Info Diabetologie

, Volume 7, Issue 5, pp 32–37

Nicht immer ist Diabetesremission dauerhaft

Chancen und Risiken der bariatrischen Chirurgie bei Typ-2-Diabetes
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Zusammenfassung

Oft ist die Adipositas-Chirurgie für Menschen mit deutlich zu viel Körpergewicht und Diabetes Typ 2 die letzte Hoffnung auf Gesundung. Doch bei aller Freude über die zu erwartenden schnellen und spektakulären Effekte auf Gewicht und Stoffwechsel müssen die Risiken der den Magen-Darm-Trakt oft stark verändernden Operationen im Blick behalten werden.

Literatur zum CME-Beitrag bariatrische Chirurgie, Info Diabetologie 5-2013

  1. 1.
    Knoll K.-P.; Hauner H.(2008): Kosten der Adipositas in der Bundesrepublik Deutschland - Eine aktuelle Krankheitskostenstudie Adipositas 2008(Vol. 2), Heft 4 2008; 204–10.Google Scholar
  2. 2.
    Rathmann W, Scheidt-Nave C, Roden M, Herder C. Typ-2-Diabetes: Prävalenz und Relevanz angeborener und erworbener Faktoren für die Prädiktion. Dtsch Ärztebl Int 2013; 110 (19): p. 331–337PubMedGoogle Scholar
  3. 3.
    Willet WC. Balancing lifestyle and genomics research for disease prevention. Science 2002; 296: p. 695–698CrossRefGoogle Scholar
  4. 4.
    Deutsche Adipositas Gesellschaft. Evidenzbasierte Leitlinie der Adipositastherapie. www.adipositas-gesellschaft.de 2007Google Scholar
  5. 5.
    Dansinger ML, Gleason JA, Griffith JL et al. Comparison of Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomised trial. JAMA 2005; 293 (1): p. 43–53PubMedCrossRefGoogle Scholar
  6. 6.
    Shai I, Schwarzfuchs D, Henkin Y et al. Weight loss with a low - carbohydrate, Mediterranean, or low - fat diet. N Engl J Med 2008; 359: p. 229–241PubMedCrossRefGoogle Scholar
  7. 7.
    Larsen TM, Dalshov SM, van Baak M et al. Diets with high or low protein content and glycemic index for weight loss maintenance. N Engl J Med 2010; 363: p. 2102–2113PubMedCrossRefGoogle Scholar
  8. 8.
    Dansinger ML, Tatsioni A, Wong JB et al. Meta - analysis: the effect of dietary counseling for weight loss. Ann Intern Med 2007; 147: p. 41–50PubMedCrossRefGoogle Scholar
  9. 9.
    Norris SL, Zhang X, Avenell A et al. Long - term non - pharmacological weight loss interventions for adults with type 2 diabetes mellitus (review). Cochrane Database of Systemic Reviews 2005, Issue 2, Art. No.: CD 004095. DOI: 10. 1002/14651858. CD 004095. pub 2.Google Scholar
  10. 10.
    Torgerson JS, Hauptman J, Baldrin MN, Sjöström L. XENical with prevention of diabetes in obese subjects (XENDOS) study: a randomised study of orlistat as an adjunct to lifestyle changes in the prevention of type 2 diabetes in obese patients. Diabetes Care 2004, 27: p. 115 - 161Google Scholar
  11. 11.
    The Look AHEAD Research Group. Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes. Diabetes Care 2007; 30: p. 1374 - 1383Google Scholar
  12. 12.
    Lippmann M, Dressler M, Ring A et al. Bariatrische Chirurgie als diabetologische Therapieoption. Diabetes aktuell 2013; 11 (4): p. 161–163CrossRefGoogle Scholar
  13. 13.
    S3 - Leitlinie: Chirurgie des Adipsitas. www.adipositas-gesellschaft.de/PDF/Leitlinien/ADIP-6-2010.pdf
  14. 14.
    Buchwald H, Avidor Y, Buchwald E et al. Bariatric surgery: a systemic review and meta - analysis. JAMA 2004; 292: p. 1724–1737PubMedCrossRefGoogle Scholar
  15. 15.
    Suter M, Calmar JM, Paroz A et al. Results of Roux - en - Y gastric bypass in morbidly obese and superobese patients. Arch Surg 2009; 144: p. 312–318PubMedCrossRefGoogle Scholar
