>Year 2016, Issue 3
Sereno-Trabaldo S, Rubino F, Prieto-Aldape R, Ocampo-Chavarría A, Cummings DM, Zúñiga-Guajardo S, González-Ojeda A
First transdisciplinary consensus in Mexico on metabolic surgery for the treatment of type 2 diabetes
Cir Gen 2016; 38 (3)
PDF: 4. Kb.
Introduction: It is estimated that around 350 million people have diabetes mellitus; 90% type 2 diabetes (DM2). The beneficial impact of bariatric surgery in its treatment has been relevant. Objectives: To review the scientific evidence and reach a consensus among endocrinologists and surgeons about metabolic surgery. Material and methods: Representatives from three medical societies and four surgical societies, endocrinologist and bariatric surgeons from Mexico gathered to review the scientific evidence regarding metabolic surgery. Preliminary electronic voting was conducted using statements with responses of “Yes” or “No”. Consensus was defined when two-thirds of the votes (67%) were achieved. Results: Sixty-eight percent of the participants agreed that conventional treatment is not enough to achieve an adequate control of DM2; 97% considered that gastrointestinal surgery must become part of the treatment of DM2, gastric bypass being the highest choice. Conclusions: It is the first consensus in Mexico on metabolic surgery summoned by the Health Department. Metabolic surgery is part of treatment algorithms for DM2 internationally. All the participants manifested a high degree of consensus on terminology, indications for application, a need to issue official positioning and the future of metabolic surgery.
||Diabetes mellitus, bariatric surgery, gastric bypass, obesity, consensus, metabolic surgery.
World Health Organization. Diabetes Fact Sheet No. 312. August 2011. Available from: http://www.who.int/
Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, et al. National Survey of Health and Nutrition 2012. National results. Cuernavaca, Mexico: National Institute of Health; 2012.
Aguilar-Salinas CA. Promoting health for the prevention of chronic degenerative diseases linked to diet and lifestyle. In: Mariano García Viveros, editor. Community Health and promotion of health. ICEPSS Publishers; 1999. ISBN 84-89151-17-2. Spain.
Ministry of Health. Directorate General of Information for Health. CONAPO, 2002. Projections of Population of Mexico, 2000-2050.
Kramer H, Cao G, Dugas L, Luke A, Cooper R, Durazo-Arvizu R. Increasing BMI and waist circumference and Prevalence of obesity Among adults with type 2 diabetes: the National Health and Nutrition Examination Surveys. J Diabetes Complications. 2010; 24: 368-374.
Shaya FT, Yan X, Lin PJ, Simoni-Wastila L, Bron M, Baran R, et al. U.S. trends in glycemic control treatment, and comorbidity burden in patients with diabetes. J Clin Hypertens (Greenwich). 2010; 12: 826-832.
Gaede P, Vedel P, Larsen N, Jensen GV, Parving HH, Pedersen O. Multifactorial intervention and cardiovascular disease in patients with type 2 diabetes. N Engl J Med. 2003; 348: 383-393.
U.K. prospective diabetes study 16. Overview of 6 years’ therapy of type II diabetes: a progressive disease. U.K. Prospective Diabetes Study Group. Diabetes. 1995; 44: 1249-1258.
González-Villalpando C, López-Ridaura R, Campuzano JC, González-Villalpando ME. The status of diabetes care in Mexican population: are we making a difference? Results of the National Health and Nutrition Survey 2006. Salud Publica Mex. 2010; 52 Suppl 1: S36-S43.
Aguilar-Salinas CA, Gómez-Pérez FJ. The “Declaración de Acapulco”: a proposal to reduce incidence of diabetes in Mexico. Rev Invest Clin. 2006; 58: 71-77.
Friedman MN, Sancetta AJ, Magovern GJ. The amelioration of diabetes mellitus following subtotal gastrectomy. Surg Gynecol Obstet. 1955; 100: 201-204.
Forgács S, Halmos T. Improvement of glucose tolerance in diabetics following gastrectomy. Z Gastroenterol. 1973; 11: 293-296.
Pories WJ, Swanson MS, MacDonald KG, Long SB, Morris PG, Brown BM, et al. Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg. 1995; 222: 339-350; discussion 350-352.
Buchwald H, Estok R, Fahrbach K, Banel D, Jensen MD, Porisk WJ, et al. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med. 2009; 122: 248-256.
Mingrone G, Panunzi S, De Gaetano A, Guidone C, Iaconelli A, Leccesi L, Nanni et al. Bariatric surgery versus conventional medical therapy for type 2 diabetes. N Engl J Med. 2012; 366: 1577-1585.
Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP, Pothier CE, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med. 2012; 366: 1567-1576.
Carlsson LM, Peltonen M, Ahlin S, Anveden Å, Bouchard C, Carlsson B, et al. Bariatric surgery and prevention of type 2 diabetes in Swedish obese subjects. N Engl J Med. 2012; 367: 695-704.
González VC, Stern AM, Arredondo PB, Martínez DS. The level of metabolic monitoring in low income Mexico City diabetics. The Mexico City diabetes study. Arch Med Res. 1994; 25: 387-392.
American Diabetes Association. Standards of medical care in diabetes-2013. Diabetes Care. 2013; 36 Suppl 1: S11-S66.
Rubino F, Nathan DM, Eckel RH, Schauer PR, Alberti KG, Zimmet PZ, et al. Metabolic surgery in the treatment algorithm for type 2 diabetes: a joint statement by International Diabetes Organizations. Diabetes Care. 2016; 39: 861-877.
Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004; 292: 1724-1737.
Athyros VG, Tziomalos K, Karagiannis A, Mikhailidis DP. Cardiovascular benefits of bariatric surgery in morbidly obese patients. Obes Rev. 2011; 12: 515-524.
Buchwald H, Estok R, Fahrbach K, Banel D, Sledge I. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery. 2007; 142: 621-632, discussion 632-635.
Romero-Mejía C. Metabolic surgery in Latin America. Cir Gen. 2010; 32: 121-124.
Sereno-Trabaldo S, Cote-Estrada L. Resultados de la Encuesta del I Foro para el Estudio de la Cirugía Metabólica en México. Cir Gen. 2010; 32: 90-95.
>Year 2016, Issue 3