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Intensivmedizin up2date 2012; 08(04): 225-233
DOI: 10.1055/s-0032-1325781
Allgemeine Prinzipien der Intensivmedizin
© Georg Thieme Verlag KG Stuttgart · New York

Verfahren und Stellenwert der metabolischen Chirurgie

Beat Müller
,
Gabriella Ambrus
,
Lars Fischer
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Publikationsverlauf

Publikationsdatum:
31. Oktober 2012 (online)

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Kernaussagen

  • Übergewichtschirurgische Operationsverfahren zeigen auch bei normalgewichtigen insulinpflichtigen Diabetikern eine signifikante Verbesserung der diabetischen Stoffwechsellage mit einer zunächst kompletten Remission bei weit über 70 % der Patienten.

  • Aufgrund erster Daten weisen auch typische diabetesassoziierte Folgeerkrankungen eine Verbesserung in ihrem Verlauf auf.

  • Die Langzeitwirkung und Rezidivrate des Diabetes und der diabetesassoziierten Erkrankungen ist noch unklar.

  • Die Verfahren der metabolischen Chirurgie und die Nachsorge sind bislang nicht standardisiert.

  • Wichtig ist eine lebenslange Nachsorge. Dazu gehören neben der klinischen Untersuchung regelmäßige Blutuntersuchungen zur Statuserhebung des Mineral- und Vitaminhaushalts.

 

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