Chirurgie du diabète: provocation ou réalité [Surgery for diabetes: challenge or reality?]
Details
Serval ID
serval:BIB_A6D81404EB66
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Chirurgie du diabète: provocation ou réalité [Surgery for diabetes: challenge or reality?]
Journal
Revue Médicale Suisse
ISSN
1660-9379[print], 1660-9379[linking]
Publication state
Published
Issued date
2010
Volume
6
Number
242
Pages
670-676
Language
french
Abstract
Bariatric surgery techniques can usually increase either sensitivity or insulin resistance, acting on three different levels: decrease of food intake, malabsorption and modifications of entero-insulaire axis activity. This latter is taken into account in order to develop a new protocol to obtain diabetes remission without important weight loss and nutritional deficiencies. Preliminary results are interesting but they come from very short time studies with few patients. Moreover, complications rate is at present very high. Knowing better gastrointestinal mechanisms of diabetes control and especially incretins role is absolutely necessary before identifying surgery as a true metabolic treatment.
Keywords
Bariatric Surgery, Diabetes Mellitus, Type 2/etiology, Diabetes Mellitus, Type 2/prevention & control, Humans, Obesity/complications, Obesity/surgery
Pubmed
Create date
14/07/2010 17:39
Last modification date
20/08/2019 15:11