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Bariatric and endo-bariatric interventions for diabetes:What is the current evidence?

World Journal of Diabetes 2024年第11期15卷 2255-2263页

作者： Sunetra Mondal vanessa ambrose fistus Joseph M Pappachan Department of Endocrinology NRS Medical College and HospitalKolkata 700014West BengalIndia Department of Medicine Royal Preston HospitalLancashire Teaching Hospitals NHS TrustPreston PR29HTLancashireUnited Kingdom Department of Endocrinology and Metabolism Lancashire Teaching Hospitals NHS TrustPreston PR29HTLancashireUnited Kingdom Faculty of Science Manchester Metropolitan UniversityManchester M156BHUnited Kingdom Department of Endocrinology Kasturba Medical CollegeManipal UniversityManipal 576104India

Bariatric interventions have shown the best therapeutic benefits in individuals with *** can be classified into surgical procedures(bariatric/metabolic surgery)and endoscopic *** surgical procedures include sleeve gastrectomy,Roux-en-Y gastric bypass,bilio-pancreatic diversion with or without duodenal switch and Stomach Intestinal Pylorus Sparing *** procedures include intragastric balloons,transpyloric shuttle,endoscopic gastroplasties,aspiration therapy,duodenal mucosal resurfacing,duodeno-jejunal bypass liner,gastro-duodeno-jejunal bypass and incisionless magnetic anastomosis system among ***,these procedures are limited by lack of wide availability,high costs,immediate and long-term complications and poor acceptability in some *** re-gain is a common concern and revisional metabolic surgery is often *** pre-operative evaluation and correction of nutritional deficiencies post-surgery are very *** most appropriate procedure for a person would depend on multiple factors like the intended magnitude of weight-loss,comorbidities and surgical fitness,as well as choice of the ***,glucagon-like insulinotropic peptide-1 receptor agonists(GLP)and the GLP-1/gastric inhibitory polypeptide co-agonist-Tirzepatide have shown remarkable weight loss potential,which is at par with bariatric interventions in some *** far these can help in avoiding invasive bariatric procedures in near future remains to be *** updated and comprehensive clinical review by He et al in the recent issue of World Journal of Diabetes address has addressed the avenues and challenges of currently available bariatric surgeries which will enable clinicians to make better decisions in their practice,including their applicability in special populations like the elderly and pediatric age groups,type 1 diabetes mellitus,and non-diabetics.

关键词： Bariatric surgery Bariatric endoscopy Obesity Type 2 diabetes mellitus Metabolic benefits

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