Metabolic effects of bariatric surgery on patients with type 2 diabetes: a population-based study
نویسندگان
چکیده
BackgroundBariatric surgery among patients with obesity and type 2 diabetes (T2D) can induce complete remission. However, it remains unclear whether sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) has better T2D remission within a population-based daily practice.ObjectivesTo compare undergoing RYGB SG on the extent of at 1-year follow-up.SettingNationwide, study including all 18 hospitals in Netherlands providing metabolic bariatric surgery.MethodsPatients between October 2015 2018 1 year follow-up data were selected from mandatory nationwide Dutch Audit for Treatment Obesity (DATO). The primary outcome is year. Secondary outcomes include ≥20% total weight loss (TWL), obesity-related co-morbidity reduction, postoperative complications Clavien-Dindo (CD) grade ≥III 30 days. We compared groups using propensity score matching to adjust confounding by indication.ResultsA 5015 identified DATO, 4132 (82.4%) had completed visit. There 3350 (66.8%) valid status who included analysis (RYGB = 2623; 727). lower body mass index than patients, but more often female, higher gastroesophageal reflux disease dyslipidemia rates. After adjusting these confounders, increased odds achieving (odds ratio [OR], 1.54; 95% confidence interval [CI], 1.14–2.1; P < .01). Groups balanced after 695 each group. matching, still (OR, 1.91; CI, 1.27–2.88; Also, significantly ≥20%TWL 2.71; 1.96–3.75; .01) rates 1.96; 1.39–2.76; no significant differences CD complications.ConclusionUsing Netherlands, this shows that leads practice.
منابع مشابه
Metabolic Effects of Bariatric Surgery in Patients With Moderate Obesity and Type 2 Diabetes
OBJECTIVE To evaluate the effects of two bariatric procedures versus intensive medical therapy (IMT) on β-cell function and body composition. RESEARCH DESIGN AND METHODS This was a prospective, randomized, controlled trial of 60 subjects with uncontrolled type 2 diabetes (HbA1c 9.7 ± 1%) and moderate obesity (BMI 36 ± 2 kg/m(2)) randomized to IMT alone, IMT plus Roux-en-Y gastric bypass, or I...
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چکیده ندارد.
15 صفحه اولEffects of bariatric surgery on metabolic and nutritional parameters in severely obese Korean patients with type 2 diabetes: A prospective 2‐year follow up
AIMS/INTRODUCTION Little is known about the long-term effects of Roux-en-Y gastric bypass (RYGB) in severely obese Asian individuals. METHODS AND MATERIALS A total of 33 severely obese patients with type 2 diabetes underwent RYGB. All patients were followed up for 2 years. Visceral and abdominal subcutaneous fat areas were assessed using computed tomography (CT) before, and 12 and 24 months a...
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ژورنال
عنوان ژورنال: Surgery for Obesity and Related Diseases
سال: 2021
ISSN: ['1878-7533', '1550-7289']
DOI: https://doi.org/10.1016/j.soard.2021.02.014