Santiago P, Beraldo G, Taroco L, Rappa J, Rodríguez IJL

Language: Spanish
References: 7
Page: 78-82
PDF size: 211.44 Kb.

ABSTRACT

Background: Several publications have shown a metabolic status improvement of diabetic patients after bariatric surgery. In 2012, a randomized study demonstrated a better result of bariatric surgery versus intensive medical treatment, for type 2 diabetes mellitus. The purpose of this work was to demonstrate the metabolic results of bariatric surgery in a national bi-institutional series.
Material and methods: The improvement of type 2 diabetes mellitus was analyzed, in a population of 146 patients subjected to sleeve gastrectomy (SG). The pre-operative metabolic status (glycemia figures and need for medication) was considered and compared to the same parameters following surgery.
Results: 44.5% of the series were diabetic or hyperinsulinemic. Of those, 49 patients (75%) were treated with one or two oral hypoglycemic agents (OHA. The pre-operative glycemia average was 2.14 g/dL. The pre-operative BMI ranged between 35 and 73 with an average of 47.5. After bariatric surgery, considering only the patients who were receiving medication, the improvement of diabetes was observed in more than 60% of the patients.
Conclusions: The gastric sleeve is an excellent treatment that allows metabolic control of type 2 diabetes mellitus in a high percentage of cases.

REFERENCES

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