Table 2:
Outcomes of metabolic surgery: changes in BMI, fasting plasma glucose (FPG), and glycated hemoglobin (HbA1c), clinical outcomes of diabetes (% meds resolved and remission rate), and safety of metabolic surgery (complication and mortality).
BMI
Fasting plasma glucose
HbA1c (%)
Author
Mean preop
Mean postop
Mean preop
Mean postop
Mean preop
Mean postop
% meds resolved
Remission
Complications
Mortality
(range)
(range)
(range)
(range)
(range)
(range)
1
Lee
30.1 kg/m
2
23 kg/m
2
195.8 mg/dL
106.3 mg/dL
9.7%
5.9%
90% (
𝑛
=
1
8
/
2
0
)
55% (
𝑛
=
1
1
/
2
0
)
11.3% (
𝑛
=
7
)
0 %
2
Boza
33.7 (30.4–35) kg/m
2
23.9 kg/m
2
145 mg/dL
109.9 mg/dL
8.1%
6.5%
—
83.3% (
𝑛
=
2
5
/
3
0
)
33.3% (
𝑛
=
1
0
)
0 %
3
de Sa
33.6 kg/m
2
25.7 kg/m
2
176.1 mg/dL
93.9 mg/dL
8.4%
6.0%
74.1% (
𝑛
=
2
0
/
2
7
)
48.1% (
𝑛
=
1
3
/
2
7
)
25.9% (
𝑛
=
7
)
0 %
4
Huang
30.8 (25.0–34.8) kg/m
2
23.7 kg/m
2
204.2 mg/dL
103.5 mg/dL
9.2%
5.9%
90.9% (
𝑛
=
2
0
/
2
2
)
63.6% (
𝑛
=
1
4
/
2
2
)
9.1% (
𝑛
=
2
)
0 %
5
Scopinaro
30.6 (25.3–34.9) kg/m
2
25.3 kg/m
2
220 mg/dL
149 mg/dL
9.3 (7.5–12.9) %
6.5%
83.3% (
𝑛
=
2
5
/
3
0
)
30% (
𝑛
=
9
/
3
0
)
16.7% (
𝑛
=
5
)
0 %
6
Shah
28.9 kg/m
2
23 kg/m
2
233 mg/dL
89.2 mg/dL
10.1%
6.1%
100% (
𝑛
=
1
5
/
1
5
)
100% (
𝑛
=
1
5
/
1
5
)
0% (
𝑛
=
0
)
0 %
7
Lee
31 kg/m
2
24.6 kg/m
2
240.1 mg/dL
132.9 mg/dL
10.1%
7.1%
—
50% (
𝑛
=
1
0
/
2
0
)
0% (
𝑛
=
0
)
0 %
8
DePauLa
28.2 (20–34.8) kg/m
2
—
215.3 mg/dL
105.4 mg/dL
8.9 (7.5–12.8) %
—
91.2% (
𝑛
=
5
3
/
5
8
)
63.7% (
𝑛
=
3
7
/
5
8
)
10.3% (
𝑛
=
6
)
0 %
9
DePaula
25.7 kg/m
2
21.8 (17.7–25.8) kg/m
2
218.1 (90–334) mg/dL
102.0 (73–161) mg/dL
8.7 (7.5–13.7) %
5.9 (4.8–8.5) %
95.7% (
𝑛
=
6
6
/
6
9
)
65.2% (
𝑛
=
4
5
/
6
9
)
7.3% (
𝑛
=
5
)
0 %
10
Ramos
27.1 (25–30) kg/m
2
24.4 (20.2–28.3) kg/m
2
171.3 (127.0–242.0) mg/dL
96.3 (78.0–118.0) mg/dL
8.8 (7.5–10.2) %
6.8 (5.8–7.9) %
90% (
𝑛
=
1
8
/
2
0
)
—
0% (
𝑛
=
0
)
0 %
11
Ferzli
27.5 (21.7–33.0) kg/m
2
27.3 (23–33) kg/m
2
208.9 (112.0–286.0) mg/dL
154.9 (63.0–315.0) mg/dL
9.4 ( 6.6–11.8) %
8.5 (6.3–12) %
14% (
𝑛
=
1
/
7
)
14 % (
𝑛
=
1
/
7
)
0% (
𝑛
=
0
)
0 %
12
Geloneze
26.1 (1.7) kg/m
2
25.6 (1.2) kg/m
2
183.8 mg/dL
156.8 mg/dL
8.9%
7.8%
0% (
𝑛
=
0
/
1
2
)
0% (
𝑛
=
0
/
1
2
)
16.7% (
𝑛
=
2
)
0 %
13
Chiellini
30.9 kg/m
2
25.1 kg/m
2
—
—
8.5%
5.7%
100% (
𝑛
=
5
/
5
)
—
—
0 %
14
Lee
31.7 kg/m
2
23.2 kg/m
2
168.7 mg/dL
88.6 mg/dL
7.3%
5.6%
—
89.5% (
𝑛
=
4
0
/
4
4
)
4.5% (
𝑛
=
2
)
0 %
15
Scopinaro
33.4 (32.0–34.6) kg/m
2
27.1 (22.0–31.2) kg/m
2
252.7 (131–400) mg/dL
121.0 (68–146) mg/dL
—
—
100% (
𝑛
=
7
/
7
)
—
—
0 %
16
Cohen
29.6 (29.0–30.3) kg/m
2
28.3 (27–29.5) kg/m
2
—
83.0 (77–89) mg/dL
—
5.4 (5.0–5.7) %
100% (
𝑛
=
2
/
2
)
100% (
𝑛
=
2
/
2
)
0% (
𝑛
=
0
)
0 %
17
Cohen
32.5 (32.0–34.90 kg/m
2
—
146.0 (126–242) mg/dL
88.0 (60–94) mg/dL
—
<6.0%
100% (
𝑛
=
3
7
/
3
7
)
100% (
𝑛
=
3
7
/
3
7
)
0% (
𝑛
=
0
)
0 %
18
Noya
33.2 (24.0–38.9) kg/m
2
27.6 (20.46–32.4) kg/m
2
—
—
—
—
90% (
𝑛
=
9
/
1
0
)
90% (
𝑛
=
9
/
1
0
)
20% (
𝑛
=
2
)
0 %