Intervention(s) and comparator(s) | Sex [female %] | Age [mean years SD)/range] | BMI [mean kg/m² (SD)] | Weight [mean kg (SD)] | Co‐medications / Co‐interventions [%] | Co‐morbidities [N, % or as stated] | |
Aasheim 2009 | Laparoscopic Roux‐en‐Y gastric bypass | 74 | 35 (7) | 54.8 (3.2) | 162 (24) | ‐ | N (rounded %): type 2 diabetes 6 (19), joint pain 16 (52), depression 5 (16), hypertension 8 (26), asthma 8 (26), urinary incontinence 5 (16), sleep apnoea 5 (16), GERD 5 (16), diabetes mellitus 5 (16), hypothyroidism 3 (10), gallstones 2 (7), hyperlipidaemia 0 (0), gout 1 (3) |
Laparoscopic biliopancreatic diversion with duodenal switch | 66 | 36 (5) | 55.2 (3.5) | 162 (20) | ‐ | N (rounded %): type 2 diabetes 6 (21), joint pain 13 (45), depression 12 (41), hypertension 8 (28), asthma 5 (17), urinary incontinence 7 (24), sleep apnoea 6 (21), GERD 4 (14), diabetes mellitus 3 (10), hypothyroidism 3 (10), gallstones 1 (3), hyperlipidaemia 3 (10), gout 1 (3) | |
all: | 70 | ‐ | ‐ | ‐ | ‐ | ||
Angrisani 2007 | Laparoscopic Roux‐en‐Y gastric bypass | 83 | 34.1 (8.9) | 43.8 (4.1) | 118.2 (13.2) | ‐ | N: 2 hyperlipaemia, 1 hypertension, 1 type 2 diabetes |
Laparoscopic adjustable gastric banding | 81 | 33.8 (9.1) | 43.4 (4.2) | 117.1 (12.8) | ‐ | N: 3 hypertension, 1 sleep apnoea | |
Demerdash 2013 | Laparoscopic Roux‐en‐Y gastric bypass | 89a | 39 (4.5) | 46.2 (2.56) | 142.7 (22.6) | ‐ | ‐ |
Laparoscopic adjustable gastric band | 83 | 37 (6) | 45.8 (2.7) | 138.7 (22.98) | ‐ | ‐ | |
Dixon 2008 | Laparoscopic gastric banding in addition to the conventional therapy | 50 | 46.6 (7.4) | 37.0 (2.7) | 105.6 (13.8) | n/N (%)b: Metformin: 28/29 (97); Other hypoglycaemic agents: 9/29 (31); Insulin: 1/29 (3); Antihypertensive agents: 20/29 (69); Lipid‐lowering agents: 12/29 (41) | N (%): type 2 diabetes 30 (100), hypertension 28 (93), metabolic syndrome 29 (97), coronary artery disease 0 (0) |
Conventional therapy | 57 | 47.1 (8.7) | 37.2 (2.5) | 105.9 (14.2) | n/N (%)b: Metformin: 26/26 (100); Other hypoglycaemic agents: 8/26 (31); Insulin: 0/26 (0); Antihypertensive agents: 15/26 (58); Lipid‐lowering agents: 8/26 (31) | N (%): type 2 diabetes 30 (100), hypertension 27 (90), metabolic syndrome 29 (97), coronary artery disease 1 (3) | |
Dixon 2012 | Laparoscopic adjustable gastric banding | 43 | 47.4 (8.8) | 46.3 (6.0) | 134.9 (22.1) | ‐ | N (%): obstructive sleep apnoea 30 (100), hypertension 15 (50), diabetes 10 (33), depression 12 (40), metabolic syndrome 19 (63) |
Conventional therapy | 40 | 50.0 (8.2) | 43.8 (4.9) | 126.0 (19.3) | ‐ | N (%): obstructive sleep apnoea 30 (100), hypertension 17 (57), diabetes 10 (33), depression 11 (37), metabolic syndrome 24 (80) | |
Hedberg 2012 | Biliopancreatic diversion with duodenal switch | 50 | 40.2 (9.5) | 54.5 (6.7) | ‐ | N (%): oral diabetes medication 6 (25), insulin 1 (4), any diabetes medication 7 (29) | N (%): hypertension 6 (25), hyperlipidaemia 0 (0), sleep apnoea 4 (17) |
Roux‐en‐Y gastric bypass | 43 | 37.9 (10.4) | 54.5 (5.6) | ‐ | N (%): oral diabetes medication 1 (4), insulin 0 (0), any diabetes medication 1 (4) | N (%): hypertension 7 (30), hyperlipidaemia 0 (0), sleep apnoea 3 (13) | |
all: | 47 | 39.1 (9.9) | 54.5 (6.1) | ‐ | |||
