{"id":2447,"date":"2018-01-23T11:59:00","date_gmt":"2018-01-23T13:59:00","guid":{"rendered":"https:\/\/revistaabcd.org.br\/?p=2447"},"modified":"2022-05-18T12:06:47","modified_gmt":"2022-05-18T15:06:47","slug":"diabetes-remission-rate-in-different-bmi-grades-following-roux-en-y-gastric-bypass","status":"publish","type":"post","link":"https:\/\/revistaabcd.org.br\/pt-br\/diabetes-remission-rate-in-different-bmi-grades-following-roux-en-y-gastric-bypass\/","title":{"rendered":"DIABETES REMISSION RATE IN DIFFERENT BMI GRADES FOLLOWING ROUX-EN-Y GASTRIC BYPASS"},"content":{"rendered":"

Background:<\/h2>\n\n\n\n

Type 2 diabetes mellitus has a high long-term remission rate after laparoscopic Roux-en-Y gastric bypass (LRYGB), but few studies have analyzed patients with BMI<35 kg\/m2<\/sup>.<\/p>\n\n\n\n

Aim:<\/h2>\n\n\n\n

To compare glycemic control after LRYGB between BMI 30-35 kg\/m2<\/sup> (intervention group or IG) and >35 kg\/m2<\/sup> patients (control group or CG) and to evaluate weight loss, comorbidities and surgical morbidity.<\/p>\n\n\n\n

Methods:<\/h2>\n\n\n\n

Sixty-six diabetic patients (30 in IG group and 36 in CG group) were submitted to LRYGB. Data collected annually after surgery were analyzed with generalized estimating equations.<\/p>\n\n\n\n

Results:<\/h2>\n\n\n\n

Average follow-up was 4.3 years. There was no statistical difference between groups using complete remission American Diabetes Association criteria (OR 2.214, 95%CI 0.800-5.637, p=0.13). There was significant difference between groups using partial remission American Diabetes Association criteria (p=0.002), favouring the CG group (OR 6.392, 95%CI 1.922-21.260). The higher BMI group also had lower HbA1c levels (-0.77%, 95%CI -1.26 to -0.29, p=0.002). There were no significant differences in remission of hypertension, dyslipidemia and surgical morbidity, while weight was better controlled in the IG group.<\/p>\n\n\n\n

Conclusion:<\/h2>\n\n\n\n

No differences were found in diabetes complete remission, although greater partial remission and the lower levels of glycated hemoglobin in the BMI >35 kg\/m2<\/sup> group suggest a better response among more obese diabetic patients with LRYGB. In addition, both groups had important metabolic modifications at the expense of low morbidity.<\/p>\n\n\n\n

HEADINGS:<\/strong>
Type 2 diabetes mellitus, Gastric bypass surgery, Obesity, Metabolic surgery, Non-severe obesity,<\/p>","protected":false},"excerpt":{"rendered":"

Background: Type 2 diabetes mellitus has a high long-term remission rate after laparoscopic Roux-en-Y gastric bypass (LRYGB), but few studies have analyzed patients with BMI<35 kg\/m2. Aim: To compare glycemic control after LRYGB between BMI 30-35 kg\/m2 (intervention group or IG) and >35 kg\/m2 patients (control group or CG) and to evaluate weight loss, comorbidities and surgical […]<\/p>","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[9],"tags":[648,647,649,43,646],"acf":[],"modified_by":"Doris","_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/2447"}],"collection":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/comments?post=2447"}],"version-history":[{"count":2,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/2447\/revisions"}],"predecessor-version":[{"id":2451,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/2447\/revisions\/2451"}],"wp:attachment":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/media?parent=2447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/categories?post=2447"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/tags?post=2447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}