Skip to main content
SpringerLink
Log in
Book cover

Adipositas- und metabolische Chirurgie pp 47–51Cite as

Metabolische Chirurgie

  • Chapter
  • First Online:

  • 3655 Accesses

Zusammenfassung

In den letzten Jahren wandelte sich das Verständnis der bariatrischen Chirurgie – weg von einer chirurgischen Intervention mit dem primären Ziel der Gewichtsreduktion hin zu einer chirurgischen Intervention mit dem Ziel der Behandlung von Stoffwechselerkrankungen, insbesondere dem Diabetes mellitus Typ 2. Diese sogenannte metabolische Chirurgie ist eine effektive Therapieoption für die symptomatische Therapie der Hyperglykämie bei Diabetes mellitus Typ 2 und auch die effektivste Therapie für das Erreichen einer (passageren) Remission. Weiterhin werden Dyslipidämie und arterielle Hypertonie günstig beeinflusst, so dass die Einnahme notwendiger Medikamente postoperativ deutlich reduziert werden kann.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Literatur

  • Blüher M (2014) Insulin oder Chirurgie? Die Sicht des Diabetologen. Chirurg 85: 957–962

    Article  PubMed  Google Scholar 

  • Brethauer SA, Aminian A, Romero-Talamas H, et al. (2013) Can diabetes be surgically cured? Long-term metabolic effects of bariatric surgery in obese patients with type 2 diabetes mellitus. Ann Surg 258: 628–636

    PubMed  PubMed Central  Google Scholar 

  • Brethauer SA, Hammel JP, Schauer PR (2009) Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis 5: 469–475

    Article  PubMed  Google Scholar 

  • Buchwald H, Avidor Y, Braunwald E, et al. (2009) Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med 122: 248–256

    Article  PubMed  Google Scholar 

  • Buchwald H, Varco RL (1978) Metabolic Surgery. Grune and Stratton, New York

    Google Scholar 

  • Carlsson LM, Peltonen M, Ahlin S, et al. (2012) Bariatric surgery and prevention of type 2 diabetes in Swedish obese subjects. N Engl J Med 367: 695–704

    Article  CAS  PubMed  Google Scholar 

  • Chang SH, Stoll CR, Song J, et al. (2014) The Effectivenss and Risks of Bariatric Surgery: An Updated Systematic Review and Meta-analysis, 2003–2012. JAMA Surg 149: 275–287

    Article  PubMed  PubMed Central  Google Scholar 

  • Dixon JB, O´Brien PE, Playfair J, et al. (2008) Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA 299: 316–323

    CAS  PubMed  Google Scholar 

  • Friedman MN, Sancetta AJ, Magovern GJ (1955) The amelioration of diabetes mellitus following subtotal gastrectomy. Surg Gynecol Obstet 100: 201–204

    CAS  PubMed  Google Scholar 

  • Hedberg J, Sundström J, Sundbom M (2014) Duodenal switch versus Roux-en-Y gastric bypass for morbid obesity: systematic review and meta-analysis of weight results, diabetes resolution and early complications in single-centre comparisons. Obesity reviews 15: 555–563

    Article  CAS  PubMed  Google Scholar 

  • Hüttl TP, Kramer KM, Wood H (2010) Bariatrische Chirurgie – Adipositaschirurgische Verfahren und ihre Besonderheiten. Diabetologe 8: 637–646

    Article  Google Scholar 

  • Hüttl TP, Stauch P, Wood H, Fruhmann J (2015) Bariatrische Chirurgie. Aktuelle Ernährungsmed 40: 256–274

    Article  Google Scholar 

  • Mingrone G, Panunzi S, De Gaetano A, et al. (2012). Bariatric surgery versus conventional medical therapy for type 2 diabetes. N Engl J Med 366: 1577–1585

    Article  CAS  PubMed  Google Scholar 

  • Miras AD, le Roux CW (2014) Metabolic Surgery: shifting the focus from glycaemia and weight to end-organ helath. Lancet Diabetes Endocrinol 2: 141–151

    Article  PubMed  Google Scholar 

  • Parikh M, Issa R, Vieira D, et al. (2013) Role of Bariatric Surgery as Treatment for Type 2 Diabetes in Patients Who Do Not Meet Current NIH Criteria: A Systematic Review and Meta-Analysis. J Am Coll Surg: 217: 527–532

    Article  PubMed  Google Scholar 

  • Peterli R, Steinert RE, Woelnerhanssen B, et al. (2012) Metabolic and Hormonal Changes after Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: A Randomized, Prospective Trial. Obes Surg 22: 740–748

    Article  PubMed  PubMed Central  Google Scholar 

  • Pories WJ, Swanson MS, MacDonald kg, et al. (1995) Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg 222: 339–350

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Runkel N, Colombo-Benkmann M, Hüttl TP, et al. (2011) Bariatric Surgery. Dtsch Arztebl Int 108: 341–346

    PubMed  PubMed Central  Google Scholar 

  • Schauer DP, Arterburn DE, Livingston EH, et al. (2015) Impact of bariatric surgery on life expectancy in severely obese patients with diabetes: a decision analysis. Ann Surg 261: 914–919

    Article  PubMed  PubMed Central  Google Scholar 

  • Schauer PR, Bhatt DL, Kirwan JP, et al. (2014) Bariatric Surgery versus Intensive Medical Therapy for Diabetes – 3 Year Outcomes. N Engl J Med 370: 2002–2013

    Article  PubMed  Google Scholar 

  • Schauer PR, Kashyap SR, Wolski K, et al. (2012) Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med 366: 1567–1576

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sjöström L. Narbro K, Sjöström CD, et al. (2007) Effect of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med 357: 741–752

    Article  PubMed  Google Scholar 

  • Sjöström L, Peltonen M, Jacobson P, et al. (2014) Association of Bariatric Surgery With Long-term Remission of Type 2 Diabetes and With Microvascular and Macrovascular Complications. JAMA 311: 2297–2304

    Article  PubMed  Google Scholar 

  • Zhang C, Yuan Y, Qiu C, Zhang W (2014) A Meta-analysis of 2 Year Effect after Surgery: Laparoscopic Roux-en-Y Gastric Bypass versus Laparoscopic Sleeve Gastrectomy for Morbid Obesity and Diabetes Mellitus. Obes Surg 24: 1528–1535

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Zentrum für Adipositas und Metabolische Medizin, HELIOS Klinikum Berlin-Buch, Schwanebecker Chaussee 50, 13125, Berlin, Deutschland

    J. Ordemann

  2. Medizinische Klinik mit Schwerpunkt Endokrinologie, Diabetes und Ernährungsmedizin, Charité – Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland

    U. Elbelt

Authors
  1. J. Ordemann
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. U. Elbelt
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. Ordemann .

Editor information

Editors and Affiliations

  1. Zentrum für Adipositas und Metabolische Medizin, HELIOS Klinikum Berlin-Buch, Berlin, Germany

    Jürgen Ordemann

  2. Medizinische Klinik mit Schwerpunkt Endokrinologie, Diabetes und Ernährungsmedizin, Charité – Universitätsmedizin Berlin, Berlin, Germany

    Ulf Elbelt

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Ordemann, J., Elbelt, U. (2017). Metabolische Chirurgie. In: Ordemann, J., Elbelt, U. (eds) Adipositas- und metabolische Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48698-6_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-48698-6_4

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48697-9

  • Online ISBN: 978-3-662-48698-6

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation