The obesity surgery divided by 5 the risk of diabetes - Surgical stomach surgery, bariatric surgery, divide by five the risk of diabetes in obese patients, an important confirmation of the value of this new therapeutic approach , shows a Swedish study published in the journal the New England journal of Medicine.
The obesity surgery divided by 5 the risk of diabetes
Bariatric surgery is a surgery performed in obese patients wanting to lose weight, which aims to reduce gastric volume and is sometimes accompanied by a reduction in the length of the intestines in order to further reduce the circuit and therefore the food bowl absorption of nutrients. The stomach volume may be reduced by application of gastric bands or by surgical resection. The result of this operation a major reduction in energy intake. This technique allows more weight loss, to maintain in the long term. Obesity is a major risk factor for diabetes, a condition that leads itself to many metabolic and cardiovascular complications. Worldwide 285 million people have diabetes, a figure that will rise to 430 million in 2030.
Swedish scientists compared two groups of obese patients without diabetes in 1658 who had bariatric surgery. It was a simple ring (19%), a vertical gastroplasty rings (69%) and gastric bypass (12%). Patients had a BMI above 34 for men and 38 for women. Patients were followed for 15 years.
The results show a difference in risk of onset of diabetes which logically increases with time. The operated patients had an average weight loss of 31 kilograms in the year that followed, weight loss remained at 20 kilograms on average after 15 years. The average weight of participants from the other groups ranged between 3 kg and -3 kg. For those in this group had wanted to lose weight with the help of professionals, a weight reduction of 0.6 kg was recorded, against a gain of 1.4 kg in those not having received help from professionals.
110 patients operated and non-operated 392 developed diabetes: the risk of diabetes in obese patients is reduced by 78% after bariatric surgery. In the non-operated group, there was no difference in diabetes risk among those who tried to lose weight with or without the help of professionals. All types of bariatric surgery are associated however with a reduced risk of diabetes. The number of patients undergoing bariatric surgery to prevent one case of diabetes was 1.3, a figure showing the excellent results of surgery in reducing the risk of diabetes.
Three patients died within 90 days of bariatric surgery and at least one complication was identified among 245 operated (15%). In 2.8% of surgical patients, complications have required rehospitalization.