nutritionist at the Center for the Study and Treatment of Severe Obesity (CETOS)

Susana Fuentes, El Cruce High Complexity Hospital, Florencio Varela, Province of Buenos Aires, Argentina

Physician Specialist in Medical Clinic and Diabetes; Bariatric and Metabolic Surgery Team, El Cruce High Complexity Hospital

Juliana Mociulsky, Buenos Aires ICBA Cardiovascular Institute, Autonomous City of Buenos Aires, Argentina

Endocrinologist; Head of the Nutrition Unit, Buenos Aires Cardiovascular Institute ICBA

María Victoria Salinas, Medical and Nutrition Clinic, Autonomous City of Buenos Aires, Argentina

Medical specialist in Clinic and Nutrition

María Yuma, Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Medical specialist in Nutrition

Susana Gutt, Italian Hospital of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Medical specialist in Nutrition; Head of Nutrition

Marianela Ackerman, Diabetes and Nutrition Area, Comprehensive Center for Endocrinology and Nutrition (CIEN), Corrientes, Argentina

Physician specializing in Internal Medicine and Nutrition, Master in Diabetes; Director of the Diabetes and Nutrition area Comprehensive Center for Endocrinology and Nutrition (CIEN)

Paula Lifszyc, Carlos Durand Hospital, Autonomous City of Buenos Aires, Argentina

Floor Physician of the Nutrition Unit of the Carlos Durand Hospital

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Published

2023-01-10

How to Cite

Álvarez, G., Fuentes, S., Mociulsky, J., Salinas, M. V., Yuma, M., Gutt, S., Ackerman, M., Lifszyc, P., & Espinoza, F. (2023). Update of bariatric and metabolic surgery. Journal of the Argentine Society of Diabetes, 47(3), 69–80. https://doi.org/10.47196/diab.v47i3.211

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