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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | HALPERN, Bruno | |
dc.contributor.author | MANCINI, Marcio Correa | |
dc.date.accessioned | 2019-05-30T13:45:20Z | |
dc.date.available | 2019-05-30T13:45:20Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | OBESITY REVIEWS, v.20, n.5, p.633-647, 2019 | |
dc.identifier.issn | 1467-7881 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/31923 | |
dc.description.abstract | Bariatric surgery has shifted from being a risky procedure to an evidence-based one, with proven benefits on all-cause mortality, cardiovascular disease, cancer, and diabetes control. The procedure has an overall positive result on type 2 diabetes mellitus (T2DM), with a substantial number of patients achieving disease remission. This has resulted in several studies assessing possible weight-independent effects of bariatric surgery on glycemic improvement, in addition to recommendation of the procedure to patients with class 1 obesity and T2DM, for whom the procedure was classically not indicated, and adoption of a new term, ""metabolic surgery,"" to highlight the overall metabolic benefit of the procedure beyond weight loss. Recently, the Diabetes Surgery Summit (DSS) has included metabolic surgery in its T2DM treatment algorithm. Although the discussion brought by this consensus is highly relevant, the recommendation of metabolic surgery for patients with uncontrolled T2DM and a body mass index of 30 to 35 kg/m(2) still lacks enough evidence. This article provides an overall view of the metabolic benefits of bariatric/metabolic surgery in patients with class 1 obesity, compares the procedure against clinical treatment, and presents our rationale for defending caution on recommending the procedure to less obese individuals. | eng |
dc.language.iso | eng | |
dc.publisher | WILEY | eng |
dc.relation.ispartof | Obesity Reviews | |
dc.rights | restrictedAccess | eng |
dc.subject | bariatric surgery | eng |
dc.subject | class I obesity | eng |
dc.subject | metabolic surgery | eng |
dc.subject | type 2 diabetes | eng |
dc.subject | weight loss | eng |
dc.subject.other | y gastric bypass | eng |
dc.subject.other | intensive medical therapy | eng |
dc.subject.other | life-style intervention | eng |
dc.subject.other | body-mass index | eng |
dc.subject.other | duodenal-jejunal exclusion | eng |
dc.subject.other | high glycemic variability | eng |
dc.subject.other | obstructive sleep-apnea | eng |
dc.subject.other | long-term remission | eng |
dc.subject.other | beta-cell function | eng |
dc.subject.other | bariatric surgery | eng |
dc.title | Metabolic surgery for the treatment of type 2 diabetes in patients with BMI lower than 35 kg/m(2): Why caution is still needed | eng |
dc.type | article | eng |
dc.rights.holder | Copyright WILEY | eng |
dc.identifier.doi | 10.1111/obr.12837 | |
dc.identifier.pmid | 30821085 | |
dc.subject.wos | Endocrinology & Metabolism | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
hcfmusp.description.beginpage | 633 | |
hcfmusp.description.endpage | 647 | |
hcfmusp.description.issue | 5 | |
hcfmusp.description.volume | 20 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.id | WOS:000463211500001 | |
hcfmusp.origem.id | 2-s2.0-85062323505 | |
hcfmusp.publisher.city | HOBOKEN | eng |
hcfmusp.publisher.country | USA | eng |
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dc.description.index | MEDLINE | eng |
dc.identifier.eissn | 1467-789X | |
hcfmusp.citation.scopus | 11 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
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