Revista de la Sociedad Argentina de Diabetes (Dec 2015)

ARGENTINE CONSENSUS OF METABOLIC SURGERY

  • Marianela Aguirre Ackermann,
  • Omar Alva,
  • Graciela Álvarez,
  • Marisa Andreoni,
  • Eduardo Babor,
  • Verónica Bottino,
  • Oscar Brasesco,
  • Lilia Cafaro,
  • Mónica Coqueugniot,
  • Susana Fuentes,
  • Martín Garaycoechea,
  • Emilio Hidalgo,
  • Adriana Immerso,
  • Ana Iturrospe,
  • Viviana Lasagni,
  • León Litwak,
  • Hugo Montemerlo,
  • Carla Musso,
  • Pablo Omelanczuk,
  • Mariano Palermo,
  • Natalia Pampillón,
  • María Quevedo,
  • Clarisa Re¡ynoso,
  • Marcelo Rondina,
  • Graciela Rubin,
  • Magalí Sánchez,
  • Edgardo Serra

DOI
https://doi.org/10.47196/diab.v49i3.206
Journal volume & issue
Vol. 49, no. 3
pp. 95 – 110

Abstract

Read online

Introduction: the worldwide pandemic increase of obesity and type 2 diabetes push us to choose therapeutic options to control metabolic parameters and decrease cardiovascular risk in this group of patients. Metabolic surgery became a useful tool added to lifestyle change and pharmacologic therapy. Objetives: the aim of the recommendations was to treat patients with y Roux bypass surgery (BPGYR), with BMI between 30-35 kg/m2 and alter metabolic parameters after been treated with the best medical therapy. Conclusions: the first Argentinean metabolic surgery consensus was done by the Argentinean Diabetes Society (SAD), Argentinean Nutrition Society (SAN) and Argentinean Society of Obesity Surgery (SACO) and the proposal was to consider metabolic surgery in type 2 diabetic patients with BMI between 30-35 kg/m2 after been treated with the best medical therapy. We describe selection criteria of patients, the important role of the interdisciplinary approach, evaluation, and preparation before surgery and the follow up.

Keywords