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Journal of Obesity
Volume 2014 (2014), Article ID 638203, 7 pages
http://dx.doi.org/10.1155/2014/638203
Clinical Study

Comparison of the Effectiveness of Four Bariatric Surgery Procedures in Obese Patients with Type 2 Diabetes: A Retrospective Study

1Department of Endocrinology, Diabetes and Metabolic Diseases, University Hospital of Rouen, 76031 Rouen, France
2Department of Digestive Surgery, University Hospital of Rouen, 76031 Rouen, France
3Department of Biostatistics, University Hospital of Rouen, Institut de Recherche et d’Innovation Biomédicale, Normandie University, 76031 Rouen, France
4INSERM U982 Neuronal and Neuroendocrine Differentiation and Communication, Institut de Recherche et d’Innovation Biomédicale, Normandie University, University of Rouen, 76821 Mont Saint Aignan, France

Received 25 November 2013; Accepted 23 April 2014; Published 22 May 2014

Academic Editor: Francesco Saverio Papadia

Copyright © 2014 Sylvie Pham et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. The aim of the present retrospective study was to evaluate the efficacy of four bariatric surgical procedures to induce diabetes remission and lower cardiovascular risk factors in diabetic obese patients. Moreover, the influence of surgery on weight evolution in the diabetic population was compared with that observed in a nondiabetic matched population. Methods. Among 970 patients who were operated on in our center since 2001, 81 patients were identified as type 2 diabetes. Laparoscopic adjustable gastric banding (GB), intervention type Mason (MA), gastric bypass (RYGB), and sleeve gastrectomy (SG) were performed, respectively, in 25%, 17%, 28%, and 30% of this diabetic population. Results. The resolution rate of diabetes one year after surgery was significantly higher after SG than GB (62.5% versus 20%, ), but not significantly different between SG and RYGB. In terms of LDL-cholesterol reduction, RYGB was equivalent to SG and superior to CGMA or GB. Considering the other cardiovascular risk factors, there was no significant difference according to surgical procedures. The weight loss was not statistically different between diabetic and nondiabetic matched patients regardless of the surgical procedures used. Conclusion. Our data confirm that the efficacy of surgery to treat diabetes is variable among the diverse procedures and SG might be an interesting option in this context.