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당뇨병 환자의 대사 수술

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Author(s)
김미경
Publication Year
2018
Keyword
Diabetes mellitusMetabolic surgeryObesityType 2
Abstract
The prevalence of obesity as well as diabetes is increasing in the world.
Korea is in a similar situation. The prevalence of adult diabetes in 2003
was 7.7% but it dramatically increased to 14.4% in 2016 resulting in about
1 in 7 adults having diabetes. Obesity is the main risk factor of diabetes.
Patients with diabetes in Korea are more obese than those without
diabetes. Therefore, weight reduction is an important treatment factor for
diabetic patients. Traditionally, treatment of diabetes includes life style
modification based on diet control and exercise and a patient-centered
pharmacological approach. In addition to these treatments, recent
in¬ternational guidelines recommend surgical treatment for diabetic
patients with class III obesity (body mass index [BMI] >40 kg/m2),
regardless of their level of glycemic control or the complexity of their
glucose-lowering regimens, and for patients with class II obesity (BMI 35.0
to 39.9 kg/m2) who do not control their glucose despite proper lifestyle
modification and pharmacological therapy. Roux-en-Y gastric bypass and
sleeve gastrectomy are common procedures for metabolic surgery. A
multidisciplinary team approach is important for optimal surgical outcome
to assess medical condition, nutrition, mental health, and social support
before and after surgery. This article reviews metabolic surgery in patients
with diabetes.
Alternative Title
Metabolic Surgery in a Patient with Type 2 Diabetes
Department
Dept. of Internal Medicine (내과학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.37(2) : 61-65-61-65, 2018
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/40362
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