The influence of methods of bariatric surgery for treatment of type 2 diabetes mellitus

The influence of methods of bariatric surgery for treatment of type 2 diabetes mellitus

The constantly growing incidence of obesity represents a risk of health complications for individuals, and is a growing economic burden for health care systems and society. The aim of this study was to evaluate the efficacy of bariatric surgery, specifically laparoscopic greater curve plication, lap...

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Bibliographic Details
Published in:Therapeutics and clinical risk management Vol. 12; no. Issue 1; pp. 599 - 605
Main Authors: Bužga, Marek, Maresova, Petra, Seidlerova, Adela, Zonča, Pavel, Holéczy, Pavol, Kuča, Kamil
Format: Journal Article
Language:English
Published: New Zealand Dove Medical Press Limited 01-01-2016
Taylor & Francis Ltd
Dove Medical Press
Subjects:
Age
Analysis
bariatric surgery
Blood pressure
Body mass index
Care and treatment
Diabetes
Drug dosages
Gastrointestinal surgery
Hypertension
Hypotheses
Laparoscopy
Metabolism
Methods
Obesity
Original Research
Patients
pharmacotheraphy
Surgery
Systematic review
Treatment outcome
Type 2 diabetes
type 2 diabetes mellitus
Values
Weight control
Czech Republic
type 2 diabetes mellitus
blood pressure
bariatric surgery
pharmacotherapy
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Summary:The constantly growing incidence of obesity represents a risk of health complications for individuals, and is a growing economic burden for health care systems and society. The aim of this study was to evaluate the efficacy of bariatric surgery, specifically laparoscopic greater curve plication, laparoscopic sleeve gastrectomy, and Roux-en-Y gastric bypass, in patients with type 2 diabetes mellitus. The effect of bariatric surgery on the changes in blood pressure before, and 12 months after, surgery and in pharmacotherapy in the 12 months after surgery was analyzed. For achieving this purpose, 74 patients from the Obesity and Surgery Department of Vitkovice Hospital in Ostrava in the Czech Republic, were monitored. They were operated in 2011 and 2012. The Bonferroni method was used to test hypotheses about the impact of surgery on blood pressure and pharmacotherapy. One year after the surgery, systolic and diastolic blood pressure values decreased, both with no statistically significant difference between surgery types. Improvement was observed in 68% of cases, with 25% of patients discontinuing pharmacotherapy entirely.
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ISSN:1176-6336
1178-203X
1178-203X
DOI:10.2147/TCRM.S96593