PMID- 32170427
OWN - NLM
STAT- MEDLINE
DCOM- 20201030
LR  - 20201030
IS  - 1436-2813 (Electronic)
IS  - 0941-1291 (Linking)
VI  - 50
IP  - 9
DP  - 2020 Sep
TI  - Prognostic factors and a new preliminary scoring system for remission of type 2 
      diabetes mellitus after laparoscopic sleeve gastrectomy.
PG  - 1056-1064
LID - 10.1007/s00595-020-01990-z [doi]
AB  - PURPOSE: To evaluate the early remission rate of type 2 diabetes mellitus (T2DM) 
      after laparoscopic sleeve gastrectomy (LSG) and establish a preliminary scoring 
      system that predicts T2DM remission. METHODS: We assessed the outcomes of 49 
      morbidly obese patients with T2DM who underwent LSG between 2008 and 2018. The 
      prognostic factors for T2DM remission 1 year post-LSG were identified and an 
      original scoring system was established. We validated our scoring system by 
      comparing it with the individualized metabolic surgery score and the ABCD score. 
      RESULTS: The patients' mean body weight loss and percentage of excess weight loss 
      were 34.4 kg and 59.4%, respectively, while the T2DM remission rate was 77.5%. 
      The serum insulin level and the T2DM duration were independent predictive 
      factors, the receiver-operating characteristic (ROC) curves for which revealed 
      cutoff values of 12.7 ng/mL and 72 months, respectively. We set our system's 
      score range at 0-2, whereby patients with higher scores have a good T2DM 
      remission prognosis, as higher insulin levels, and/or shorter T2DM duration. Our 
      scoring system had accuracy levels similar to those of the ABCD score with a 
      simple stratification. CONCLUSION: Our preliminary scoring system attains a good 
      level of accuracy for predicting T2DM remission.
FAU - Umemura, Akira
AU  - Umemura A
AD  - Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate, 
      020-8505, Japan. aumemura@iwate-med.ac.jp.
FAU - Sasaki, Akira
AU  - Sasaki A
AD  - Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate, 
      020-8505, Japan.
FAU - Nitta, Hiroyuki
AU  - Nitta H
AD  - Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate, 
      020-8505, Japan.
FAU - Nikai, Haruka
AU  - Nikai H
AD  - Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate, 
      020-8505, Japan.
FAU - Baba, Shigeaki
AU  - Baba S
AD  - Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate, 
      020-8505, Japan.
FAU - Takahara, Takeshi
AU  - Takahara T
AD  - Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate, 
      020-8505, Japan.
FAU - Hasegawa, Yasushi
AU  - Hasegawa Y
AD  - Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate, 
      020-8505, Japan.
FAU - Katagiri, Hirokatsu
AU  - Katagiri H
AD  - Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate, 
      020-8505, Japan.
FAU - Kanno, Shoji
AU  - Kanno S
AD  - Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate, 
      020-8505, Japan.
FAU - Ishigaki, Yasushi
AU  - Ishigaki Y
AD  - Division of Diabetes and Metabolism, Department of Internal Medicine, Iwate 
      Medical University, Morioka, Iwate, 020-8505, Japan.
LA  - eng
PT  - Journal Article
DEP - 20200313
PL  - Japan
TA  - Surg Today
JT  - Surgery today
JID - 9204360
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Bariatric Surgery/*methods
MH  - Diabetes Mellitus, Type 2/complications/*surgery
MH  - Endoscopy, Gastrointestinal/*methods
MH  - Female
MH  - Gastrectomy/*methods
MH  - Humans
MH  - Laparoscopy/*methods
MH  - Male
MH  - Middle Aged
MH  - Obesity, Morbid/complications/*surgery
MH  - Prognosis
MH  - Remission Induction
MH  - *Research Design
MH  - Retrospective Studies
MH  - Young Adult
OTO - NOTNLM
OT  - Bariatric surgery
OT  - Complete remission
OT  - Diabetes mellitus
OT  - Laparoscopic sleeve gastrectomy
OT  - Metabolic surgery
EDAT- 2020/03/15 06:00
MHDA- 2020/10/31 06:00
CRDT- 2020/03/15 06:00
PHST- 2019/12/18 00:00 [received]
PHST- 2020/02/11 00:00 [accepted]
PHST- 2020/03/15 06:00 [pubmed]
PHST- 2020/10/31 06:00 [medline]
PHST- 2020/03/15 06:00 [entrez]
AID - 10.1007/s00595-020-01990-z [pii]
AID - 10.1007/s00595-020-01990-z [doi]
PST - ppublish
SO  - Surg Today. 2020 Sep;50(9):1056-1064. doi: 10.1007/s00595-020-01990-z. Epub 2020 
      Mar 13.