EFFECTS OF SLEEVE GASTRECTOMY VERSUS GASTRIC BYPASS ON TYPE 2 DIABETES MELLITUS REMISSION IN OBESE PATIENTS
Abstract
Objectives: To determine and compare the efficacy of two weight-reducing surgical interventions, gastric bypass (GBP) and sleeve gastrectomy (SG), in inducing remission/improvement of type 2 diabetes mellitus (T2DM). Materials and Methods: Data were collected from 162 obese T2DM subjects who underwent SG (96) or GBP (66) between 2009 and 2011. The following parameters were recorded: body mass index, waist-hip-ratio, blood pressure, fasting plasma glucose, HbA1c, lipid profile, hypoglycemic drugs used. Results: Remission of T2DM was achieved in 83% of patients who underwent SG and in 81% of patients who underwent GBP. For both procedures, T2DM remission rate was higher for patients with a shorter duration of T2DM, with better preoperative glycemic control and for those not requiring pharmacological agents before surgery. Conclusions: SG and GBP are effective in inducing T2DM remission in obese patients. The clinical features of T2DM are important predictors for the remission of the disease after bariatric surgery.