A novel approach for weight reduction after Roux-en-Y gastric bypass

Abstract

Diabesity constitutes coexistence of both diabetes and obesity has become a modern epidemic now. It can be linked with insulin resistance and hyperinsulinaemia by various pathophysiological mechanism. Bariatric and metabolic surgery is a safe and effective treatment option for those affected by severe obesity and with its comorbidities like hypertension, diabetes mellitus, sleep apnoea, knee problems etc. These same procedures have also been recognized for their impact on metabolic or hormonal changes that play a major role in hunger (the desire to start eating) and satiety (the desire to stop eating) as well as improvement and/or resolution of conditions like diabetes mellitus, hyperlipidaemia which is associated with severe obesity. Bariatric surgery is a recognized and accepted approach for both weight-loss and many of the conditions that occur as a result of severe obesity.