Enfoque terapéutico de los desórdenes del tejido adiposo: intervención quirúrgica / Therapeutic approach to disorders of adipose tissue: surgery

ABSTRACT

Surgical procedures intended for treating obesity and related disorders, known as bariatric surgery or obesity surgery, have been performed for more than 60 years. Although there are several types of interventions, all of them produce sustained weight loss and some improvement in metabolic comorbidities such as type 2 diabetes, dyslipidemia and hypertension. The main mechanisms involved in postsurgical metabolic changes are weight loss mediated-decreased lipotoxicity, decreased caloric intake, and the incretin effect. Current indications for bariatric surgery are being reviewed due to its weight loss independent-benefits and, on the other hand, the limitations of conventional therapies...