THE EFFECTIVENESS OF BARIATRIC SURGERY IN THE CONTROL OF TYPE 2 DIABETES MELLITUS: AN INTEGRATIVE REVIEW

• DOI: 10.22533/at.ed.1593472329064

• Palavras-chave: Bariatric surgery. Glycemic control. Diabetes Mellitus.

• Keywords: Bariatric surgery. Glycemic control. Diabetes Mellitus.

• Abstract:

  Introduction: Bariatric surgery has shown significant efficacy in controlling Type 2 Diabetes Mellitus, leading to improved glycemic control and even disease remission. Objective: To investigate current studies that discuss the effectiveness of bariatric surgery in the control of Type 2 Diabetes mellitus. Methodology: Research from clinical trials, meta-analyses, controlled and randomized clinical trials, and systematic reviews, selected through the platform of search “PubMed”, using the keywords "Bariatric surgery" and "Diabetes". Results: The articles analyzed the effects of different types of bariatric surgery, such as Roux-en-Y gastric bypass, sleeve gastrectomy and adjustable gastric banding, on GLP-1R receptor expression in adipose tissue, on long-term disease outcomes macrovascular and metabolic indicators, as well as HDL (high-density lipoprotein) function in patients with obesity and type 2 diabetes. The results indicate that bariatric surgery presents consistent results that support its efficacy as an effective strategy to optimize the metabolism and induce remission of type 2 diabetes. Conclusion: According to the integrative literature review, the aforementioned examples of bariatric surgery result in significant improvements in glycemia, reduced need for antidiabetic drugs and even remission of the disease. Therefore, bariatric surgery must be considered as an effective and sustainable therapeutic option for patients with DM2 and obesity, with the potential to significantly improve quality of life and reduce the risks associated with the disease.