- Obesity and Metabolic Syndrome
- Metabolic Surgery for Type 2 Diabetes Mellitus: Experience from Asia
-
Wei-Jei Lee, Lwin Aung
-
Diabetes Metab J. 2016;40(6):433-443. Published online December 2, 2016
-
DOI: https://doi.org/10.4093/dmj.2016.40.6.433
-
-
4,955
View
-
80
Download
-
15
Web of Science
-
16
Crossref
-
Abstract
PDFPubReader
Type 2 diabetes mellitus (T2DM) is a current global health priority and Asia is the epicenter of this epidemic disease. Unlike in the west, where older population is most affected, the burden of diabetes in Asian countries is disproportionately high in young to middle-age adults. The incidence of diabetic nephropathy is alarmingly high in patients with early onset T2DM, especially in those with poor glycemic control. How to control this chronic and debilitating disease is currently a very important health issue in Asia. Bariatric surgery has proven successful in treating not just obesity but also T2DM in morbid obese patients (body mass index [BMI] >35 kg/m2). Gastrointestinal metabolic surgery recently has been proposed as a new treatment modality for obesity related T2DM for patients with BMI <35 kg/m2. Many studies from Asia reported promising results of metabolic surgery to treat obese patients with T2DM which is not well controlled. It has been demonstrated that changes in gastrointestinal hormone secretion after gastrointestinal surgery would favor an early improvement of T2DM in Asians. New procedures have also been designed and proposed specifically for the treatment of diabetes in Asia. This article examines clinical trial data and accepted algorithms with a view toward elucidating the application of metabolic surgery for the treatment of T2DM in the Asia. We propose a systematic approach to surgical treatment, addressing current evidences, patient selection, procedure of choice, and timing and guideline for new procedures.
-
Citations
Citations to this article as recorded by
- Insulin resistance levels predicted metabolic improvement and weight loss after metabolic surgery in Chinese patients with type 2 diabetes
Yaoquan Cao, Ping Luo, Haibo Tang, Pengzhou Li, Guohui Wang, Weizheng Li, Zhi Song, Zhihong Su, Xulong Sun, Xianhao Yi, Zhibing Fu, Beibei Cui, Shaihong Zhu, Liyong Zhu Surgery for Obesity and Related Diseases.2024; 20(1): 80. CrossRef - Long‐term outcomes of metabolic surgery in overweight and obese patients with type 2 diabetes in Asia
Yu‐Min Huang, Yen‐Kuang Lin, Wei‐Jei Lee, Kyoung Yul Hur, Kazunori Kasama, Anton Kui Sing Cheng, Ming‐Hsien Lee, Simon Kin‐Hung Wong, Tien‐Chou Soong, Kuo‐Ting Lee, Davide Lomanto, Muffazal Lakdawala, Yen‐Hao Su, Weu Wang Diabetes, Obesity and Metabolism.2021; 23(3): 742. CrossRef - Vertical sleeve gastrectomy induces distinctive transcriptomic responses in liver, fat and muscle
Chang Ho Ahn, Eun Hye Choi, Hyunjung Lee, Woochan Lee, Jong-Il Kim, Young Min Cho Scientific Reports.2021;[Epub] CrossRef - Insulin Resistance Remission Following Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy in Chinese Type 2 Diabetes Mellitus Patients With a Body Mass Index of 27.5–32.5 kg/m2
Ping Luo, Yaoquan Cao, Pengzhou Li, Guohui Wang, Zhi Song, Weizheng Li, Zhihong Su, Hui Zhou, Xianhao Yi, Zhibing Fu, Xulong Sun, Haibo Tang, Beibei Cui, Qianqian Yu, Liyong Zhu, Shaihong Zhu Frontiers in Physiology.2021;[Epub] CrossRef - Pre- and postoperative respiratory muscle strength, body mass index and fasting glucose profile of patients with type 2 diabetes mellitus submitted to metabolic surgery
