METABOLIC SURGERY INDICATED FOR TREATING PATIENTS WITH TYPE 2 DIABETES

• DOI: 10.22533/at.ed.1592712216116

• Palavras-chave: Metabolic surgery; metabolism; general surgery; diabetes mellitus;

• Keywords: Metabolic surgery; metabolism; general surgery; diabetes mellitus;

• Abstract:

  Introduction: Metabolic improvement results not only from weight loss and reduced insulin resistance, but also from changes in digestive hormones (especially incretins) that help improve insulin secretion. This paradigm shift, evolving from bariatric surgery to metabolic surgery, opens new perspectives. Materials and Methods: The present work was bibliographic research, with the main objective of describing the nursing record in auditing. A survey was carried out in the Google Scholar and SciELO and Lilacs databases. Observing publications in Portuguese, Spanish and English. Results: This article will consider the development of innovative surgical techniques aimed at endocrine-metabolic improvement rather than weight loss, the surgical treatment of type 2 diabetic patients with body mass index. Discussion: Numerous randomized clinical trials, although mostly short/medium term, demonstrate that metabolic surgery achieves excellent glycemic control. Final considerations: Although additional studies are needed to demonstrate long-term benefits, there is sufficient clinical and mechanistic evidence to support the inclusion of metabolic surgery among anti-diabetes interventions for people with T2DM and obesity.