One-anastomosis gastric bypass (OAGB) in patients with BMI < 30 kg/m2 and diabetes mellitus type 2 (DM2).

Abstract

INTRODUCTION:

Introduction: type-2 diabetes mellitus (DM2) is a major health problem, as it leads to increased morbidity and mortality. Metabolic surgery has shown good results in glycemic control; however, its use has not become popular. Objectives: to evaluate DM2 remission, as well as changes in body mass index (BMI), in overweight diabetic patients after undergoing metabolic surgery. Methods: a retrospective review was carried out of all patients with DM2 and BMI between 25 and 29.9 kg/m2 who underwent laparoscopic one-anastomosis gastric bypass (OAGB) as metabolic procedure between 2016 and 2019. Results: a total of 15 patients were included with a mean age of 46.6 ± 11.25 years. Mean BMI was 28.41 ± 0.94 kg/m2. Average duration was 5.4 ± 2.79 years, and presurgical fasting glucose was 288.53 ± 65.22 mg/dL. Preoperative glycated hemoglobin (HbA1c) was 9.58 ± 1.66 %. Two years after surgery HbA1c was 5.21 ± 0.26 %. The remission rate of DM2 was 100 %. All patients maintained a normal BMI range. Conclusions: OAGB is a valid alternative for complete DM2 remission no matter if it is not accompanied by some degree of obesity, since in this case the length of the biliopancreatic limb and common channel is modified to make a less malabsorptive procedure.

• Authors: Raúl Vázquez Pelcastre, Daisy Carolina Zenteno Martínez, Juan Carlos Arana Reyes, Wilberth Raúl Méndez Vivas, Emma Viridiana Ríos Ayala, David Barney Briseño
• Journal: Nutricion hospitalaria (Nutr Hosp) Vol. 38 Issue 5 Pg. 971-977 (Oct 13 2021) ISSN: 1699-5198 [Electronic] Spain
• Vernacular Title: Bypass gástrico de una sola anastomosis (BAGUA) en pacientes con IMC < 30 kg/m2 y diabetes mellitus de tipo 2 (DM2).
• PMID: 34105979 (Publication Type: Journal Article)

Topics

• Adult
• Anastomosis, Surgical (methods)
• Body Mass Index
• Diabetes Mellitus, Type 2 (complications, epidemiology)
• Female
• Gastric Bypass (adverse effects, methods, statistics & numerical data)
• Humans
• Male
• Middle Aged
• Obesity (epidemiology, surgery)
• Retrospective Studies
• Treatment Outcome