- 磐田市立総合病院 [無断転載禁止]©2ch.net
134 :evidence for metabolic surgery[]:2017/09/14(木) 21:19:17.13 ID:v5z7Fpbn - ariatric surgery has emerged as a highly effective treatment not only for obesity, but also for type 2 diabetes (T2D).
|
- 磐田市立総合病院 [無断転載禁止]©2ch.net
135 :evidence for metabolic surgery[]:2017/09/14(木) 21:20:59.88 ID:v5z7Fpbn - A meta-analysis has reported the complete resolution of T2D in 78.1%
of cases of morbidly obese patients after bariatric surgery. Such extraordinary results obtained in diabetic patients with body mass index (BMI) scores>35kg/m2 have led investigators to question whether similar results might be achieved in patients with BMIs<35kg/m2.
|
- 磐田市立総合病院 [無断転載禁止]©2ch.net
136 :evidence for metabolic surgery[]:2017/09/14(木) 21:22:37.76 ID:v5z7Fpbn - Thus, the results are discordant. Long-term studies would be useful for determining the safety,
efficacy and cost-effectiveness of metabolic surgery for this population with T2D. In 2015, it is probably premature to say that metabolic surgery is an accepted treatment option for T2D patients with BMIs<35kg/m2.
|
- 磐田市立総合病院 [無断転載禁止]©2ch.net
137 :卵の名無しさん[]:2017/09/14(木) 21:27:25.22 ID:v5z7Fpbn - Diabetes improvement and resolution following LVSG versus LRYGB procedures:
a systematic review of randomized controlled trials.
|
- 磐田市立総合病院 [無断転載禁止]©2ch.net
138 :卵の名無しさん[]:2017/09/14(木) 21:28:24.89 ID:v5z7Fpbn - The prevalence of type 2 diabetes is growing in both developed and developing countries and is strongly linked with the prevalence of obesity.
Bariatric surgical procedures such as laparoscopic vertical sleeve gastrectomy (LVSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are increasingly being utilized to manage related comorbid chronic conditions, including type 2 diabetes.
|
- 磐田市立総合病院 [無断転載禁止]©2ch.net
139 :卵の名無しさん[]:2017/09/14(木) 21:28:56.47 ID:v5z7Fpbn - A systematic review of randomized controlled trials (RCTs) was
undertaken using the PRISMA guidelines to investigate the postoperative impact on diabetes resolution following LVSG versus LRYGB.
|
- 磐田市立総合病院 [無断転載禁止]©2ch.net
140 :卵の名無しさん[]:2017/09/14(木) 21:29:55.82 ID:v5z7Fpbn - Seven RCTs involving a total of 732 patients (LVSG n = 365, LRYGB n = 367)
met inclusion criteria. Significant diabetes resolution or improvement was reported with both procedures across all time points. Similarly, measures of glycemic control (HbA1C and fasting blood glucose levels) improved with both procedures, with earlier improvements noted in LRYGB that stabilized and did not differ from LVSG at 12 months postoperatively. Early improvements in measures of insulin resistance in both procedures were also noted in the studies that investigated this.
|
- 磐田市立総合病院 [無断転載禁止]©2ch.net
141 :卵の名無しさん[]:2017/09/14(木) 21:31:11.28 ID:v5z7Fpbn - This systematic review of RCTs suggests that both LVSG and LRYGB
are effective in resolving or improving preoperative type 2 diabetes in obese patients during the reported 3- to 5-year follow-up periods. However, further studies are required before longer-term outcomes can be elucidated. Areas identified that need to be addressed for future studies on this topic include longer follow-up periods, standardized definitions and time point for reporting, and financial analysis of outcomes obtained between surgical procedures to better inform procedure selection.
|
- 磐田市立総合病院 [無断転載禁止]©2ch.net
142 :卵の名無しさん[]:2017/09/14(木) 21:34:21.37 ID:v5z7Fpbn - Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes:
A Joint Statement by International Diabetes Organizations. JAMA. 2017 Feb 14;317(6):635-636. doi: 10.1001
|
- 磐田市立総合病院 [無断転載禁止]©2ch.net
143 :卵の名無しさん[]:2017/09/14(木) 21:35:09.58 ID:v5z7Fpbn - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5557277/
|