| Autor: |
Maria Neves, Carmona, Hugo, Santos-Sousa, Luís, Lindeza, Bernardo, Sousa-Pinto, Jorge, Nogueiro, André, Pereira, Silvestre, Carneiro, André, Costa-Pinho, Eduardo, Lima-da-Costa, John, Preto |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Obesity surgery. 31(12) |
| ISSN: |
1708-0428 |
| Popis: |
In patients with type 2 diabetes mellitus (T2DM), bariatric surgery appears to be more effective than medical treatment (MT) at improving glycaemic control and decreasing cardiovascular risk. However, long-term effectiveness has not been systematically assessed using randomised controlled trials. In this study, we aimed to systematically assess randomised controlled trials, with at least 5 years of follow-up, on bariatric surgery in patients with T2DM and BMI ≥ 25 kg/mPubMed, SCOPUS and Web of Science were searched. We performed a network meta-analysis to evaluate the comparative effectiveness of the different procedures and MT in terms of full T2DM remission, weight loss, complications and cardiometabolic biomarkers. The quality of evidence was assessed using the Cochrane Risk of Bias Tool and CINeMA.We included 11 primary studies. Laparoscopic one-anastomosis gastric bypass (LOAGB) was found to be one of the most effective treatments for full remission of T2DM (IBariatric surgery seems to be effective for T2DM remission. LOAGB appears to be a good option in this context, and a possible alternative to laparoscopic duodenal switch, but the included primary studies in our review are not sufficiently powered to establish a more definitive conclusion. More studies with longer follow-up times are needed to comprehensively assess bariatric surgery in T2DM. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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