Table 2.
Outcomes of metabolic surgery: changes in BMI, fasting plasma glucose (FPG), and glycated hemoglobin (HbA1c), clinical outcomes of diabetes (% meds resolved and remission rate), and safety of metabolic surgery (complication and mortality).
| BMI | Fasting plasma glucose | HbA1c (%) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Author | Mean preop | Mean postop | Mean preop | Mean postop | Mean preop | Mean postop | % meds resolved | Remission | Complications | Mortality | |
| (range) | (range) | (range) | (range) | (range) | (range) | ||||||
| 1 | Lee | 30.1 kg/m2 | 23 kg/m2 | 195.8 mg/dL | 106.3 mg/dL | 9.7% | 5.9% | 90% (n = 18/20) | 55% (n = 11/20) | 11.3% (n = 7) | 0 % |
| 2 | Boza | 33.7 (30.4–35) kg/m2 | 23.9 kg/m2 | 145 mg/dL | 109.9 mg/dL | 8.1% | 6.5% | — | 83.3% (n = 25/30) | 33.3% (n = 10) | 0 % |
| 3 | de Sa | 33.6 kg/m2 | 25.7 kg/m2 | 176.1 mg/dL | 93.9 mg/dL | 8.4% | 6.0% | 74.1% (n = 20/27) | 48.1% (n = 13/27) | 25.9% (n = 7) | 0 % |
| 4 | Huang | 30.8 (25.0–34.8) kg/m2 | 23.7 kg/m2 | 204.2 mg/dL | 103.5 mg/dL | 9.2% | 5.9% | 90.9% (n = 20/22) | 63.6% (n = 14/22) | 9.1% (n = 2) | 0 % |
| 5 | Scopinaro | 30.6 (25.3–34.9) kg/m2 | 25.3 kg/m2 | 220 mg/dL | 149 mg/dL | 9.3 (7.5–12.9) % | 6.5% | 83.3% (n = 25/30) | 30% (n = 9/30) | 16.7% (n = 5) | 0 % |
| 6 | Shah | 28.9 kg/m2 | 23 kg/m2 | 233 mg/dL | 89.2 mg/dL | 10.1% | 6.1% | 100% (n = 15/15) | 100% (n = 15/15) | 0% (n = 0) | 0 % |
| 7 | Lee | 31 kg/m2 | 24.6 kg/m2 | 240.1 mg/dL | 132.9 mg/dL | 10.1% | 7.1% | — | 50% (n = 10/20) | 0% (n = 0) | 0 % |
| 8 | DePauLa | 28.2 (20–34.8) kg/m2 | — | 215.3 mg/dL | 105.4 mg/dL | 8.9 (7.5–12.8) % | — | 91.2% (n = 53/58) | 63.7% (n = 37/58) | 10.3% (n = 6) | 0 % |
| 9 | DePaula | 25.7 kg/m2 | 21.8 (17.7–25.8) kg/m2 | 218.1 (90–334) mg/dL | 102.0 (73–161) mg/dL | 8.7 (7.5–13.7) % | 5.9 (4.8–8.5) % | 95.7% (n = 66/69) | 65.2% (n = 45/69) | 7.3% (n = 5) | 0 % |
| 10 | Ramos | 27.1 (25–30) kg/m2 | 24.4 (20.2–28.3) kg/m2 | 171.3 (127.0–242.0) mg/dL | 96.3 (78.0–118.0) mg/dL | 8.8 (7.5–10.2) % | 6.8 (5.8–7.9) % | 90% (n = 18/20) | — | 0% (n = 0) | 0 % |
| 11 | Ferzli | 27.5 (21.7–33.0) kg/m2 | 27.3 (23–33) kg/m2 | 208.9 (112.0–286.0) mg/dL | 154.9 (63.0–315.0) mg/dL | 9.4 ( 6.6–11.8) % | 8.5 (6.3–12) % | 14% (n = 1/7) | 14 % (n = 1/7) | 0% (n = 0) | 0 % |
| 12 | Geloneze | 26.1 (1.7) kg/m2 | 25.6 (1.2) kg/m2 | 183.8 mg/dL | 156.8 mg/dL | 8.9% | 7.8% | 0% (n = 0/12) | 0% (n = 0/12) | 16.7% (n = 2) | 0 % |
| 13 | Chiellini | 30.9 kg/m2 | 25.1 kg/m2 | — | — | 8.5% | 5.7% | 100% (n = 5/5) | — | — | 0 % |
| 14 | Lee | 31.7 kg/m2 | 23.2 kg/m2 | 168.7 mg/dL | 88.6 mg/dL | 7.3% | 5.6% | — | 89.5% (n = 40/44) | 4.5% (n = 2) | 0 % |
| 15 | Scopinaro | 33.4 (32.0–34.6) kg/m2 | 27.1 (22.0–31.2) kg/m2 | 252.7 (131–400) mg/dL | 121.0 (68–146) mg/dL | — | — | 100% (n = 7/7) | — | — | 0 % |
| 16 | Cohen | 29.6 (29.0–30.3) kg/m2 | 28.3 (27–29.5) kg/m2 | — | 83.0 (77–89) mg/dL | — | 5.4 (5.0–5.7) % | 100% (n = 2/2) | 100% (n = 2/2) | 0% (n = 0) | 0 % |
| 17 | Cohen | 32.5 (32.0–34.90 kg/m2 | — | 146.0 (126–242) mg/dL | 88.0 (60–94) mg/dL | — | <6.0% | 100% (n = 37/37) | 100% (n = 37/37) | 0% (n = 0) | 0 % |
| 18 | Noya | 33.2 (24.0–38.9) kg/m2 | 27.6 (20.46–32.4) kg/m2 | — | — | — | — | 90% (n = 9/10) | 90% (n = 9/10) | 20% (n = 2) | 0 % |