Resolution of diabetes after bariatric surgery among predominantly African-American patients: race has no effect in remission of diabetes after bariatric surgery.
BACKGROUND
The aim of this study was to assess the relative efficacy in diabetes remission among predominantly African-American patients who have undergone one of the three different types of bariatric surgical procedures.


METHODS
A total of 597 morbidly obese patients underwent one of the three bariatric surgical procedures at Harper University Hospital, Detroit, Michigan from 2008 to 2011. Of the three procedures, 203 (34%) patients had laparoscopic sleeve gastrectomy, 264 (44.2%) patients had laparoscopic gastric bypass, and 130 (21.8%) had laparoscopic adjustable gastric banding. The prevalence of diabetes prior to surgery was 20.7, 17.4, and 24%, respectively. There was no statistical difference in the prevalence of diabetes among the three surgical groups.


RESULTS
Of the 119 patients with diabetes, 46 (38.7%) were males and 73 (61.3%) were females. The majority of patients were African-Americans (65%). The average age of patients was 42.2 ± 8.3 years for sleeve gastrectomy, 44.8 ± 7.9 years for gastric banding, and 41.5 ± 7.7 years for gastric bypass surgery. Of all the study patients with a preoperative diagnosis of type 2 diabetes, 86 patients (72.3%) had resolution of diabetes 1 year after surgery. The resolution of diabetes was reported in 89.1, 66.7, and 54.8% of patients who underwent laparoscopic gastric bypass, sleeve gastrectomy, and gastric banding, respectively.


CONCLUSIONS
This study, which was conducted among predominantly African-Americans, showed consistent results with other studies. Patients who underwent laparoscopic gastric bypass appeared to benefit the most in terms of achieving better remission of diabetes.
Harper Bariatric Medicine Institute, Harper University Hospital, Wayne State University School of Medicine, 4201 St. Antoine, UHC-4H, Detroit, MI, 48201, USA.
Mereb
M
Araia
Michael
M
Wood
Joshua
J
Kroll
Abdul
A
Abou-Samra
Berhane
B
Seyoum
D000328:Adult; D001741:Black or African American; D050110:Bariatric Surgery; D015897:Comorbidity; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000208:ethnology / Q000628:therapy*; D005260:Female; D005743:Gastrectomy; D015390:Gastric Bypass; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology* / Q000208:ethnology / Q000601:surgery; D012074:Remission Induction; D014481:United States