Cirugía Bariátrica. Cambios fisiológicos en el tratamiento del Sindrome Metabólico
Resumen
El Síndrome metabólico (SM) se define por la presencia de 3 de 5 criterios clínicos: 1.Circunferencia abdominal ≥ 102cm en hombres u 88cm en mujeres 2. Triacilglicéridos (TAG) ≥150mg/dl 3. Lipoproteína de alta densidad (HDL) colesterol < 40 mg/dl en Hombres o 50 mg/dl en mujeres 4. Presión arterial ≥ 130/85 mmHg 5. Glicemia > 110 mg/dl. Se asocia a mayor riesgo de enfermedad cardiovascular, Diabetes Mellitus tipo 2 (DM2), Hipertensión Arterial (HTA) y daño a órganos blanco, como riñón. La cirugía bariátrica (CB) consiste en una serie de procedimientos quirúrgicos los cuales se clasifican de acuerdo la técnica empleada: técnicas restrictivas, malabsortivas y mixtas, cuyo objetivo principal es producir una pérdida de peso, al menos 50%, en un año y que se sostenga a largo plazo, produciendo múltiples efectos metabólicos beneficiosos para el organismo del paciente con sindrome metabólico.
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