Rol de la cirugía bariátrica/metabólica en el manejo de la diabetes mellitus 2. Consenso SOCHED/SCCBM / Consensus statement of the Chilean endocrinological society on the role of bariatric surgery in type 2 diabetes
Rev. méd. Chile
;
146(10): 1175-1183, dic. 2018. tab, graf
Artículo
en Español
| LILACS
| ID: biblio-978753
ABSTRACT
Diabetes Mellitus (DM) and obesity are a public health problem in Chile. Bariatric surgery is the most effective treatment alternative to achieve a significant and sustained weight reduction in patients with morbid obesity. The results of controlled clinical trials indicate that, compared to medical treatment, surgery for obese patients with DM2 allows a better control of blood glucose and cardiovascular risk factors, reduces the need for medications and increases the likelihood for remission. Consensus conferences and clinical practice guidelines support bariatric surgery as an option to treat DM2 in Class III Obesity (Body Mass Index (BMI) > 40) regardless of the glycemic control and the complexity of pharmacological treatment and in Class II Obesity (BMI 35-39,9) with inadequate glycemic control despite optimal pharmacological treatment and lifestyle. However, surgical indication for patients with DM2 and BMI between 30-34.9, the most prevalent sub-group, is only suggested. The Chilean Societies of Endocrinology and Diabetes and of Bariatric and Metabolic Surgery decided to generate a consensus regarding the importance of other factors related to DM2 that would allow a better selection of candidates for surgery, particularly when weight does not constitute an indication. Considering the national reality, we also need a statement regarding the selection and characteristics of the surgical procedure as well as the role of the diabetologist in the multidisciplinary team.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Diabetes Mellitus Tipo 2
/
Cirugía Bariátrica
/
Obesidad
Tipo de estudio:
Estudio de etiología
/
Guía de Práctica Clínica
/
Factores de riesgo
Límite:
Humanos
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2018
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Clínica Bupa Antofagasta/CL
/
Clínica Las Condes/CL
/
Clínica Puerto Varas/CL
/
Clínica Sanatorio Alemán/CL
/
Hospital FACH/CL
/
Hospital Naval Almirante Nef/CL
/
Hospital San Borja Arriarán/CL
/
Hospital de la Dirección de Previsión de Carabineros de Chile (DIPRECA)/CL
/
Pontificia Universidad Católica de Chile/CL
/
Universidad Austral de Chile/CL
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