Webmedcentral - Bariatric and metabolic surgery ArticlesThe Bariatric and metabolic surgery articles published by Webmedcentral
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2024-03-29T10:38:27+01:00webmedcentral logo
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http://www.webmedcentral.com/images/Header_Logo.giftext/html2010-09-07T15:33:49+01:00http://www.webmedcentral.com/Dr. Juan J OmanaResolution And Improvement Of Type 2 Diabetes Mellitus After Rygb
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Introduction: Several studies have reported a dramatic improvement in type 2 diabetes mellitus (T2DM) just days after bariatric surgery, with a reduction of fasting glucose, serum insulin and rate of progression of the disease. Not all bariatric procedures are equally effective in resolving or improving T2DM. Bilio pancreatic diversion (BPD) series have reported a rate of 98.9%; Roux en Y gastric bypass (RYGB) series have reported a rate of 83.7% and a rate of 71.6% has been reported after Laparoscopic Adjustable Gastric Banding (LAGB). The aim of this study was to see rate of resolution and improvement of T2DM after RYGB.Materials and Methods: We performed a retrospective review and telephone survey of patients with a preoperative diagnosis of T2DM that underwent RYGB by two surgeons from 2001 to 2006 at our institution. 32 patients were successfully contacted and agreed to participate. We inquired in a short survey their current health status, weight, diabetes medications and other co-morbidities. The medical records were reviewed to gather additional information regarding hemoglobin A1c (HbA1c) and years diagnosed with T2DM.Results:25 of 32 patients (78%) reported complete resolution, 6 of 32 patients (19%) reported improvement and 1 of 32 patients (3%) reported no effect. HbA1c decreased from 7.6±1.6 preoperatively to 5.5±1 (pConclusion: Bariatric surgery provides a significant and durable weight loss. Procedures like RYGB provide a dramatic improvement of T2DM. Patients in our study experienced a rapid resolution and improvement of T2DM with a decreased in the number of hypoglycemic agents used to treat the disease and lower HbA1c value.text/html2012-04-01T16:13:03+01:00http://www.webmedcentral.com/Mr. Kamal K MahawarReview of NEJM article \"Bariatric Surgery versus Intensive Medical Therapy in Obese Patients with Diabetes\" by Schauer et al
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Philip R. Schauer, Sangeeta R. Kashyap, Kathy Wolski, Stacy A. Brethauer, John P. Kirwan, Claire E. Pothier,Susan Thomas, Beth Abood, Steven E. Nissen, Deepak L. Bhatt. Bariatric Surgery versus Intensive Medical Therapy in Obese Patients with Diabetes. NEJM 2012 March. Available on http://www.nejm.org/doi/full/10.1056/NEJMoa1200225. Last Accessed on 1st April’ 2012text/html2012-04-08T16:35:41+01:00http://www.webmedcentral.com/Mr. Kamal K MahawarReview of NEJM article, \"Bariatric Surgery versus Conventional Medical Therapy for Type 2 Diabetes\" by Mingrone et al.
http://www.webmedcentral.com/article_view/3225
Mingrone G, Panunzi S, De Gaetano A, et al. Bariatric surgery versus conventional medical therapy
for type 2 diabetes. N Engl J Med 2012. DOI: 10.1056/NEJMoa1200111. Available at http://www.nejm.org/doi/full/10.1056/NEJMoa1200111#t=article Last accessed on 08/04/2012text/html2012-04-13T23:43:48+01:00http://www.webmedcentral.com/Mr. Kamal K MahawarReview of JAMA article \"Laparoscopic Adjustable Gastric Banding in Severely Obese Adolescents\" by O\'Brien et al
http://www.webmedcentral.com/article_view/3255
O'Brien PE, Sawyer SM, Laurie C, Brown WA, Skinner S, Veit F, Paul E, Burton PR, McGrice M, Anderson M, Dixon JB. Laparoscopic adjustable gastric banding in severely obese adolescents: a randomized trial. JAMA 2010; 303(6):519-26.text/html2012-07-30T17:57:58+01:00http://www.webmedcentral.com/Mr. Kamal MahawarBariatric Surgery: The Past, the Present, and the Future
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Very few surgical specialties can boast of the meteoric rise that bariatric surgery has seen over the past two decades. As more and more data is emerging on the metabolic aspect of this surgery, future for practitioners of this type of surgery promises to be even more exciting. However it is not a new specialty and there are lessons that can be learnt from the past. We explore here the current status of bariatric surgery, its journey so far and make an attempt to look into the future.text/html2015-05-18T09:55:04+01:00http://www.webmedcentral.com/Prof. Sergio E CuryAssociation between bariatric surgery and tooth decay: a literature review.
http://www.webmedcentral.com/article_view/4894
The obesity and overweight affects together, an estimated one-sixth of the world population. At first, the treatment is behavioral and clinical, however, these treatments become difficult due to low patient compliance across the long time needed to obtain more meaningful results. Bariatric surgery then emerged as a plausible and successful option for optimizing weight loss in severely whose obese patients initial treatment has failed and that meet the indication criteria. However, some types of this group of operations entail, in the long term changes in the body.
OBJECTIVE: The aim of this study is to conduct a literature review in order to know the association between bariatric surgery and tooth decay.
CONCLUSION: It is possible that the patient undergoing bariatric surgery, has increased their risk of developing dental caries and subsequent carious lesions, mainly due to changes occurring in oral physiology, associated with behavioral changes imposed by the treatment, requiring however, larger studies so that such risk is justified.