chirurgia_bariatrica

Effetti metabolici a lungo termine (dopo 5 anni) della chirurgia bariatrica

Lo studio condotto dall’Università di Chicago ha valutato gli esiti della chirurgia bariatrica a distanza di 5 anni. Una remissione completa del diabete mellito di tipo 2 era presente nel 24% dei pazienti mentre una remissione parziale era presente nel 26 % dei pazienti. Inoltre, una storia breve di diabete mellito di tipo 2 insieme con una maggiore riduzione del peso erano fattori predittivi di una remissione a lungo termine del diabete mellito di tipo 2. La recidiva del diabete mellito di tipo 2 era, invece, associata con una lunga storia di diabete mellito di tipo 2, minore perdita di peso e recupero del peso dopo l’intervento chirurgico. Il raggiungimento dei valori target per quanto riguarda HDL, LDL, trigliceridi ed ipertensione era rispettivamente del 73%, 72%, 80% e 62%. Si assisteva inoltre ad una regressione della nefropatia diabetica del 53% o stabilizzazione nel 47% dei casi. Lo studio dimostra, quindi, che gli effetti positivi della chirurgia bariatrica persistono anche a lungo termine.

Can diabetes be surgically cured? Long-term metabolic effects of bariatric surgery in obese patients with type 2 diabetes mellitus.
Brethauer SA, Aminian A, Romero-Talamás H, Batayyah E, Mackey J, Kennedy L, Kashyap SR, Kirwan JP, Rogula T, Kroh M, Chand B, Schauer PR.
Ann Surg. 2013 Oct;258(4):628-37.
doi: 10.1097/SLA.0b013e3182a5034b.
PMID: 24018646

rif. http://www.siditalia.it/journal-club/1363-6yrbariatrica.html

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