PMID- 30788045
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200929
IS  - 1948-9358 (Print)
IS  - 1948-9358 (Electronic)
IS  - 1948-9358 (Linking)
VI  - 10
IP  - 2
DP  - 2019 Feb 15
TI  - New results on the safety of laparoscopic sleeve gastrectomy bariatric procedure 
      for type 2 diabetes patients.
PG  - 78-86
LID - 10.4239/wjd.v10.i2.78 [doi]
AB  - BACKGROUND: It has been established that bariatric surgery, including 
      laparoscopic sleeve gastrectomy (LSG), has a positive impact on type 2 diabetes 
      mellitus (T2DM). However, less frequently T2DM is reported as a risk factor for 
      complications with this type of surgery. AIM: To evaluate the safety of LSG in 
      T2DM. METHODS: A retrospective cohort study was conducted over patients admitted 
      for LSG from January 2008 to May 2015. Data was collected through digitized 
      records. Any deviation from normal postoperative care within the first 60 d was 
      defined as an early complication, and further categorized into mild or severe. 
      RESULTS: Nine hundred eighty-four patients underwent LSG, among these 143 (14.5%) 
      were diagnosed with T2DM. There were 19 complications in the T2DM group (13.3%) 
      compared to 59 cases in the non-T2DM (7.0%). Out of 19 complications in the T2DM 
      group, 12 were mild (8.4%) and 7 were severe (4.9%). Compared to the non-T2DM 
      group, patients had a higher risk for mild complications (Odds-ratio 2.316, CI: 
      1.163-4.611, P = 0.017), but not for severe ones (P = 0.615). An increase of 1% 
      in hemoglobin A1c levels was associated with a 40.7% increased risk for severe 
      complications (P = 0.013, CI: 1.074-1.843) but not for mild ones. CONCLUSION: Our 
      data suggest that LSG is relatively safe for patients with T2DM. Whether 
      pre-operative control of hemoglobin A1c level will lower the complications rate 
      has to be prospectively studied.
FAU - Guetta, Ohad
AU  - Guetta O
AD  - Department General Surgery B, Soroka University Medical Center, Be'er Sheva 
      8457108, Israel. ohadgu@clalit.org.il.
FAU - Vakhrushev, Alex
AU  - Vakhrushev A
AD  - Department General Surgery B, Soroka University Medical Center, Be'er Sheva 
      8457108, Israel.
FAU - Dukhno, Oleg
AU  - Dukhno O
AD  - Department General Surgery B, Soroka University Medical Center, Be'er Sheva 
      8457108, Israel.
FAU - Ovnat, Amnon
AU  - Ovnat A
AD  - Department General Surgery B, Soroka University Medical Center, Be'er Sheva 
      8457108, Israel.
FAU - Sebbag, Gilbert
AU  - Sebbag G
AD  - Department General Surgery B, Soroka University Medical Center, Be'er Sheva 
      8457108, Israel.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - World J Diabetes
JT  - World journal of diabetes
JID - 101547524
PMC - PMC6379729
OTO - NOTNLM
OT  - Bariatric surgery
OT  - Clavien-Dindo classification
OT  - Complications
OT  - Fasting plasma glucose
OT  - Hemoglobin A1c
OT  - Laparoscopic sleeve gastrectomy
OT  - Morbidity
OT  - Type 2 diabetes
COIS- Conflict-of-interest statement: The authors have no competing interests to 
      declare.
EDAT- 2019/02/23 06:00
MHDA- 2019/02/23 06:01
PMCR- 2019/02/15
CRDT- 2019/02/22 06:00
PHST- 2018/11/06 00:00 [received]
PHST- 2019/01/08 00:00 [revised]
PHST- 2019/01/22 00:00 [accepted]
PHST- 2019/02/22 06:00 [entrez]
PHST- 2019/02/23 06:00 [pubmed]
PHST- 2019/02/23 06:01 [medline]
PHST- 2019/02/15 00:00 [pmc-release]
AID - 10.4239/wjd.v10.i2.78 [doi]
PST - ppublish
SO  - World J Diabetes. 2019 Feb 15;10(2):78-86. doi: 10.4239/wjd.v10.i2.78.