지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 433 - 443 (11page)
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초록· 키워드
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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.
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참고문헌 (60)
참고문헌 신청
Chan JC / 2009 / Diabetes in Asia: epidemiology, risk factors, and pathophysiology / JAMA 301:2129~2140
Yokoyama H / 1998 / High incidence of diabetic nephropathy in early-onset Japanese NIDDM patients. Risk analysis / Diabetes Care 21:1080~1085
Ikramuddin S / 2016 / Durability of addition of Roux-en-Y gastric bypass to lifestyle intervention and medical management in achieving primary treatment goals for uncontrolled type 2 diabetes in mild to moderate obesity: a randomized control trial / Diabetes Care 39:1510~1518
Schauer PR / 2014 / Bariatric surgery versus intensive medical therapy for diabetes: 3-year outcomes / N Engl J Med 370:2002~2013
Buchwald H / 2004 / Bariatric surgery: a systematic review and meta-analysis / JAMA 292:1724~1737
Yokoyama H / 1998 / High incidence of diabetic nephropathy in early-onset Japanese NIDDM patients. Risk analysis / Diabetes Care 21:1080~1085
Ikramuddin S / 2016 / Durability of addition of Roux-en-Y gastric bypass to lifestyle intervention and medical management in achieving primary treatment goals for uncontrolled type 2 diabetes in mild to moderate obesity: a randomized control trial / Diabetes Care 39:1510~1518
Schauer PR / 2014 / Bariatric surgery versus intensive medical therapy for diabetes: 3-year outcomes / N Engl J Med 370:2002~2013
Buchwald H / 2004 / Bariatric surgery: a systematic review and meta-analysis / JAMA 292:1724~1737
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