Bariatric Surgery Candidate, Laparoscopic Gastric Bypass, Obesity, Type2 Diabetes
Conditions
Keywords
bariatric surgery, obesity class 1, metabolic surgery, laparoscopic gastric bypass, type-2 diabetes mellitus
Brief summary
Prospective study including Mexican patients diagnosed with type 2 diabetes and class 1 obesity, undergoing laparoscopic gastric bypass. The objective was to determine short, mid-and long-term outcomes (weight loss, metabolic, morbidity and diabetes remission). A subanalysis was included, based on preoperative usage of one (Group A) or more antidiabetics ± insulin (Group B).
Interventions
The LGBP was performed using a classic Roux-en-Y procedure. Briefly, a gastric pouch of 30-50 cc was constructed with an antecolic calibrated gastro-jejunal anastomosis (mechanical anastomosis using a 2.5 mm load). The biliary and alimentary limbs measured ≈70 cm and ≈150 cm, respectively, and the jejuno-jejunal anastomosis was also performed in a latero-lateral fashion (mechanical anastomosis using a 2.5 mm load). Mesenteric defects were closed with running non-absorbable sutures and the omentum was divided in every case
Sponsors
Study design
Eligibility
Inclusion criteria
Any sex \>18 years-old \<60 years-old Class 1 obesity (BMI 30-34.9 kg/m2) Type-2 diabetes mellitus diagnosis (with or without medication) Submitted to laparoscopic gastric bypass
Exclusion criteria
Other bariatric surgery Revisional surgery Incomplete charts
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Weight Loss | 12 months | Measure: weight (kilograms) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complete Diabetes Remission | 12 months | Definition: no antidiabetic drugs while on glucose \<100 mg/dl and HbA1C% \<6 |
| Late complications | After 30 days from surgery | Complications requiring re-admssion / re-operation |
| Early complications | First 30 days after surgery | Complications requiring re-admssion / re-operation |
Countries
Mexico