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J Obes Eat Disord, 2017
ISSN: 2471-8203
August 23-24, 2017 | Toronto, Canada
allied
academies
INTERNATIONAL OBESITY, BARIATRIC AND
METABOLIC SURGERY SUMMIT AND EXPO
César Antonio Martínez-Ortiz, J Obes Eat Disord, 3:2
DOI: 10.21767/2471-8203-C1-002
Introduction:
Diabetes is common in obese patients in
Mexico. Risk factors affecting the distribution and frequency
of type 2 diabetes mellitus (T2DM) and their complications
are well known. It is often associated with overweight or
obesity, which in turn can cause insulin resistance and
elevated blood glucose levels.
Objective:
The objective of the study is to determine if there
is remission of T2DM in patients undergoing vertical sleeve
gastrectomy (VSG) or Roux-en-Y gastric bypass (RYGB) and, if
so, after which one is greater.
Methods:
Descriptive, observational, longitudinal and
retrospective analysis of data from 33 patients with T2DM
and obesity who underwent vertical sleeve gastrectomy or
Roux-en-Y gastric bypass, preoperatively and at 12-month
follow-up was done. Diabetes remission was defined as
glucose below the diagnostic thresholds for T2DM (HbA1c <
6%, fasting glucose < 100 mg/dl if HbA1c was not available)
and abscense of active hypoglycemic medication.
Results:
Thirty-three patients with diagnosis of obesity and
T2DM were divided into two groups: 8 patients, 1 man (3.03
%) and 7 women (21.21 %), VSG; and 25 patients, 6 men
(18.18 %) and 19 women (57.50 %), RYGB. After 1 year of
follow-up, there was remission in 7 (21.21 %) of 8 patients in
the VSG group and in 24 (72.72 %) in 25 (93.93 %) patients
in the RYGB group.
Conclusion:
Bariatric/metabolic surgery can reverse or
improve T2DM in obese patients, and is more effective than
medical interventions and lifestyle modifications for weight
loss, glycemic control, remission of T2DM, improvements
in other cardiovascular risk factors and the decrease of
cardiovascular diseases.
Speaker Biography
César Antonio Martínez-Ortiz attended the MD program at National Autonomous
University of Mexico School of Medicine, and both the General Surgery Residency
Program and Bariatric/Metabolic Surgery Fellowship at the National Medical Center
of the Mexican Social Security Institute, where he is currently Senior Surgeon and
Professor both in the Department of Surgery and in the Obesity and Metabolic
Diseases Clinic. He also obtained the Master’s degree in Health Directive Management
at the University of the Valley of Mexico, Laureate International Universities. He is a
young Surgeon, interested in clinical and surgical practice, education and research, and
hopes to stand out internationally.
e:
camartinez@me.comEvolution of type 2 diabetes mellitus in patients undergoing vertical sleeve gastrectomy or Roux-en-Y
gastric bypass
César Antonio Martínez-Ortiz
Mexican Social Security Institute, Mexico
National Autonomous University of Mexico School of Medicine, Mexico