The analysis of factors increasing the odds for type 2 diabetes mellitus remission following re-do bariatric surgery after laparoscopic sleeve gastrectomy- cohort study

2023
journal article
article
cris.lastimport.wos2024-04-10T00:56:08Z
dc.abstract.enIntroduction: Metabolic/bariatric surgery is the only proven treatment for type 2 diabetes mellitus (T2D) with curative intent. However, in a number of patients, the surgery is not effective or they may experience a relapse. Those patients can be offered re-do bariatric surgery (RBS). Purpose: The study aimed to determine factors increasing the odds for T2D remission one year after RBS following primary laparoscopic sleeve gastrectomy. Methods: A multicenter retrospective cohort study was conducted between January 2010 and January 2020, which included 12 bariatric centers in Poland. The study population was divided into groups: Group 1- patients with T2D remission after RBS (n = 28) and Group 2- patients without T2D remission after RBS (n = 49). T2D remission was defined as HBA1c < 6.0% without glucose-lowering pharmacotherapy and glycemia within normal range at time of follow-up that was completed 12 months after RBS. Results: Fifty seven females and 20 males were included in the study. Patients who achieved BMI < 33 kg/m2 after RBS and those with %EBMIL > 60.7% had an increased chance of T2D remission (OR = 3.39, 95%CI = 1.28–8.95, p = 0.014 and OR = 12.48, 95%CI 2.67–58.42, p = 0.001, respectively). Time interval between primary LSG and RBS was significantly shorter in Group 1 than in Group 2 [1 (1–4) vs. 3 (2–4) years, p = 0.023]. Conclusions: Shorter time interval between LSG and RBS may ease remission of T2D in case of lack of remission after primary procedure. Significant excess weight loss seems to be the most crucial factor for T2D remission.
dc.affiliationWydział Lekarski : Klinika Chirurgii Ogólnej, Onkologicznej i Metabolicznejpl
dc.affiliationPion Prorektora ds. Collegium Medicum : Centrum Innowacyjnej Edukacji Medycznej CMpl
dc.cm.date2023-09-25T22:18:01Z
dc.cm.id113259pl
dc.cm.idOmegaUJCM49dfca3897ea485ea2f6b56f84ebd90cpl
dc.contributor.authorWysocki, Michałpl
dc.contributor.authorCiszek, Karolpl
dc.contributor.authorRymarowicz, Justynapl
dc.contributor.authorZarzycki, Piotr - 163253 pl
dc.contributor.authorWalędziak, Maciejpl
dc.contributor.authorBartosiak, Katarzynapl
dc.contributor.authorJaworski, Pawełpl
dc.contributor.authorKupczyk, Wojciechpl
dc.contributor.authorSzeliga, Jacekpl
dc.contributor.authorTarnowski, Wiesławpl
dc.contributor.authorPisarska-Adamczyk, Magdalena - 162691 pl
dc.contributor.authorMałczak, Piotr - 176001 pl
dc.contributor.authorPędziwiatr, Michał - 140831 pl
dc.contributor.authorMajor, Piotr - 141443 pl
dc.date.accession2023-09-25pl
dc.date.accessioned2023-09-25T22:18:01Z
dc.date.available2023-09-25T22:18:01Z
dc.date.issued2023pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number1pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume408pl
dc.identifier.articleid371pl
dc.identifier.doi10.1007/s00423-023-03102-0pl
dc.identifier.eissn1435-2451pl
dc.identifier.issn1435-2443pl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/319788
dc.identifier.weblinkhttps://link.springer.com/article/10.1007/s00423-023-03102-0pl
dc.languageengpl
dc.language.containerengpl
dc.pbn.affiliationDziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
dc.rightsUdzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licenceCC-BY
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.typeOtwarte czasopismo
dc.subject.enlaparoscopic sleeve gastrectomy
dc.subject.entype 2 diabetes mellitus
dc.subject.enre-do bariatric surgery
dc.subject.endiabetes remission
dc.subject.enrevisional bariatric surgery
dc.subtypeArticlepl
dc.titleThe analysis of factors increasing the odds for type 2 diabetes mellitus remission following re-do bariatric surgery after laparoscopic sleeve gastrectomy- cohort studypl
dc.title.journalLangenbeck's Archives of Surgerypl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-10T00:56:08Z