Ariana de Melo Tosta, Marisa de Carvalho Borges, Élida Mara Carneiro da Silva, Alex Augusto da Silva, Eduardo Crema Fisioterapia em Movimento.2020;[Epub] CrossRef - Outcomes After Metabolic Surgery in Asians—a Meta-analysis
Danson Yeo, Charleen Yeo, Tze Yi Low, Saleem Ahmed, Sheena Phua, Aung Myint Oo, Jaideepraj Rao, Aaryan Koura, Kavita Venkataraman, Sanghvi Kaushal Obesity Surgery.2019; 29(1): 114. CrossRef - Diabetes resolution after one anastomosis gastric bypass
Adam Abu-Abeid, Yonatan Lessing, Niv Pencovich, Danit Dayan, Joseph M. Klausner, Subhi Abu-Abeid Surgery for Obesity and Related Diseases.2018; 14(2): 181. CrossRef - Laparoscopic metabolic surgery for the treatment of type 2 diabetes in Asia: a scoping review and evidence-based analysis
Zhiyong Dong, Sheikh Mohammed Shariful Islam, Ashley M. Yu, Rui Qu, Bingsheng Guan, Junchang Zhang, Zhao Hong, Cunchuang Wang BMC Surgery.2018;[Epub] CrossRef - Clinical Practice Recommendations for the Management of Obesity in the United Arab Emirates
Salahedeen Abusnana, Mohammad Fargaly, Shaima Hasan Alfardan, Fatema Hasan Al Hammadi, Alaaeldin Bashier, Ghaida Kaddaha, Barbara McGowan, Rita Nawar, Amena Sadiya Obesity Facts.2018; 11(5): 413. CrossRef - Laparoscopic sleeve gastrectomy combined with single-anastomosis duodenal-jejunal bypass in the treatment of type 2 diabetes mellitus of patients with body mass index higher than 27.5 kg/m2 but lower than 32.5 kg/m2
Ying-Xu Li, Deng-Hua Fang, Tian-Xi Liu Medicine.2018; 97(31): e11537. CrossRef - Comparison of Great Curvature Plication with Duodenal-Jejunal Bypass (GCP-DJB) and Sleeve Gastrectomy (SG) on Metabolic Indices and Gut Hormones in Type 2 Diabetes Mellitus Rats
Nian-Cun Qiu, Wei Li, Miao-E Liu, Xiao-Xia Cen, Cheng-Xiang Shan, Wei Zhang, Qing Liu, Yang Wang, Ya-Ting Zhu, Ming Qiu Obesity Surgery.2018; 28(12): 4014. CrossRef - Evolution of Diabetes Care in Hong Kong: From the Hong Kong Diabetes Register to JADE-PEARL Program to RAMP and PEP Program
Ivy H.Y. Ng, Kitty K.T. Cheung, Tiffany T.L. Yau, Elaine Chow, Risa Ozaki, Juliana C.N. Chan Endocrinology and Metabolism.2018; 33(1): 17. CrossRef - Ethnicity Does Not Influence Glycemic Outcomes or Diabetes Remission After Sleeve Gastrectomy or Gastric Bypass in a Multiethnic Asian Cohort
Phong Ching Lee, Kwang Wei Tham, Sonali Ganguly, Hong Chang Tan, Alvin Kim Hock Eng, John B. Dixon Obesity Surgery.2018; 28(6): 1511. CrossRef - Effects of GABAB receptor activation on spatial cognitive function and hippocampal neurones in rat models of type 2 diabetes mellitus
Xiao-Jun Cai, Lei Wang, Chun-Mei Hu Bioscience Reports.2018;[Epub] CrossRef - Metabolic surgery ameliorates cardiovascular risk in obese diabetic patients: Influence of different surgical procedures
Jih-Hua Wei, Ruey-Hsing Chou, Po-Hsun Huang, Wei-Jei Lee, Shu-Chun Chen, Shing-Jong Lin Surgery for Obesity and Related Diseases.2018; 14(12): 1832. CrossRef - Pulmonary function evaluation in type 2 diabetes mellitus patients submitted to metabolic surgery
Ariana de Melo Tosta, Marisa de Carvalho Borges, Élida Mara Carneiro da Silva, Tharsus Dias Takeuti, Júverson Alves Terra Júnior, Eduardo Crema Fisioterapia em Movimento.2018;[Epub] CrossRef
|