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• W2550260595 abstract "La cirugía bariátrica es el mejor método para la pérdida de peso y control de comorbilidades asociadas a la obesidad. El bypass y la manga gástrica han demostrado la mayor efectividad; sin embargo, no existen estudios de alto impacto en la población mexicana. Analizar la mejora de la diabetes mellitus 2 y la intolerancia a los carbohidratos en pacientes con obesidad sometidos a cirugía bariátrica. Estudio retrospectivo en el que se analizaron los expedientes de pacientes con diabetes e intolerancia a los carbohidratos asociados a obesidad y que fueron sometidos a cirugía entre 2013-2015. Se realizó un análisis (0, 1, 3, 6, 9 y 12 meses) de los parámetros metabólicos, clínicos, lipídicos y de peso, así como un análisis perioperatorio y de morbimortalidad. Se establecieron cifras de remisión de diabetes. Se analizaron 73 pacientes (46 con diabetes y 27 con intolerancia a los carbohidratos). Sesenta y dos fueron mujeres, con un promedio de edad de 42 años. La glucosa y hemoglobina glucosilada iniciales fueron de 123 ± 34 mg/dl y de 6.8 ± 1.6%, y a los 12 meses de 90.1 ± 8 mg/dl y de 5.4 ± 0.3%, respectivamente. El 68.7% de los pacientes presentó una remisión completa, el 9.3% una remisión parcial y el 21.8% una mejoría de la diabetes. Durante todo el seguimiento mejoraron significativamente todos los parámetros metabólicos y no metabólicos. La cirugía bariátrica mejora eficazmente el estado metabólico de los pacientes con diabetes o con intolerancia a los carbohidratos en el transcurso del primer año, lo que induce a altas tasas de remisión completa. La cirugía incide en una mejoría de la presión arterial, los parámetros lipídicos y los antropométricos. Bariatric surgery continues to be the best treatment for weight loss and control of obesity related comorbidities. Gastric bypass and sleeve gastrectomy have demonstrated to be the most effective surgeries, but this has not been established in a Mexican (non-American) population. To analyse the improvement in type 2 diabetes mellitus and carbohydrate intolerance in obese patients after bariatric surgery. A retrospective analysis was performed on the data collected prospectively between 2013 and 2015 on every obese patient with diabetes and carbohydrate intolerance submitted for bariatric surgery. Analysis was performed at baseline, and at 1, 3, 6, 9 and 12 months, and included metabolic, clinical, lipid, and anthropometrical parameters. A peri-operative and morbidity and mortality analysis was also performed. Remission rates for patients with diabetes were also established. The analysis included 73 patients, 46 with diabetes and 27 with carbohydrate intolerance. Sixty-two patients were female with a mean age of 42 years. Baseline glucose and glycosylated haemoglobin were 123 ± 34 mg/dl and 6.8 ± 1.6%, and at 12 months they were 90.1 ± 8 mg/dl and 5.4 ± 0.3%, respectively. Diabetes remission was observed in 68.7% of patients, including 9.3% with partial remission and 21.8% with an improvement. There was also a significant improvement in all metabolic and non-metabolic parameters. Bariatric surgery safely improves the metabolic status of patients with diabetes mellitus or carbohydrate intolerance during the first year, inducing high rates of complete remission. It has also shown a significant improvement on blood pressure, lipid, and anthropometric parameters during the first year of follow-up." @default.
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• W2550260595 date "2017-03-01" @default.
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• W2550260595 title "Evolución de los pacientes con diabetes mellitus tipo 2 e intolerancia a los carbohidratos posterior a cirugía bariátrica en la población mexicana" @default.
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• W2550260595 doi "https://doi.org/10.1016/j.circir.2016.07.005" @default.
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