Zerrweck-López C, Pereyra-Talamantes A, Maydón-González HG, Fernández-Silva I, Campos-Pérez F, Guilbert-Vertiz L

Language: Spanish
References: 33
Page: 13-18
PDF size: 222.37 Kb.

ABSTRACT

Background: Type 2 diabetes mellitus is one of the most common comorbidities associated with obesity, causing the greatest burden in low- and middle-income countries. Ethnicity plays a role, where latin population has higher risk for diabetes onset. Diabetes remission following bariatric surgery has been observed, but few studies are available in Mexicans. The primary objective was to analyze diabetes remission and compare between procedures; weight loss was also analyzed. Material and methods: Retrospective study comparing 84 obese patients with diabetes, submitted to either laparoscopic gastric bypass (n = 62) or laparoscopic sleeve gastrectomy (n = 22) between 2009 to 2011 at a single institution. Results: Female sex comprised 72.6% of all cases. Both groups had comparable metabolic profiles at baseline. At 12 months both groups improved in fasting glucose plasma and Hb1Ac% without statistical differences and continued after 18 months. Overall remission was observed in 76.1% of patients; complete remission in 65.4% and partial remission in 10.7% without difference between procedures. Weight loss was greater for the gastric bypass group. Conclusions: Both bariatric procedures are effective methods for diabetes remission after one year among Mexicans. No differences were observed between procedures for complete and partial remission. Gastric bypass showed better weight loss.

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