Key result
Vertical sleeve gastrectomy resulted in similar rates of type 2 diabetes resolution compared to Roux-en-Y gastric bypass at 8 weeks (83% vs 79%), but with significantly fewer complications.
Why the study?
Does vertical sleeve gastrectomy compared to Roux-en-Y gastric bypass improve resolution of type 2 diabetes and reduce complications in obese adults?
Population
262 obese adult patients diagnosed with type 2 diabetes who underwent either Roux-en-Y gastric bypass or…
Comparison
Vertical sleeve gastrectomy (VSG) vs Roux-en-Y gastric bypass (RYGB)
Design
Cohort
Follow-up
8 weeks
Authors
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Should not yet change bariatric procedure selection; hypothesis-generating for vertical sleeve gastrectomy preference in obese adults with type 2 diabetes.
Cohort (n=262)
Does vertical sleeve gastrectomy compared to Roux-en-Y gastric bypass improve resolution of type 2 diabetes and reduce complications in obese adults?
Absolute Event Rate: 83% vs 79%
Vertical sleeve gastrectomy and Roux-en-Y gastric bypass appear equally effective for early resolution of type 2 diabetes, but VSG is associated with fewer peri- and postoperative complications.
Bayham et al. (2011) conducted a cohort in Type 2 diabetes and obesity (n=262). Vertical sleeve gastrectomy (VSG) vs. Roux-en-Y gastric bypass (RYGB) was evaluated on Discontinuation of all diabetes medications (resolution of T2D). Vertical sleeve gastrectomy resulted in similar rates of type 2 diabetes resolution compared to Roux-en-Y gastric bypass at 8 weeks (83% vs 79%), but with significantly fewer complications.
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