Can bariatric surgery help in the treatment of obese type 2 diabetic patients?

Authors: Pavol Holéczy 1,2;  Marek Bužga 3
Authors place of work: Katedra chirurgických oborů, LF OU, Ostrava 1;  Chirurgické oddělení, Vítkovická nemocnice, a. s., Ostrava-Vítkovice 2;  Katedra fyziologie a patofyziologie LF OU, Ostrava 3
Published in the journal: Forum Diab 2018; 7(2): 117-121
Category: Přehledová práce


According to WHO data, adult obesity since 1976 has almost tripled to date. A similar trend can be observed in the pediatric population. It is shown that the most effective treatment of severe obesity is surgical treatment – bariatric / metabolic surgery. In addition to weight reduction, the attention of the obesitologic community is now focused on the positive effect of surgical intervention on comorbidity, particularly on type 2 diabetes mellitus. However, it is also important for other diseases that accompany severe obesity – arterial hypertension, sleep apnea syndrome, locomotive organs diseases and others. New criteria for bariatric /metabolic surgery have been defined, and diabetes association have included surgical treatment, for example, into a standard diabetes treatment algorithm. The authors describe the current trends in bariatric / metabolic surgery, the effect on co-morbidity, and in short they present newer surgical and endoscopic procedures.

Key words:

bariatric surgery, comorbidity, diabetes mellitus, endoscopy

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Diabetologie Endokrinologie Interní lékařství
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