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How to Choose the Best Metabolic Procedure?

  • Lipid and Metabolic Effects of Gastrointestinal Surgery (R. Cohen, Section Editor)
  • Published:
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Abstract

Bariatric/metabolic surgery has proven to be effective in inducing and maintaining diabetes remission—although with a percentage of patients undergoing hyperglycemia relapse—weight loss, and improvement of the cardiovascular risk. It is, however, associated with mortality, although low, and early and late complications. In particular, metabolic complications are related to vitamin deficiency due to the erratic absorption of the supplemented vitamins and to the unpredictable compliance of patients to vitamin and trace element supplementation. In addition, often, the general practitioners and even the specialists are unaware of the clinical effects of metabolic dysfunction following malabsorptive surgery. The choice of the surgical procedure should be the balance between benefits and risks. Our review addresses this important question trying to give some suggestions.

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Authors and Affiliations

  1. Department of General Surgery, University of Rome “La Sapienza”, Rome, Italy

    Lidia Castagneto Gissey & James Rossario Casella Mariolo

  2. James Black Centre, King’s College Hospital, Denmark Hill, SE5 9RS, London, UK

    Lidia Castagneto Gissey & James Rossario Casella Mariolo

  3. Department of Internal Medicine, Catholic University, Rome, Italy

    Geltrude Mingrone

  4. Department of Diabetes, King’s College London, London, UK

    Geltrude Mingrone

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  1. Lidia Castagneto Gissey
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Lidia Castagneto Gissey and James Rossario Casella Mariolo declare that they have no conflict of interest.

Geltrude Mingrone declares grant support from Fractyl Inc. and Metacure, and declares personal fees for consultant work for Fractyl Inc. and Novo Nordisk.

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Castagneto Gissey, L., Casella Mariolo, J.R. & Mingrone, G. How to Choose the Best Metabolic Procedure?. Curr Atheroscler Rep 18, 43 (2016). https://doi.org/10.1007/s11883-016-0590-5

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