Abstract
Hypothesis: Bariatric surgery offers better glycemic control for patients with Type 2 Diabetes Mellitus in comparison to standard therapies of diet, exercise, and pharmaceuticals.
Methods: A retrospective literature research was conducted using several scholarly databases to collect and review information relevant to the hypothesis. The search engines included but were not limited to Google Scholar, PubMed, MedlinePlus, and ClinicalTrials.gov. The research was not limited by country of origin but was restricted to publications in English. Articles that did not meet the inclusion criteria were rejected and studies that met the exclusion criteria were eliminated from the data pool.
Results: Patients who received Bariatric procedures (i.e. Roux-En-Y Gastric Bypass and Sleeve Gastrectomy) consistently had a greater decrease in glycosylated hemoglobin values compared to patients who received standard anti-diabetic therapy. The results from the data were synthesized into an Evidence Table (Appendix-Table 3).
Conclusion: The evidence suggests that Bariatric surgery is a more effective therapy for patients with Type 2 Diabetes Mellitus compared to conventional treatment. Most studies in this review focused on moderate to morbidly obese patients who suffer from diabetes. More research is required to elucidate which subset of patients with Type 2 Diabetes Mellitus would benefit from metabolic surgery. Future research should examine the benefits and risks of the application
Benefit of bariatric surgery is that overweight patients lose excess Body fat. Another benefit is that obesity related health conditions often improve or are eliminated because of this loss weight. The common conditions are diabetes, severe arthritis, high blood pressure and sleep apnea which often improve after a patient undergoes bariatric surgery. For some, weight loss surgery can even be a lifesaving process. Noticeably, weight reduction surgery also conveys dangers. They are quite negligible. Truth be told, weight reduction surgery carries a risk that is proportional to having your hip supplanted. That
“I think I may go out on the town today and see what kind of fun things I can do.” Mommy look at that fat girl, fat people shouldn’t be allowed out, quack quack waddle fat girl, hey shamu go back to the water. These are some of the things that I have endured and heard on a day-to-day when going out in public as an obese individual. Like myself, a lot of other obese individuals have embarked on many failed weight loss attempts only to gain instead of lose weight. Bariatric Surgery is a great lifelong tool to help aid in weight loss and manage the success;, however, many individuals shy away from the surgery because many health professionals only state the risks over the benefits. Bariatric surgery has become very popular in the United States, but there are many factors to consider such as the risks and benefits, success rates, and procedure options offered. Bariatric surgery has afforded many obese individuals a new lease on life. Medical doctors and insurance companies seem to be down playing the benefits as a way to keep patients with many obesity related ailments to keep them in business. The benefits that bariatric surgery has greatly outweigh the risks and allows for new beginnings.
Weight loss surgery, also known as bariatric surgery is recommended by many physicians to people who are unable to benefit from traditional weight loss methods. However, choosing to undergo weight loss surgery isn’t an easy decision. It is an important decision that will drastically and permanently impact a person’s life. Therefore, before making such a significant decision, an individual should be aware of both the risks and benefits associated with weight loss surgery (McGowan & Chopra ix).
Gastric bypass is a surgical procedure that involves removing a large chunk of your stomach and attaching the remainder to your small intestine, making you feel full with less food. I’ve chosen this weight loss surgery as the method for you because of its speedy surgery and easiness. In the article “Reversal of Type 2 Diabetes Mellitus
Diabetes type II is a devastating disease. It has been established that the higher a person’s body mass index (BMI) the more likely they are to develop diabetes type II. 96.4% of type II diabetes can be directly attributed to obesity. This disease often results in daily medication usage and hospitalization. It can even result in loss of organs or limbs. Often diabetic patients suffer from failed kidney function and must rely on daily dialysis. The direct cost of obesity related type II diabetes in 1995 was $32.2 billion and the indirect cost was $30.74 billion.
