Emmanuel Solís-Ayala, Lizett Carrillo-Ocampo, Ariana Canché-Arenas, Luis Cortázar-Benítez, Ricardo Cabrera-Jardines, Federico Rodríguez-Weber, Enrique Juan Díaz-Greene

Idioma: Español
Referencias bibliográficas: 41
Paginas: 487-494
Archivo PDF: 197.96 Kb.

RESUMEN

La obesidad es una enfermedad crónica, con prevalencia mundial en aumento y asociada con muchas enfermedades, entre ellas diabetes mellitus tipo 2 e hiperlipidemia; además, incrementa el riesgo cardiovascular. Una opción para bajar de peso es la cirugía bariátrica. Existen tres técnicas diferentes: la restrictiva, malabsortiva y mixta. Está demostrado que la pérdida de peso es efectiva con la cirugía laparoscópica, con bypass gástrico y gastrectomía laparoscópica con manga gástrica; y también está la disminución de peso, la remisión de la diabetes mellitus tipo 2, disminución de la concentración de lípidos y de riesgo cardiovascular a largo plazo, sin incremento de peso en comparación con un grupo control. Es indudable que la cirugía bariátrica tiene un potente impacto en las comorbilidades relacionadas con la obesidad, especialmente la diabetes.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Gónzalez M, Sandoval AS, Roman SM, Panduro A. Obesidad y diabetes mellitus tipo 2. Redalyc 2001; 3: 54-60.

2. Kashyap SR, Gaud S, Kelly KR, Gastaldelli A, Win H, Brethauer S, Kirwan JP, Schauer PR. Acute effects of gastric bypass versus gastric restrictive surgery on B cells function and insulinotropic hormones in severely obese patients with type 2 diabetes. Int J Obes (Lond) 2010;34: 462-471.

3. Pontiroli A, Pizzocri P, Koprivec D, Vedani P, Marchi M, Arcelloni C, Paroni R, Esposito K, Giugliano D. Body weight and glucose metabolism have a different effect on circulating levels of ICAM-1, E-selectin, and endothelin-1 in humans. Eur J Endocrinol 2004;150:195-200.

4. Moreno B, Zugasti A. Cirugía bariática: situación actual. Rev Med Univ Navarra 2004; 48:66-71.

5. Lee Y, Lee W, Liew P. Predictors of remission of type 2 diabetes mellitus in obese patients after gastrointestinal surgery . Obes Res Clin Prac 2012, http://dx.doi. org/10.1016/j.orcp.2012.08.190.

6. De la Cruz-Muñoz N, Messiah S, Arheart K, López- Mitnik G, Lipshultz E, Livingstone A. Bariatric surgery significantly decreases the prevalence of type 2 diabetes mellitus and pre-diabetes among morbidly obese multiethnic adults: Long-term results. J Am Coll Surg 2011;212: 505- 511.

7. Parikh M, Ayoung-Chee P, Romanos E, Lewis N, Leon Leon H, Fielding G, Ren. Comparison of rates of resolution of diabetes mellitus after gastric binding, gastric bypass and billiopancreatic diversion. J Am Coll Surg 2007;205:631-635.

8. Kashyap SR, Gaud S, Kelly KR, Gastaldelli A, Win H, Brethauer S, Kirwan JP, Schauer PR. Acute effects of gastric bypass versus gastric restrictive surgery on B cells function and insulinotropic hormones in severely obese patients with type 2 diabetes. Int J Obes (Lond) 2010;34:462-471.

9. Lee WJ, Ser K, Chong K, Lee Yi, Chen S, Tsou J, Chen J, Chen C. Laparoscopic sleeve gastrectomy for diabetes treatment in nonmorbidly obese patients: efficacy and change of insulin secretion. Surgery 2010;147:664- 669.

10. Zervos E, Agle S, Warren A, Lang C, Fitzgerald T, Dar M, Rotondo M, Pories W. Amelioration of insulin requirements in patients undergoing duodenal bypass for reasons other than obesity implicates foregut factors in the pathophysiology of type ii diabetes. J Am Coll Surg 2010; 210:564-572.

