Bariatric Surgery Outcomes in Patients with Latent Autoimmune Diabetes of the Adult
| العنوان: | Bariatric Surgery Outcomes in Patients with Latent Autoimmune Diabetes of the Adult |
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| المؤلفون: | Mariana P. Monteiro, Mário Nora, Sofia S Pereira, Marta Guimarães |
| المصدر: | Obesity Facts, Vol 14, Iss 4, Pp 425-430 (2021) Obes Facts |
| بيانات النشر: | Karger Publishers, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Pediatrics, medicine.medical_specialty, Health (social science), RC620-627, medicine.medical_treatment, bariatric surgery, Case Report, Type 2 diabetes, Weight loss, Physiology (medical), roux-en-y gastric bypass, medicine, TX341-641, Nutritional diseases. Deficiency diseases, Contraindication, Type 1 diabetes, business.industry, Nutrition. Foods and food supply, Insulin, medicine.disease, Obesity, Concomitant, latent autoimmune diabetes of adult, medicine.symptom, business, Body mass index |
| الوصف: | Bariatric surgery is a very effective treatment for obesity-associated type 2 diabetes. However, the benefits of bariatric surgery in patients with obesity and autoimmune diabetes, such as type 1 diabetes and latent autoimmune diabetes in adults (LADA), are controversial. We report 3 female patients with obesity and LADA who underwent laparoscopic Roux-en-Y gastric bypass >10 years ago. The patients were diagnosed with LADA both 1 and 9 years before (n = 2) or 11 years after the surgery (n = 1). Patients preoperative body mass index ranged from 36 to 47 kg/m2 and improved to 23–37 kg/m2 in the last follow-up visit, 10–15 years after surgery. Daily insulin dose also decreased from an average of 0.68 to 0.45 IU/kg in those patients treated with insulin before bariatric surgery. Only one patient developed diabetes-related target organ damage. This study shows that patients with LADA depict remarkable reduction of body weight and insulin requirements over long-term after bariatric surgery. So, LADA should not be considered a contraindication for bariatric surgery yet should only be recommended for patients with concomitant obesity with the primary aim of achieving sustained weight loss. |
| اللغة: | English |
| تدمد: | 1662-4033 1662-4025 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2f8ed618ef9cd9e335b44cb9d6cbc8a1 https://www.karger.com/Article/FullText/517588 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2f8ed618ef9cd9e335b44cb9d6cbc8a1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16624033 16624025 |
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