Update: Why Diabetes Does Not Resolve in Some Patients after Bariatric Surgery

被引：25

作者：

Deitel, Mervyn ^{[1
]}

机构：

[1] Obes Surg, Toronto, ON M2N 2J9, Canada

来源：

OBESITY SURGERY | 2011年 / 21卷 / 06期

关键词：

Morbid obesity; Type; 2; diabetes; 1; LADA; Bariatric surgery; Insulin; GLP-1; GLUCAGON-LIKE PEPTIDE-1; Y GASTRIC BYPASS; INSULIN-RESISTANCE; WEIGHT-LOSS; JEJUNOILEAL BYPASS; SLEEVE GASTRECTOMY; ADULTS LADA; GLUCOSE; REMISSION; ANTIBODY;

D O I：

10.1007/s11695-010-0329-2

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Bariatric surgery provides resolution of co-morbidities of morbid obesity-importantly diabetes type 2. This is initiated by immediate postoperative decrease in intake or assimilation of glucose and is continued by the substantial loss of adipose tissue. Greater weight loss and greater resolution of type 2 diabetes occur after operations that provide rapid passage of nutrients to the hindgut, which likely results in beta-cell stimulation by incretins. Failure of resolution of the diabetes can result from lack of patient compliance, inadequate weight loss, longstanding uncontrolled diabetes, or when the diabetes is actually a type 1.

引用

页码：794 / 796

页数：3

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