11. Hofso D, Nordstrand N, Kalse Ti. Obesity-related cardiovascular risk factors after weight loss: a clinical trial comparing gastric bypass surgery and intensive lifestyle intervention. Eur J Endocrinol 2010;163:735-745. Epub 2010 Aug 26.

12. Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med 2012;366:1567-1576. Epub 2012 Mar 26.

13. Lee WJ, KY Hur, M Lakadawala, K Kasama, SK Wong, Lee YC. Gastrointestinal metabolic surgery for the treatment of diabetic patients: a multi-institutional international study. J Gastrointest Surg 2012;16:45-51, debate 51-2. Epub 2011 Nov 1.

14. Raj PP, Kumaravel R, C Chandramaliteeswaran, V Vaithiswaran, Palanivelu C. Laparoscopic duodenojejunal bypass with sleeve gastrectomy: preliminary results of a prospective series from India. Surg Endosc 2012;26:688- 92. Epub 2011 Oct 13.

15. Iaconelli A, S Panunzi, De Gaetano A, Manco M, Guidone C, Leccesi L, Gniuli D. Effects of bilio-pancreatic diversion on diabetic complications: a 10-year follow-up. Diabetes Care 2011;34:561-567. Epub 2011 Jan 31.

16. Ramos AC, Galvão Neto MP, de Souza YM, Galvão M, et al. Laparoscopic duodenal-jejunal exclusion in the treatment of type 2 diabetes mellitus in patients with BMI<30 kg/ m2 (LBMI). Obes Surg 2009;19:307-12. Epub 2008 06 de noviembre.

17. Umeda LM, Silva EA, Carneiro G, Arasaki CH, Geloneze B, Zanella MT. Early improvement in glycemic control after bariatric surgery and its relationships with insulin, GLP-1, and glucagon secretion in type 2 diabetic patients. Obes Surg 2011;21:896-901.

18. Lee WJ, Chen CY, Chong K, Lee YC, et al. Changes in postprandial gut hormones after metabolic surgery: a comparison of gastric bypass and sleeve gastrectomy. Surg Obes Relat Dis 2011; 7:683-690. Epub 2011 Jul 31.

19. Oliveira LV, Aguiar IC, Hirata RP, Faria Júnior NS, Reis ES, Sampaio LM. Sleep study, respiratory mechanics, chemosensitive response and quality of life in morbidly obese patients undergoing bariatric surgery: a prospective, randomized, controlled trial. BMC Surg 2011;11:28.

20. Lee WJ, Ser KH, Chong K, Lee YC, et al. Laparoscopic sleeve gastrectomy for diabetes treatment in nonmorbidly obese patients: efficacy and change of insulin secretion. Surgery 2010;147:664-9. Epub 2009 Dec 11.

21. Mingrone G, Panunzi S, De Gaetano A, Guidone C, Iaconelli A, Leccesi L, Nanni G. Bariatric surgery versus conventional medical therapy for type 2 diabetes. N Engl J Med 2012;366:1577-1585. Epub 2012 Mar 26.

22. Familiari P, Costamagna G, Blero D, Le Moine O, Perri V, Boškoski I, Coppens E. Transoral gastroplasty for morbid obesity: a multicenter trial with a 1-year outcome. Gastrointest Endosc 2011;74:1248-1258.

23. Aasheim ET, Elshorbagy AK, Diep LM, Søvik TT, Mala T, Valdivia-Garcia M. Effect of bariatric surgery on sulphur amino acids and glutamate. Br J Nutr 2011;106:432-440. Epub 2011 May 4.

24. Aasheim ET, Björkman S, Søvik TT, Engström M, Hanvold SE, Mala T, Olbers T. Vitamin status after bariatric surgery: a randomized study of gastric bypass and duodenal switch. Am J Clin Nutr 2009;90:15-22. Epub 2009 May 13.

25. Demaria EJ, DA Winegar, Pate VW, NE Hutcher, Ponce J, Pories WJ. Early postoperative outcomes of metabolic surgery to treat diabetes from sites participating in the ASMBS bariatric surgery center of excellence program as reported in the Bariatric Outcomes Longitudinal Database. Ann Surg 2010;252:559-66; discusión 566-7.

