Review Article

Endogenous Glucagon-Like Peptide-1 as a Potential Mediator of the Resolution of Diabetic Kidney Disease following Roux en Y Gastric Bypass: Evidence and Perspectives

Table 1

Summary of studies reporting on the effect of bariatric surgery on diabetic kidney disease.

Study typeCitationInterventionFollow-upEffect on DKD

ProspectiveIaconelli et al. [17] BPD versus usual care
(case-control)
5010 yearsImproved GFR and improvement and remission of albuminuria
Navarro-Díaz et al. [18]RYGB against healthy controls612 yearsReduction and remission of albuminuria
Amor et al. [19]RYGB and VSG
(observational)
9612 monthsReduction and remission of albuminuria
Fenske et al. [20]RYGB, LAGB, and VSG
(observational)
3012 monthsImproved renal inflammation and reduced serum cystatin C

RetrospectiveBrethauer et al. [12]RYGB, VSG, and LAGB2175 yearsRegression of diabetic nephropathy
Miras et al. [22]RYGB, VSG, and LAGB8412–18 monthsReduction in mean urinary ACRs
Johnson et al. [21]Not specified15,951>13 yearsReduction in microvascular composite
Heneghan et al. [23] RYGB, VSG, and LAGB525 yearsReduction, prevention, and remission of albuminuria
Carlsson et al. [24]RYGB, VBG, and LAGB310815 yearsHalving of incidence of albuminuria
Stephenson et al. [25]LAGB233 yearsInconsistent picture of albuminuria incidence, progression, and regression
Jose et al. [26]BPD254 yearsReduction in creatinemia and improvement in eGFR
Hou et al. [27]RYGB, VSG, and LAGB23312 monthsImprovement in eGFR across grades of CKD and reduction in hyperfiltration