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Expert opinion on the preoperative medical optimization of adults with diabetes undergoing metabolic surgery

World Journal of diabetes 2021年第10期12卷 1587-1621页

作者： Saptarshi Bhattacharya Sanjay Kalra Nitin Kapoor Rajiv Singla Deep Dutta Sameer Aggarwal Deepak Khandelwal Vineet Surana Atul Dhingra Viny Kantroo Sachin Chittawar Nilakshi Deka Vivek Bindal Puja Dutta Endocrinology Max Superspeciality HospitalNew Delhi 110092India Endocrinology Bharti HospitalKarnal 132001HaryanaIndia Endocrinology Christian Medical CollegeVellore 632004Tamil NaduIndia Endocrinology Kalpavriksh Super Speciality CenterNew Delhi 110075India Endocrinology CEDAR Superspecialty ClinicNew Delhi 110075India Endocrinology Apex Plus Superspeciality HospitalRohtak 124001HaryanaIndia Endocrinology Maharaja Agrasen HospitalNew Delhi 110026India Endocrinology Manipal HospitalsNew Delhi 110075India Endocrinology Gangaram Bansal Super Speciality HospitalSri Ganganagar 335001RajasthanIndia Respiratory Medicine&Critical Care Indraprastha Apollo HospitalsSarita ViharNew Delhi 110076India Endocrinology Gandhi Medical CollegeBhopal 462001Madhya PardeshIndia Endocrinology Apollo HospitalsGuwahati 781005AssamIndia Minimal Access Metabolic and Bariatric surgeryMax Superspeciality HospitalPatparganjNew Delhi 110092India Nutrition Max Superspeciality HospitalPatparganjNew Delhi 110092India

diabetes mellitus(DM)and obesity are interrelated in a complex manner,and their coexistence predisposes patients to a plethora of medical *** surgery has evolved as a promising therapeutic option for both *** is recommended that patients,particularly those of Asian origin,maintain a lower body mass index threshold in the presence of uncontrolled ***,several comorbidities often accompany these chronic diseases and need to be addressed for successful surgical *** Roux-en-Y gastric bypass(RYGB)and laparoscopic sleeve gastrectomy(LSG)are the most commonly used bariatric procedures *** bariatric benefits of RYGB and LSG are similar,but emerging evidence indicates that RYGB is more effective than LSG in improving glycemic control and induces higher rates of long-term DM *** scoring systems have been formulated that are utilized to predict the chances of remission.A glycemic target of glycated hemoglobin<7%is a reasonable goal before ***,pulmonary,gastrointestinal,hepatic,renal,endocrine,nutritional,and psychological optimization of surgical candidates improves perioperative and long-term *** guidelines for preoperative care of individuals with obesity have been formulated,but very few specifically focus on the concerns arising from the presence of concomitant *** is hoped that this statement will lead to the standardization of presurgical management of individuals with DM undergoing metabolic surgery.

关键词： diabetes Obesity Metabolic surgery Bariatric surgery remission of diabetes

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