dc.abstract.en
Introduction: Metabolic/bariatric surgery is the only proven treatment for type 2 diabetes mellitus (T2D) with curative intent. However, in a number of patients, the surgery is not effective or they may experience a relapse. Those patients can be offered re-do bariatric surgery (RBS). Purpose: The study aimed to determine factors increasing the odds for T2D remission one year after RBS following primary laparoscopic sleeve gastrectomy. Methods: A multicenter retrospective cohort study was conducted between January 2010 and January 2020, which included 12 bariatric centers in Poland. The study population was divided into groups: Group 1- patients with T2D remission after RBS (n = 28) and Group 2- patients without T2D remission after RBS (n = 49). T2D remission was defined as HBA1c < 6.0% without glucose-lowering pharmacotherapy and glycemia within normal range at time of follow-up that was completed 12 months after RBS. Results: Fifty seven females and 20 males were included in the study. Patients who achieved BMI < 33 kg/m2 after RBS and those with %EBMIL > 60.7% had an increased chance of T2D remission (OR = 3.39, 95%CI = 1.28–8.95, p = 0.014 and OR = 12.48, 95%CI 2.67–58.42, p = 0.001, respectively). Time interval between primary LSG and RBS was significantly shorter in Group 1 than in Group 2 [1 (1–4) vs. 3 (2–4) years, p = 0.023]. Conclusions: Shorter time interval between LSG and RBS may ease remission of T2D in case of lack of remission after primary procedure. Significant excess weight loss seems to be the most crucial factor for T2D remission.
dc.affiliationpl
Wydział Lekarski : Klinika Chirurgii Ogólnej, Onkologicznej i Metabolicznej
dc.affiliationpl
Pion Prorektora ds. Collegium Medicum : Centrum Innowacyjnej Edukacji Medycznej CM
dc.cm.date
2023-09-25T22:18:01Z
dc.cm.idpl
113259
dc.cm.idOmegapl
UJCM49dfca3897ea485ea2f6b56f84ebd90c
dc.contributor.authorpl
Wysocki, Michał
dc.contributor.authorpl
Ciszek, Karol
dc.contributor.authorpl
Rymarowicz, Justyna
dc.contributor.authorpl
Zarzycki, Piotr - 163253
dc.contributor.authorpl
Walędziak, Maciej
dc.contributor.authorpl
Bartosiak, Katarzyna
dc.contributor.authorpl
Jaworski, Paweł
dc.contributor.authorpl
Kupczyk, Wojciech
dc.contributor.authorpl
Szeliga, Jacek
dc.contributor.authorpl
Tarnowski, Wiesław
dc.contributor.authorpl
Pisarska-Adamczyk, Magdalena - 162691
dc.contributor.authorpl
Małczak, Piotr - 176001
dc.contributor.authorpl
Pędziwiatr, Michał - 140831
dc.contributor.authorpl
Major, Piotr - 141443
dc.date.accessionpl
2023-09-25
dc.date.accessioned
2023-09-25T22:18:01Z
dc.date.available
2023-09-25T22:18:01Z
dc.date.issuedpl
2023
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
1
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
408
dc.identifier.articleidpl
371
dc.identifier.doipl
10.1007/s00423-023-03102-0
dc.identifier.eissnpl
1435-2451
dc.identifier.issnpl
1435-2443
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/319788
dc.identifier.weblinkpl
https://link.springer.com/article/10.1007/s00423-023-03102-0
dc.languagepl
eng
dc.language.containerpl
eng
dc.pbn.affiliation
Dziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
dc.rights
Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licence
CC-BY
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.type
Otwarte czasopismo
dc.subject.en
laparoscopic sleeve gastrectomy
dc.subject.en
type 2 diabetes mellitus
dc.subject.en
re-do bariatric surgery
dc.subject.en
diabetes remission
dc.subject.en
revisional bariatric surgery
dc.subtypepl
Article
dc.titlepl
The analysis of factors increasing the odds for type 2 diabetes mellitus remission following re-do bariatric surgery after laparoscopic sleeve gastrectomy- cohort study
dc.title.journalpl
Langenbeck's Archives of Surgery
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

* The migration of download and view statistics prior to the date of April 8, 2024 is in progress.

Views
4
Views per month
Views per city
Krakow
4
Downloads
zarzycki_et-al_the_analysis_of_factors_increasing_2023.pdf
4