title: Comparison of the effectiveness of four bariatric surgery procedures in obese patients with type 2 diabetes: a retrospective study.
abstract: OBJECTIVE
  The aim of the present retrospective study was to evaluate the efficacy of four bariatric surgical procedures to induce diabetes remission and lower cardiovascular risk factors in diabetic obese patients. Moreover, the influence of surgery on weight evolution in the diabetic population was compared with that observed in a nondiabetic matched population.
  
  
  METHODS
  Among 970 patients who were operated on in our center since 2001, 81 patients were identified as type 2 diabetes. Laparoscopic adjustable gastric banding (GB), intervention type Mason (MA), gastric bypass (RYGB), and sleeve gastrectomy (SG) were performed, respectively, in 25%, 17%, 28%, and 30% of this diabetic population.
  
  
  RESULTS
  The resolution rate of diabetes one year after surgery was significantly higher after SG than GB (62.5% versus 20%, P < 0.01), but not significantly different between SG and RYGB. In terms of LDL-cholesterol reduction, RYGB was equivalent to SG and superior to CGMA or GB. Considering the other cardiovascular risk factors, there was no significant difference according to surgical procedures. The weight loss was not statistically different between diabetic and nondiabetic matched patients regardless of the surgical procedures used.
  
  
  CONCLUSIONS
  Our data confirm that the efficacy of surgery to treat diabetes is variable among the diverse procedures and SG might be an interesting option in this context.
authors: Department of Endocrinology, Diabetes and Metabolic Diseases, University Hospital of Rouen, 76031 Rouen, France.
authors: Sylvie
authors: S
authors: Pham
authors: Department of Endocrinology, Diabetes and Metabolic Diseases, University Hospital of Rouen, 76031 Rouen, France.
authors: Antoine
authors: A
authors: Gancel
authors: Department of Digestive Surgery, University Hospital of Rouen, 76031 Rouen, France.
authors: Michel
authors: M
authors: Scotte
authors: Department of Biostatistics, University Hospital of Rouen, Institut de Recherche et d'Innovation Biomédicale, Normandie University, 76031 Rouen, France.
authors: Estelle
authors: E
authors: Houivet
authors: Department of Digestive Surgery, University Hospital of Rouen, 76031 Rouen, France.
authors: Emmanuel
authors: E
authors: Huet
authors: Department of Endocrinology, Diabetes and Metabolic Diseases, University Hospital of Rouen, 76031 Rouen, France ; INSERM U982 Neuronal and Neuroendocrine Differentiation and Communication, Institut de Recherche et d'Innovation Biomédicale, Normandie University, University of Rouen, 76821 Mont Saint Aignan, France.
authors: Hervé
authors: H
authors: Lefebvre
authors: Department of Endocrinology, Diabetes and Metabolic Diseases, University Hospital of Rouen, 76031 Rouen, France ; INSERM U982 Neuronal and Neuroendocrine Differentiation and Communication, Institut de Recherche et d'Innovation Biomédicale, Normandie University, University of Rouen, 76821 Mont Saint Aignan, France.
authors: Jean-Marc
authors: JM
authors: Kuhn
authors: Department of Endocrinology, Diabetes and Metabolic Diseases, University Hospital of Rouen, 76031 Rouen, France ; INSERM U982 Neuronal and Neuroendocrine Differentiation and Communication, Institut de Recherche et d'Innovation Biomédicale, Normandie University, University of Rouen, 76821 Mont Saint Aignan, France.
authors: Gaetan
authors: G
authors: Prevost
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000379:methods*; D008078:Cholesterol, LDL / Q000097:blood; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000601:surgery*; D005743:Gastrectomy; D015390:Gastric Bypass; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D015431:Weight Loss
chemical_list: D008078:Cholesterol, LDL