دورية أكاديمية
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: | Marta Guimarães, Sofia S. Pereira, Mário Nora, Mariana P. Monteiro |
| المصدر: | Obesity Facts, Vol 14, Iss 4, Pp 425-430 (2021) |
| بيانات النشر: | Karger Publishers, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Nutrition. Foods and food supply LCC:Nutritional diseases. Deficiency diseases |
| مصطلحات موضوعية: | bariatric surgery, latent autoimmune diabetes of adult, roux-en-y gastric bypass, Nutrition. Foods and food supply, TX341-641, Nutritional diseases. Deficiency diseases, RC620-627 |
| 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. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1662-4025 1662-4033 |
| العلاقة: | https://www.karger.com/Article/FullText/517588Test; https://doaj.org/toc/1662-4025Test; https://doaj.org/toc/1662-4033Test |
| DOI: | 10.1159/000517588 |
| الوصول الحر: | https://doaj.org/article/515c970696ee43cba039745592692508Test |
| رقم الانضمام: | edsdoj.515c970696ee43cba039745592692508 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 16624025 16624033 |
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| DOI: | 10.1159/000517588 |