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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
Print version ISSN 0102-6720
ZEVE, Jorge Luiz de Mattos and TOMAZ, Carlos Alberto Bezerra. Metabolic surgery: cure for type 2 diabetes. ABCD, arq. bras. cir. dig. [online]. 2011, vol.24, n.4, pp.312-317. ISSN 0102-6720. http://dx.doi.org/10.1590/S0102-67202011000400012.
INTRODUCTION: Type 2 diabetes is a metabolic disease characterized by chronic hyperglycemia associated with several organs damage and failure. It is the most common cause of blindness, amputation and kidney failure in western adults, besides increase the risk of coronary disease and stroke with high mortality of patients. The association of type 2 diabetes with obesity is really significant. Obese diabetic patients had a better glucose control after bariatric surgery even prior to weight loss. METHODS: A systematic review in Pubmed, Bireme and Scielo research sites was made, using "Diabetes Mellitus", "Bariatric Surgery" and "Obesity" keywords. Were selected the studies related to surgical techniques in the treatment of obesity and type 2 diabetes. The papers presented at the 1st and 2nd World Congress of Interventional Therapies for Type 2 Diabetes was also included. CONCLUSION: Surgical treatment of patients with obesity and type 2 diabetes showed important initial results controling blood glucose. However, the procedures and techniques used must be more investigated in randomized controlled trials comparing the clinical and surgical treatments, in animals and in humans.
Keywords : Diabetes Mellitus; Bariatric Surgery; Obesity.