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Five‐year long‐term clinical outcome after bariatric metabolic surgery: A multi‐ethnic Asian population in Singapore
- Source :
- Diabetes, Obesity and Metabolism. 20:1762-1765
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- Bariatric surgery is an effective treatment for morbid obesity and its metabolic related comorbidities; type 2 diabetes, hypertension and hyperlipidaemia.1 However, the literature is scarce regarding the long-term outcome after bariatric surgery, especially among multi-ethnic Asian populations. Considering the growing number of bariatric metabolic surgeries in Asia, we have attempted to provide a regional perspective on 5-year long-term clinical outcomes post bariatric surgery in Singapore. Between 2010 and 2016, all bariatric operative cases were included, and these comprised: laparoscopic sleeve gastrectomy (LSG), 393; laparoscopic Roux-En-Y gastric bypass (RYGB), 125; laparoscopic mini-gastric bypass (MGB), 43. The primary outcome measure was the percentage of excess weight loss (% EWL) at 6 months, 1, 2, 3, 4 and 5 years, with % remission of type 2 diabetes mellitus (T2DM) at 1 year following LSG (49.7%, 61.2%, 56.1%, 47.8%, 40.8% and 47.3%; 82.2%), RYGB (60.2%, 62.1%, 57.6%, 50.1%, 48.7% and 47.7%; 86.9%) and MGB (58%, 68.1%, 62.7%, 66.2%, 64.0%, 65.2%; 71.9%). In conclusion, MGB and RYGB showed the greatest % EWL at 5 years and are recommended for moderate T2DM. LSG is an effective bariatric operation with a high % EWL up to 2 years, and a high remission rate of mild T2DM. The remission rate of T2DM was equally high in all 3 surgical groups, independent of ethnic differences.
- Subjects :
- Adult
Male
medicine.medical_specialty
Sleeve gastrectomy
Endocrinology, Diabetes and Metabolism
medicine.medical_treatment
Gastric Bypass
Ethnic group
Bariatric Surgery
030209 endocrinology & metabolism
Type 2 diabetes
Severity of Illness Index
03 medical and health sciences
0302 clinical medicine
Endocrinology
Asian People
Gastrectomy
Weight loss
Weight Loss
Internal Medicine
medicine
Humans
Effective treatment
Longitudinal Studies
030212 general & internal medicine
Glycated Hemoglobin
Singapore
business.industry
Remission Induction
Metabolic surgery
nutritional and metabolic diseases
Type 2 Diabetes Mellitus
Middle Aged
medicine.disease
Obesity, Morbid
Surgery
Treatment Outcome
Diabetes Mellitus, Type 2
Asian population
Female
Laparoscopy
medicine.symptom
business
Subjects
Details
- ISSN :
- 14631326 and 14628902
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- Diabetes, Obesity and Metabolism
- Accession number :
- edsair.doi.dedup.....20973220ef70d31294ea16dd96ab1e74