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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).
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laparoscopic Gastric Bypass | Procedure | 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 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Weight Loss | Measure: weight (kilograms) | 12 months |
| Weight Loss | Measure: weight (kilograms) | 24 months |
| Weight Loss | Measure: weight (kilograms) | 36 months |
| Weight Loss | Measure: Body Mass Index | 12 months |
| Weight Loss | Measure: Body Mass Index | 24 months |
| Weight Loss | Measure: Body Mass Index | 36 months |
| Weight Loss | Measure: % excess weight loss | 12 months |
| Weight Loss | Measure: % excess weight loss | 24 months |
| Weight Loss | Measure: % excess weight loss | 36 months |
| Weight Loss |
| Measure | Description | Time Frame |
|---|---|---|
| Complete Diabetes Remission | Definition: no antidiabetic drugs while on glucose <100 mg/dl and HbA1C% <6 | 12 months |
| Complete Diabetes Remission | Definition: no antidiabetic drugs while on glucose <100 mg/dl and HbA1C% <6 |
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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
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Mexican patients with T2DM submitted to laparoscopic gastric bypass
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital General Tlahuac | Mexico City | Mexico |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33598844 | Derived | Cevallos L, Rodriguez FM, Herrera A, Sepulveda EM, Donatini G, Guilbert L, Zerrweck C. Metabolic Surgery and Class 1 Obesity (< 35 kg/m2): a Prospective Study with Short-, Mid-, and Long-term Results Among Latinos. Obes Surg. 2021 Jun;31(6):2401-2409. doi: 10.1007/s11695-021-05275-3. Epub 2021 Feb 17. |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D015390 | Gastric Bypass |
| ID | Term |
|---|---|
| D050110 | Bariatric Surgery |
| D049088 | Bariatrics |
| D000073319 | Obesity Management |
| D013812 | Therapeutics |
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Measure: % total weight loss |
| 12 months |
| Weight Loss | Measure: % total weight loss | 24 months |
| Weight Loss | Measure: % total weight loss | 36 months |
| 24 months |
| Complete Diabetes Remission | Definition: no antidiabetic drugs while on glucose <100 mg/dl and HbA1C% <6 | 36 months |
| Late complications | Complications requiring re-admssion / re-operation | After 30 days from surgery |
| Early complications | Complications requiring re-admssion / re-operation | First 30 days after surgery |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005763 |
| Gastroenterostomy |
| D000714 | Anastomosis, Surgical |
| D013514 | Surgical Procedures, Operative |
| D013505 | Digestive System Surgical Procedures |