Effect of Lap-Band®-Induced Weight Loss on Type 2 Diabetes Mellitus and Hypertension

Autor: Beverly Haynes, Brooke Lindsey, Jaime Ponce, Amanda Shafer, Eric Manahan, Richard Fromm, Steven Paynter, Christopher Sutterfield
Rok vydání: 2004
Předmět:
Zdroj: Obesity Surgery. 14:1335-1342
ISSN: 1708-0428
0960-8923
Popis: Background: Severe obesity is associated with type 2 diabetes and hypertension. Improvement in these comorbidities after surgically-induced weight loss has been documented, and laparoscopic adjustable gastric banding (LAGB) is an effective weight loss operation. Methods: Of 840 patients who underwent Lap-Band®, data are available in 402 out of 413 patients whose surgery took place at ≥ 1 year ago. Preoperative and follow-up data were studied retrospectively to examine the effect of Lap-Band®-induced weight loss on diabetes and hypertension. Results: Of 413 patients with at least 1 year postoperative follow-up, 53 (12.8%) were taking medications for type 2 diabetes preoperatively and 189 (45.7%) were on antihypertensive medications. 66% (n=35) of diabetic patients were also hypertensive. Resolution of diabetes was observed in 66% at 1-year and 80% at 2-year follow-up. HbA1c dropped from 7.25% (5.6-11.0, n=53) preoperatively to 5.58% (5.0-6.2, n=15) at 2 years after surgery. Hypertension resolved in 59.8% and 74% at 1 and 2 years, respectively. Percent excess weight loss (%EWL) was lower for diabetic patients than for our cohort population (39.2% vs 41.2% at 1 year, 46.7% vs 54.2% at 18 months, and 52.6% vs 63.3% at 2 years, respectively). Patients in whom diabetes was improved but not resolved had lower %EWL than did those whose diabetes went into remission (27.0% at 1 year and 26.5% at 2 years). Patients with the shortest duration of diabetes (
Databáze: OpenAIRE
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