Bariatric versus diabetes surgery after five years of follow up
Background: Bariatric surgery (BS) is totally different from diabetes surgery (DS) in the patient characters, goals of surgery, and management although similar in surgical procedure. Comparison of BS and DS with long-term data is lacking. Materials and methods: A retrospective review of patients who...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-04-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958415000500 |
| _version_ | 1831811356043509760 |
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| author | Wei-Jei Lee Abdullah Almulaifi Keong Chong Wei-Cheng Yao Ju Juin Tsou Kong-Han Ser Yi-Chih Lee Shu-Chun Chen Jung-Chien Chen |
| author_facet | Wei-Jei Lee Abdullah Almulaifi Keong Chong Wei-Cheng Yao Ju Juin Tsou Kong-Han Ser Yi-Chih Lee Shu-Chun Chen Jung-Chien Chen |
| author_sort | Wei-Jei Lee |
| collection | DOAJ |
| description | Background: Bariatric surgery (BS) is totally different from diabetes surgery (DS) in the patient characters, goals of surgery, and management although similar in surgical procedure. Comparison of BS and DS with long-term data is lacking.
Materials and methods: A retrospective review of patients who received BS and patients who received DS at Min-Sheng General Hospital from 2007 to 2013 was designed. All inpatient and outpatient follow-up data were analyzed. Patients undergoing BS for the treatment of morbid obesity were compared with patients undergoing metabolic surgery for the treatment of type 2 diabetes mellitus (T2DM). Patients who received revision surgeries were excluded. The main outcome measures were: (1) operation risk; (2) weight loss; and (3) diabetes remission.
Results: Between 2007 and 2013, 2073 patients who received BS and 741 patients who received DS were recruited from both centers. DS patients were older (41.1 ± 10.9 years vs. 33.1 ± 9.3 years, p < 0.05) and were more likely to be male (40.2% vs. 28.2%, p < 0.05) and to have diabetes (100% vs. 6.0%, p < 0.05), however, they had similar body mass index (BMI) (37.9 ± 8.0 vs. 38.5 ± 9.7, p = 0.78) compared to the BS patients. Surgical procedures are significantly different between the two groups (73.3% of the DS surgeries were gastric bypass procedure, whereas this procedure made up only 47.1% of BS surgeries). Although the major complication rates were similar (2.0% vs. 2.4%), the DS program had a significant higher mortality rate than the BS program (0.54% vs. 0.1%; p < 0.05). At the 5-year follow-up time point, 58.0% of the BS patients had achieved successful results (weight loss > 30%) and 80% of the DS patients had complete remission of their diabetes [hemoglobin A1c (HbA1c) < 6.0%]. Both the DS and the BS group had good results in up to 85% of the patients at the 5-year follow-up time point.
Conclusion: The clinical profiles were very different between the BS and the DS programs. Both programs achieved the desired outcomes equally well, however, the DS program had a higher risk than the BS program. |
| first_indexed | 2024-12-22T21:16:32Z |
| format | Article |
| id | doaj.art-9c636a67479f4b8bbc6cac73df1be795 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-22T21:16:32Z |
| publishDate | 2016-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-9c636a67479f4b8bbc6cac73df1be7952022-12-21T18:12:20ZengElsevierAsian Journal of Surgery1015-95842016-04-013929610210.1016/j.asjsur.2015.04.001Bariatric versus diabetes surgery after five years of follow upWei-Jei Lee0Abdullah Almulaifi1Keong Chong2Wei-Cheng Yao3Ju Juin Tsou4Kong-Han Ser5Yi-Chih Lee6Shu-Chun Chen7Jung-Chien Chen8Department of Surgery, Min-Sheng General Hospital, Taoyuan, TaiwanDepartment of Surgery, Min-Sheng General Hospital, Taoyuan, TaiwanDivision of Endocrinology, Department of Internal Medicine, Min-Sheng General Hospital, Taoyuan, TaiwanDepartment of Anesthesiology, Min-Sheng General Hospital, Taoyuan, TaiwanDepartment of Surgery, Min-Sheng General Hospital, Taoyuan, TaiwanDepartment of Surgery, Min-Sheng General Hospital, Taoyuan, TaiwanDepartment of International Business, Chien Hsin University of Science and Technology, Taoyuan, TaiwanDepartment of Surgery, Min-Sheng General Hospital, Taoyuan, TaiwanDepartment of Surgery, Min-Sheng General Hospital, Taoyuan, TaiwanBackground: Bariatric surgery (BS) is totally different from diabetes surgery (DS) in the patient characters, goals of surgery, and management although similar in surgical procedure. Comparison of BS and DS with long-term data is lacking. Materials and methods: A retrospective review of patients who received BS and patients who received DS at Min-Sheng General Hospital from 2007 to 2013 was designed. All inpatient and outpatient follow-up data were analyzed. Patients undergoing BS for the treatment of morbid obesity were compared with patients undergoing metabolic surgery for the treatment of type 2 diabetes mellitus (T2DM). Patients who received revision surgeries were excluded. The main outcome measures were: (1) operation risk; (2) weight loss; and (3) diabetes remission. Results: Between 2007 and 2013, 2073 patients who received BS and 741 patients who received DS were recruited from both centers. DS patients were older (41.1 ± 10.9 years vs. 33.1 ± 9.3 years, p < 0.05) and were more likely to be male (40.2% vs. 28.2%, p < 0.05) and to have diabetes (100% vs. 6.0%, p < 0.05), however, they had similar body mass index (BMI) (37.9 ± 8.0 vs. 38.5 ± 9.7, p = 0.78) compared to the BS patients. Surgical procedures are significantly different between the two groups (73.3% of the DS surgeries were gastric bypass procedure, whereas this procedure made up only 47.1% of BS surgeries). Although the major complication rates were similar (2.0% vs. 2.4%), the DS program had a significant higher mortality rate than the BS program (0.54% vs. 0.1%; p < 0.05). At the 5-year follow-up time point, 58.0% of the BS patients had achieved successful results (weight loss > 30%) and 80% of the DS patients had complete remission of their diabetes [hemoglobin A1c (HbA1c) < 6.0%]. Both the DS and the BS group had good results in up to 85% of the patients at the 5-year follow-up time point. Conclusion: The clinical profiles were very different between the BS and the DS programs. Both programs achieved the desired outcomes equally well, however, the DS program had a higher risk than the BS program.http://www.sciencedirect.com/science/article/pii/S1015958415000500Bariatric surgeryDiabetes surgeryType 2 diabetes mellitus |
| spellingShingle | Wei-Jei Lee Abdullah Almulaifi Keong Chong Wei-Cheng Yao Ju Juin Tsou Kong-Han Ser Yi-Chih Lee Shu-Chun Chen Jung-Chien Chen Bariatric versus diabetes surgery after five years of follow up Asian Journal of Surgery Bariatric surgery Diabetes surgery Type 2 diabetes mellitus |
| title | Bariatric versus diabetes surgery after five years of follow up |
| title_full | Bariatric versus diabetes surgery after five years of follow up |
| title_fullStr | Bariatric versus diabetes surgery after five years of follow up |
| title_full_unstemmed | Bariatric versus diabetes surgery after five years of follow up |
| title_short | Bariatric versus diabetes surgery after five years of follow up |
| title_sort | bariatric versus diabetes surgery after five years of follow up |
| topic | Bariatric surgery Diabetes surgery Type 2 diabetes mellitus |
| url | http://www.sciencedirect.com/science/article/pii/S1015958415000500 |
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