26. Sakhaee K, Griffith C, Pak CY. Biochemical control of bone loss and stone-forming propensity by potassiumcalcium citrate after bariatric surgery. Surg Obes Relat Dis 2012;8:67-72. Epub 2011 May 18.

27. Grethen E, McClintock R, Gupta CE, Jones R, Cacucci BM, et al. Vitamin D and hyperparathyroidism in obesity. Clin Endocrinol Metab 2011;96:1320-1326. Epub 2011 Feb 16.

28. Nogués X, Goday A, Peña MJ, Benaiges D, de Ramón M, X Crous, Vial M. Bone mass loss after sleeve gastrectomy: a prospective comparative study with gastric bypass. Cir Esp 2010; 88:103-9. Epub 2010 Jul 8.

29. Savastano S. Benefits from growth hormone therapy after bariatric surgery. Pediatr Endocrinol Rev 2009; 6 Suppl 4:540-544.

30. Wudel LJ Jr, Wright JK, Debelak A, Shyr Y, Chapman WC. Prevention of gallstone formation in morbidly obese patients undergoing rapid weight loss: results of a randomized controlled pilot study. J Surg Res 2002;102:50-56.

31. O'Brien PE, Sawyer SM, Laurie C, Brown WA, Skinner S, Veit F, et al. Laparoscopic adjustable gastric banding in severely obese adolescents: a randomized trial. JAMA 2010;303:519-526.

32. Silecchia G, Greco F, Bacci V, Boru C, Pecchia A, Casella G, Rizzello M, Basso N. Results after laparoscopic adjustable gastric banding in patients over 55 years of age. Obes Surg 2005;15:351-356.

33. Ortega J, Escudero MD, Mora M, Sala C, et al. Outcome of esophageal function and 24-hour esophageal pH monitoring after vertical banded gastroplasty and Roux-en-Y gastric bypass. Obes Surg 2004;14:1086-1094.

34. Rebecchi F, Rocchietto S, Giaccone C, Talha A, Morino M. Gastroesophageal reflux disease and esophageal motility in morbidly obese patients submitted to laparoscopic adjustable silicone gastric banding or laparoscopic vertical banded gastroplasty. Surg Endosc 2011;25:795-803. Epub 2010 Jul 30.

35. Rodríguez L, Reyes E, Fagalde P, Oltra MS, Saba J, Aylwin CG, et al. Pilot clinical study of an endoscopic, removable duodenal-jejunal bypass liner for the treatment of type 2 diabetes. Diabetes Technol Ther 2009;11:725-732.

36. Van Nieuwenhove Y, Dambrauskas Z, Campillo-Soto A, van Dielen F, Wiezer R. Preoperative very low-calorie diet and operative outcome after laparoscopic gastric bypass: a randomized multicenter study. Arch Surg 2011;146:1300-1305.

37. Matot I, Paskaleva R, Eid L, Cohen K, Khalaileh A, Elazary R, Keidar A. Effect of the volume of fluids administered on intraoperative oliguria in laparoscopic bariatric surgery: a randomized controlled trial. Arch Surg 2012;147:228- 234. Epub 2011 Nov 21.

38. Andersen LH, Rovsing L, Olsen KS. GlideScope videolaryngoscope vs. Macintosh direct laryngoscope for intubation of morbidly obese patients: a randomized trial. Acta Anaesthesiol Scand 2011;55:1090-1097.

39. Salgado W, Rosa GV, Nonino-Borges CB, Ceneviva R. Prospective and randomized comparison of two techniques of staple line reinforcement during open Roux-en-Y gastric bypass: oversewing and bioabsorbable Seamguard®. J Surg Tech Laparoendosc Adv A 2011;21:579-582. Epub 2011 Jun 9.

40. Iyer CP, Robertson BD, Lenkovsky F, Huerta S, Livingston E, Thurmon JJ. Surg gastric bypass and On-Q pump: effectiveness of Soaker Catheter system on recovery of bariatric surgery patients. Obes Relat Dis 2010;6:181- 184. Epub 2009 Aug 31.

41. Hollywood A, Ogden J, Pring C. The impact of a bariatric rehabilitation service on weight loss and psychological adjustment studt protocol. BMC Public Health 2012;12:275.