Bariatric surgery has gained a wide acceptance for treatment of severe obesity, especially when complicated with type 2 DM. After bariatric surgery, patients are cared by their primary care physicians, endocrinologists or gastroenterologists. Frequently these patients present with associated co morbidities including type 2 DM, poly cystic ovarian disease, metabolic bone disease, degenerative joint disease, lipid abnormalities, hypertension, fatty liver, gastro esophageal reflux disease, obstructive sleep apnoea, etc.

Bariatric surgery is not a guarantee of success and patients require post-operative care. To guide patients through the transition through life after bariatric surgery, a multidisciplinary team that includes an experienced primary care physician, endocrinologist, or gastroenterologist should provide care and patients should consider enrolling post operatively in a comprehensive program for nutrition and lifestyle management. Such a support can ease transition to life after bariatric surgery and may prevent weight regain.

What are the risk and benefits Of Bariatric Surgery in Type 2 Diabetes?

Information about the moderator

Ms. Chheda is a Registered Clinical Dietitian, Certified Diabetes Educator and Diploma Hospital Administrator at the Cumballa Hill Hospital and Heart Institute, Mumbai, India.

References

1) Bariatric Surgery and Diabetes (Ramdas and Colucci, 2010)

2) Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient—2013 Update (Mechanick et al., 2013)

3) Differential Effects of Laparoscopic Sleeve Gastrectomy and Laparoscopic Gastric Bypass on Appetite, Circulating Acyl-ghrelin, Peptide YY3-36 and Active GLP-1 Levels in Non-diabetic Humans (Yousseif et al., 2013)