[Role of bariatric surgery in the obese diabetic].
Bariatric surgery can be proposed to address severe obesity associated with comorbid conditions, when medical treatment has failed. Three surgical techniques are currently available, including 2 using coelioscopy. Short term results are encouraging regarding weight loss, which is linked with a reduction in comorbid conditions such as glucose intolerance. The number of studies is too low to assess long term results. Surgery in obese diabetic patients rapidly improves insulin resistance, thus allowing to reduce antidiabetic treatment. However these positive effects should be balanced with surgery-linked complications, therefore gastroplasty indications should be thoroughly examined.
Simon
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Service de Médecine Interne et de Nutrition, Hôpital de Hautepierre, Strasbourg.
D003920:Diabetes Mellitus / Q000601:surgery*; D015391:Gastroplasty; D006801:Humans; D007333:Insulin Resistance; D009765:Obesity; D011183:Postoperative Complications