“Bariatrics is the branch of medicine that focuses on the causes, prevention, and treatment of obesity” (“Medical Dictionary,” 2015). Bariatric surgery is a specific discourse community connecting individuals through mutual interests, shared knowledge, and expertise of treating obese populations. The field of bariatric surgery is a discourse community with several purposes. It encourages innovative surgical and nonsurgical solutions in obesity care. It formulates hypotheses and develops and conducts experimental designs to test the hypotheses’ reliability and validity. Furthermore, it aims to stimulate discussion about its findings.
Studies dating back as early as 1955 have noted that gastric bypass could affect the progression of diabetes in patients. It was not until 1977 that
As previously discussed, bariatric surgery has been shown to be curative for diabetes and metabolic syndrome, but there is insufficient evidence to recommend bariatric surgery as a curative treatment for diabetes in obese patients lacking the necessary indications (79). Perhaps LGA embolization could be considered as a less invasive treatment for diabetes because it does not carry the complications of bariatric
When reviewing the literature found during research on the Lewis J. Ort library database, bariatric surgery, when conducted on adolescents and children resulted in “effective early weight loss for morbidly obese adolescents, and that this weight loss results in clear improvements to metabolic as well as psychosocial outcomes” (Stefater, Jenkins, & Inge, 2012). Post bariatric outcomes are also quite similar to those of adults who have the same surgery “with Roux-en-Y gastric bypass producing the greatest weight loss with the most robust evidence base” (Black, White, Viner, & Simmons, 2013). Studies show that the mean weight loss of participants decreased by twenty-seven percent of the total cohort. The benefits continue with the “remission
Only a few studies in nursing research provide some kind of study that looks into experiences of patients who choose to undergo bariatric surgical procedures or investigation. Within the growth of science in bariatric nursing, there is that need of information to support both the patient that is receiving the care and the physician that is providing the care and the support. In this time of continues growth in this bariatric procedures, it is a most that all healthcare providers initiate and Evaluate necessary changes in practice that will enhance the well-being and health of patients that undergo this procedure. With the current increase in the rate of obesity, people have now turned to bariatric surgery because they
The perceived rise in attraction for gastric banding is not just due to the promised reduction of weight but also the reports by healthcare practitioners describing the supposed safety and results of a laparoscopic procedure such as gastric banding, and also a further lack of identifiable problems immediately after surgery, with difficulties tending to be relatively easily repairable. However, research conducted over an extended period of time has observed that impediments became more frequent, with subsequent surgeries required in order to repair damage. Findings also identified that a large faction of those who underwent the treatment exhibited very little change in their ability to lose weight. Whilst, it is evident within such studies that this procedure has not led to a high rate in deaths, a staggering fifty percent have undergone
All participants in this study (Lee et al., 2012) started at a baseline HbA1c level greater than 8% and in addition to this, 86% of participants opted for gastric bypass and 12% had Laparoscopic Sleeve Gastrectomy (LSG). The researchers (Lee et al., 2012) reported that 72.4% of the patients had a reversal of diabetes and an average decrease of HbA1c from 9.7% to 6.3%.
As most patients should know, a bariatric surgery is a procedure conducted by a bariatric surgeon or medical licensed professional. The primary factor of a bariatric surgery is to aid in weight reduction; therefore, this surgery is mainly issued to patients who are morbidly obese. This type of surgery can also be reserved for patients that are not responding well to their diet or have been decreasing in their physical activities. It should be well noted that there are four types of bariatric surgeries, each of them serving a different purpose for the needs of the patient.
I believe bariatric surgery should only be an option of last resort. Only after all other options of medical weight-loss have been exhausted and the patient is in full understanding of all the risks associated with the surgery. Patient must also be committed to a permanent lifelong change in their diet and
There is an evidence to show that poor preoperative and postoperative glycemic control is associated with poor surgical outcomes. Controlling the patient glucose levels to an acceptable range is liable to reduce the risk of developing complications. The clinical goal is to optimize metabolic control through close monitoring of patient, appropriate fluid intake and caloric repletion, and judicious utilization of insulin.