Why Good Preoperative Control of Diabetes Is Important in Patients Undergoing Metabolic Bariatric Surgery

Ahmed, Babur; Ammori, Basil J.; Akhtar, Khurshid; Senapati, Siba; Alkhaffaf, Bilal; Sultan, Javed; O'Connor, Dominic; Syed, Akheel A.

doi:10.1007/s11695-021-05787-y

Cited by 2 publications

(1 citation statement)

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“…A short period of low‐ or very‐low‐calorie diet prior to bariatric surgery can reduce liver volume, a surgeon's perceived complexity of the procedure and postoperative complications 10 . Specialist MWM is also important for optimizing medical therapies for comorbid metabolic conditions such as Type 2 diabetes as good preoperative glycaemic control is essential in patients undergoing bariatric surgery 11 . A randomized trial that compared patients in weight loss and non‐weight loss groups preoperatively found no differences in weight, BMI, excess weight loss and number of remaining comorbidities at 1 year after gastric bypass surgery 12 ; however, patients who had lost at least 5% of their excess body weight preoperatively achieved greater postoperative excess weight loss at 1 year.…”

Section: Discussionmentioning

confidence: 99%

Does preoperative weight loss in a specialist medical weight management centre influence postoperative weight loss after bariatric surgery?

et al. 2022

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Weight loss of 5%-10% is advised in medical weight management (MWM) programmes prior to bariatric surgery but it remains to be established whether it influences postoperative weight loss outcomes. We studied postoperative percent total weight loss (%TWL) in 168 patients categorized by preoperative referral weight loss <5% or ≥5% in a UK NHS bariatric centre. Eighty-six (51.2%) patients achieved sustained referral weight loss <5% (Group A) and 82 (48.8%) ≥5% (Group B). Overall postoperative %TWL in Group A compared with Group B was 30.0% versus 28.3% (p = .30) at 12 months and 32.5% versus 29.6% (p = .20) at 24 months. There were no significant differences in postoperative %TWL at 12 and 24 months when categorized by procedure (gastric bypass, n = 106; or sleeve gastrectomy, n = 62), age or sex. Preoperative weight loss during intensive specialist MWM did not influence postoperative weight loss up to 24 months with gastric bypass or sleeve gastrectomy.

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Section: Discussionmentioning

confidence: 99%