  16. 16.
    Adams TD, Gress RE, Smith SC et al. Long - term mortality after gastric bypass surgery. N Engl J Med 2007; 357: p. 753–761PubMedCrossRefGoogle Scholar
  17. 17.
    Sjöström L, Narbro K, Sjöström CD et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med 2007; 357: p. 741–752PubMedCrossRefGoogle Scholar
  18. 18.
    Sjöström L, Peltonen M, Jacobson P et al. Bariatric surgery and long - term cardiovascular events. JAMA 2012; 307 (1): p. 56–65PubMedCrossRefGoogle Scholar
  19. 19.
    Schauer PR, Kayshap SR, Wolski K et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med 2012; 366 (17): p. 1567–1576PubMedCrossRefGoogle Scholar
  20. 20.
    Migrone G; Panunzi S, De Gaetano A et al. Bariatric surgery versus conventional medical therapy for type 2 diabetes. N Engl J med 2012; 366 (17): p. 1577–1585CrossRefGoogle Scholar
  21. 21.
    Arterburn DE, Bogart A, Sherwood NE et al. A multisite study of long - term remission and relapse of type 2 diabetes mellitus following gastric bypass. Obes Surg 2013; 23: p. 93–102PubMedCrossRefGoogle Scholar
  22. 22.
    Pories WJ, Swanson MS, MacDonald KG et al. Who would have thought it? An operation proves to be the most effective therapy for adult - onset diabetes mellitus. Ann Surg 1995; 222 (3): p. 339–352PubMedCrossRefGoogle Scholar
  23. 23.
    Laferrère B, Teixeira J McGinty J et al. Effect of weight loss by gastric bypass surgery vs hypocaloric diet on glucose and incretin levels in patients with type 2 diabetes. J Clin Endocrinol Metab 2008; 93: p. 2479–2485PubMedCrossRefGoogle Scholar
  24. 24.
    Beckman LM, Beckman TR, Earthman CP. Changes in gastrointestinal hormones and leptin after Roux - en - Y gastric bypass procedure: a review. J Am Diet Assoc 2010; 110: p. 571–584PubMedCrossRefGoogle Scholar
  25. 25.
    Dirksen C, Jorgensen NB, Bojsen - Moller KN et al. Mechanisms of improved glycemic control after Roux - en - Y gastric bypass. Diabetologia 2012; 55: p. 1890–1901PubMedCrossRefGoogle Scholar
  26. 26.
    Graessler J, Qin Y, Zhong H et al. Metagenomic sequencing of the human gut microbiome before and after bariatric surgery in obese patients with type 2 diabetes: correlation with metabolic and inflammatory parameters. Pharmacogenomics j 2012; doi: 1038/tjp. 2012.43. Epub ahead of printGoogle Scholar
  27. 27.
    Neff KJH, le Roux CW. Bariatric surgery. A best practice article. J Clin Pathol 2013; 66 (2): p. 90–98PubMedCrossRefGoogle Scholar
  28. 28.
    Tice JA, Karliner C, Walsh J et al. Gastric banding or bypass ? A systemic review comparing the two most popular bariatric procedures. Am J Med 2008; 121: p. 885–893PubMedCrossRefGoogle Scholar
  29. 29.
    Bal BS, Finelli FC, Shope TR, Koch TR. Nutritional deficiencies after bariatric surgery. Nat Rev Endocrinol 2012; April 24. Doi: 10.1038/nrendo.2012.48.Google Scholar
  30. 30.
    Scibora LM, Ikramuddin S, Buchwald H, Petit MA. Examining the link between bariatric surgery, bone loss, and osteoporosis: a review of bone density studies. Obes Surg 2012; 22: p. 654–667PubMedCrossRefGoogle Scholar
  31. 31.
    Cremieux PY, Buchwald H, Shikora SH et al. A study on the economic impact of bariatric surgery. Am J Manag Care 2008; 14: p. 589–596PubMedGoogle Scholar

Copyright information

© Urban & Vogel 2013

Authors and Affiliations

  1. 1.Endokrinologie/Diabetologie Deutsche Klinik für DiagnostikWiesbadenDeutschland

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