Bariatric surgery in young massively obese diabetic patients.
Obesity is the most important lifestyle-related risk factor for type 2 diabetes (T2DM). The prevalence of T2DM in adolescents is increasing in parallel with the increasing incidence of major obesity. In adult obese subjects, the greatest degree of T2DM prevention, improvement or recovery has been reported in patients who have undergone bariatric surgery. However, few studies are available on the benefits and risks of bariatric surgery in adolescents with T2DM. The indications for obesity surgery in this population are unusual, and should only be considered in academic settings after comprehensive interdisciplinary evaluation.
Ciangura
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C
Pôle d'Endocrinologie, Faculté de Médecine Pierre & Marie Curie -Paris 6 University-CNRH-IDF, AP-HP, Pitié-Salpêtrière, Paris, France.
Basdevant
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A
D000293:Adolescent; D000328:Adult; D050110:Bariatric Surgery; D003924:Diabetes Mellitus, Type 2 / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D009767:Obesity, Morbid / Q000150:complications* / Q000601:surgery*; D012307:Risk Factors; D055815:Young Adult