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Metabolic effects of bariatric surgery.
MedLine Citation:
PMID:  23274228     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Bariatric surgery managing/preventing complications of severe overweight is nowdays widely accepted as a mainstay in the treatment of morbid obesity. Its role is particularly important in type 2 diabetes developing on the base of long-standing significant overweight. The glycemic control improves within days-weeks after these surgeries, when weight loss and reduction of the visceral fat mass is barely detectable. This short term effect is probably due to an increased secretion of glucagon-like peptide and, as a consequence, an improvement in hepatic insulin sensitivity as wel as the whole body glucose uptake. Besides the prolonged glucagon-like peptide effects, the favourable long term effect of these operations - lasting for 10 years even after surgery - is the decrease of visceral fat mass and elimination of harmful influence of cytokines produced by the fatty tissue. The article overviews the metabolic effects of these procedures, their undoubted advantages and potential risks. Orv. Hetil., 2013, 154, 3-9.
Authors:
Gábor Winkler
Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Orvosi hetilap     Volume:  154     ISSN:  0030-6002     ISO Abbreviation:  Orv Hetil     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376412     Medline TA:  Orv Hetil     Country:  -    
Other Details:
Languages:  HUN     Pagination:  3-9     Citation Subset:  -    
Affiliation:
Szent János Kórház II. Belgyógyászat-Diabetológia Budapest Diós árok 1-3. 1125 Miskolci Egyetem, Egészségügyi Kar Elméleti Egészségtudományi Tanszék Miskolc.
Vernacular Title:
A súlyleadás sebészetének (bariátriai sebészet) anyagcsere-vonatkozásai.
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