Abstract
Globally, the growing prevalence of obesity and type 2 diabetes and the associated increase in chronic cardiovascular complications primarily represents one of the most important problems of contemporary medicine. Despite significant advances in the pharmacotherapy of diabetes remains the most effective treatment of bariatric surgery.
This not only leads to a significant reduction in weight and improvement of diabetes, but in a significant portion of patients also its remission. According to current recommendations bariatric surgery is indicated for patients with grade 3 obesity (in the absence of complications) or obesity the second stage and the presence of complications (diabetes, dyslipidemia, and others).
More and more studies suggest, however, for the very good and the effects of bariatric surgery in type 2 diabetes with obesity grade 1, and even with a BMI <30 kg / m2. In this article, we summarize information on the practical aspects of diabetic indication for the individual types of bariatric surgery and their long-term postoperative follow-up.
We discuss also the differences between bariatric operations and the mechanisms of their positive metabolic effects.