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Metabolic Surgery in Korea: What to Consider before Surgery

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Author(s)
Mi-Kyung KimYoonseok Heo
Keimyung Author(s)
Kim, Mi Kyung
Department
Dept. of Internal Medicine (내과학)
Journal Title
Endocrinology and Metabolism
Issued Date
2017
Volume
32
Issue
3
Keyword
Bariatric surgeryDiabetes mellitus, type 2Obesity
Abstract
Obesity is increasing globally and represents a significant global health problem because it predisposes towards various diseases, such as type 2 diabetes mellitus, cardiovascular disease, degenerative joint disease, and certain types of cancer. Numerous studies have shown that bariatric surgery reduces body mass and ameliorates obesity-related complications, such as hypertension and hyperglycemia, suggesting that surgery is the most effective therapeutic option for severely obese and obese diabetic patients. Recent international 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) and hyperglycemia that is poorly controlled despite appropriate lifestyle and pharmacological therapy. The most popular procedures are Roux-en-Y gastric bypass and sleeve gastrectomy, but new procedures with better outcomes have been reported. For optimal surgical outcome, comprehensive management including assessments of a medical condition, nutrition, mental health, and social support is needed before and after surgery. However, there is still a lack of understanding regarding metabolic surgery in Korea. Therefore, this article reviews indications for metabolic surgery in patients with a specific focus on the situation in Korea.
Keimyung Author(s)(Kor)
김미경
Publisher
School of Medicine (의과대학)
Citation
Mi-Kyung Kim and Yoonseok Heo. (2017). Metabolic Surgery in Korea: What to Consider before Surgery. Endocrinology and Metabolism, 32(3), 307–315. doi: 10.3803/EnM.2017.32.3.307
Type
Article
ISSN
2093-596X
DOI
10.3803/EnM.2017.32.3.307
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41350
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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