title: [Bariatric surgery for the treatment of type 2 diabetes mellitus].
abstract: Weight loss can improve metabolic control in patients with type 2 diabetes mellitus but the results of conventional therapy in this respect have been discouraging. Besides achieving significant and sustained weight loss, bariatric surgery can improve or resolve type 2 diabetes mellitus in the majority of patients. Anatomical modifications and changes in the secretion of intestinal hormones can explain the superiority of malabsorptive techniques. Currently, bariatric surgery offers a therapeutic alternative for type 2 diabetes patients with severe obesity and poor metabolic control under conventional therapy. Ongoing research will provide insights regarding the effect of intestinal hormones, new surgery techniques and the possible benefits of bariatric surgery in non-obese patients.
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital del Mar, Barcelona, España. 96002@parcdesalutmar.cat
authors.forename: David
authors.initials: D
authors.lastname: Benaiges Boix
authors.forename: Albert
authors.initials: A
authors.lastname: Goday Arno
authors.forename: Juan
authors.initials: J
authors.lastname: Pedro-Botet
mesh_terms: D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods; D015904:Biliopancreatic Diversion; D002986:Clinical Trials as Topic; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D002149:Energy Intake; D005544:Forecasting; D015390:Gastric Bypass; D005768:Gastrointestinal Hormones / Q000502:physiology; D015391:Gastroplasty; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000601:surgery; D007328:Insulin / Q000378:metabolism; D007333:Insulin Resistance; D000078790:Insulin Secretion; D011183:Postoperative Complications / Q000453:epidemiology; D016896:Treatment Outcome; D015431:Weight Loss
chemical_list: D005768:Gastrointestinal Hormones; D007328:Insulin