| ISSN |
1948-9358 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Endocrinology & Metabolism |
| Manuscript Type |
Expert Recommendations |
| Article Title |
Expert opinion on preoperative medical optimization of adults with diabetes undergoing metabolic surgery
|
| Manuscript Source |
Invited Manuscript |
| All Author List |
Saptarshi Bhattacharya, Sanjay Kalra, Nitin Kapoor, Rajiv Singla, Deep Dutta, Sameer Aggarwal, Deepak Khandelwal, Vineet Surana, Atul Dhingra, Viny Kantroo, Sachin Chittawar, Nilakshi Deka, Vivek Bindal and Puja Dutta |
| ORCID |
|
| Funding Agency and Grant Number |
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| Corresponding Author |
Saptarshi Bhattacharya, FACE, MD, Doctor, Doctor, Endocrinology, Max Superspeciality Hospital, Patparganj, 108A I P Extension, New Delhi 110092, India. saptarshi5@yahoo.com |
| Key Words |
Diabetes; Obesity; Metabolic surgery; Bariatric surgery; Remission of diabetes |
| Core Tip |
The ambit of metabolic surgery for diabetes has increased. Individuals with inadequate glycemic control can be considered for surgery at lesser severity of obesity, and even more so if they are of Asian origin. However, both diabetes and obesity are associated with multiple comorbidities that require optimization before surgery. There are several clinical guidelines for preoperative management of individuals with obesity. Specific suggestions addressing these concerns in persons with diabetes have not been recommended till now. It is imperative to achieve optimal glycemic control and diagnose and manage cardiovascular, pulmonary, gastrointestinal, and renal complications before surgery. Nutritional assessment, psychological evaluation, and ruling out specific endocrine disorders are other essential adjuncts. These guidelines would help to standardize the management of preoperative comorbidities and improve postoperative outcomes in individuals with diabetes who opt for metabolic surgery. |
| Publish Date |
2021-10-13 08:37 |
| Citation |
Bhattacharya S, Kalra S, Kapoor N, Singla R, Dutta D, Aggarwal S, Khandelwal D, Surana V, Dhingra A, Kantroo V, Chittawar S, Deka N, Bindal V, Dutta P. Expert opinion on preoperative medical optimization of adults with diabetes undergoing metabolic surgery. World J Diabetes 2021; 12(10): 1587-1621 |
| URL |
https://www.wjgnet.com/1948-9358/full/v12/i10/1587.htm |
| DOI |
https://dx.doi.org/10.4239/wjd.v12.i10.1587 |
