New results on the safety of laparoscopic sleeve gastrectomy bariatric procedure for type 2 diabetes patients

作     者：Ohad Guetta Alex Vakhrushev Oleg Dukhno Amnon Ovnat Gilbert Sebbag 

作者机构：Department General Surgery B Soroka University Medical Center 

出 版 物：《World Journal of Diabetes》 (世界糖尿病杂志（英文版）（电子版）)

年 卷 期：2019年第10卷第2期

页      面：78-86页

核心收录：

学科分类：10[医学] 

主　　题：Bariatric surgery Laparoscopic sleeve gastrectomy Type 2 diabetes Complications Morbidity Hemoglobin A1c Fasting plasma glucose Clavien-Dindo classification 

摘      要：BACKGROUND It has been established that bariatric surgery,including laparoscopic sleeve gastrectomy(LSG),has a positive impact on type 2 diabetes mellitus(T2DM).However,less frequently T2DM is reported as a risk factor for complications with this type of *** To evaluate the safety of LSG in *** A retrospective cohort study was conducted over patients admitted for LSG from January 2008 to May *** was collected through digitized *** deviation from normal postoperative care within the first 60 d was defined as an early complication,and further categorized into mild or *** Nine hundred eighty-four patients underwent LSG,among these 143(14.5%)were diagnosed with *** were 19 complications in the T2DM group(13.3%)compared to 59 cases in the non-T2DM(7.0%).Out of 19 complications in the T2DM group,12 were mild(8.4%)and 7 were severe(4.9%).Compared to the non-T2DM group,patients had a higher risk for mild complications(Odds-ratio 2.316,CI:1.163-4.611,P=0.017),but not for severe ones(P=0.615).An increase of 1% in hemoglobin A1c levels was associated with a 40.7% increased risk for severe complications(P=0.013,CI:1.074-1.843)but not for mild *** Our data suggest that LSG is relatively safe for patients with *** preoperative control of hemoglobin A1c level will lower the complications rate has to be prospectively studied.