Himpens 2006 | Laparoscopic gastric banding | 83 | median 36 (20‐61) | median 37 (30‐47) | ‐ | ‐ | N (%): GERD requiring proton pump inhibitor 6 (15) |
Laparascopic isolated sleeve gastrectomy | 78 | median 40 (22‐65) | median 39 (30‐53) | ‐ | ‐ | N (%): GERD requiring proton pump inhibitor 8 (20) | |
Ikramuddin 2013 | Laparoscopic Roux‐en‐Y gastric bypass + lifestyle programme with medical management | 63 | 49 (9) | 34.9 (3.0) | 98.8 (14.0) | insulin 62, other glycaemic medicines 87, dyslipidaemia medicines 65, blood pressure medicines 68 | % inferred from inclusion criteria: type 2 diabetes 100, elevated HbA1c (> 8%) 100 |
Lifestyle programme with medical management | 57 | 49 (8) | 34.3 (3.1) | 97.9 (17.0) | insulin 43, other glycaemic medicines 95, dyslipidaemia medicines 68, blood pressure medicines 73 | % inferred from inclusion criteria: type 2 diabetes 100, elevated HbA1c (> 8%) 100 | |
all: | 34.6 (3.1) | ||||||
Karamanakos 2008 (including Kehagias 2011) | Laparoscopic Roux‐en‐Y gastric bypass | 73 | 36 (8.4) | 45.8 (3.7) | 123.1 (13.9) | ‐ | N (%): hypertension 5 (17), type 2 diabetes 5 (17), impaired glucose tolerance 5 (17), HDL < threshold 4 (13), LDL > threshold 10 (33), triglycerides > threshold 5 (17), obstructive sleep apnoea 3 (10), GERD 5 (17), degenerative arthritis 6 (20), menstrual irregularities 7 (23), ≥ 1 obesity‐related co‐morbidity 23 (77) |
Laparoscopic sleeve gastrectomy | 73 | 33.7 (9.9) | 44.9 (3.4) | 126.9 (18.0) | ‐ | N (%): hypertension 4 (13), type 2 diabetes 5 (17), impaired glucose tolerance 5 (17), HDL < threshold 3 (10), LDL > threshold 8 (27), triglycerides > threshold 3 (10), obstructive sleep apnoea 6 (20), GERD 2 (7), degenerative arthritis 5 (17), menstrual irregularities 7 (23), ≥ 1 obesity‐related co‐morbidity 20 (67) | |
all: | 73 | ‐ | ‐ | ‐ | |||
Keidar 2013 | Laparoscopic Roux‐en‐Y gastric bypass | 42c | 51.45 (8.3) | 42 (4.8) | 118.04 (16.5) | oral hypoglycaemics: 63%; insulin: 21% | Type 2 diabetes: 100% |
Laparoscopic sleeve gastrectomy | 50c | 47.7 (11.7) | 42.5 (5.2) | 117.9 (17.8) | oral hypoglycaemics: 50%; insulin: 22% | Type 2 diabetes: 100% | |
all: | 46 | ||||||
Lee 2011 | Simplified laparoscopic mini‐gastric bypass with duodenum exclusion | ‐ | ‐ | ‐ | ‐ | ‐ | %: poorly‐controlled type 2 diabetes 100 |
Laparoscopic sleeve gastrectomy without duodenum exclusion | ‐ | ‐ | ‐ | ‐ | ‐ | %: poorly‐controlled type 2 diabetes 100 | |
Liang 2013 | Usual care | 33.3 | 51.75 (6.70) | 30.34 (1.96)d | 81.31 (4.97) | %: insulin therapy in combination with (unspecified) oral agents 100 | %: type 2 diabetes 100, hypertension 100 |
Usual care + exenatide | 29.4 | 50.94 (5.89) | 30.28 (1.44) | 81.76 (3.67) | %: insulin therapy in combination with (unspecified) oral agents 100 | %: type 2 diabetes 100, hypertension 100 | |
Laparoscopic Roux‐en‐Y gastric bypass | 29 | 50.81 (5.44) | 30.48 (0.94) | 81.97 (3.53) | %: insulin therapy in combination with (unspecified) oral agents 100 | %: type 2 diabetes 100, hypertension 100 | |
all: | ‐ | ‐ | 30.3 [25.0‐34.0] | ‐ | ‐ | ||
Mingrone 2012 | Gastric bypass | 60 | 43.90 (7.57) | 44.85 (5.16) | 129.84 (22.58) | ‐ | %: type 2 diabetes 100, elevated HbA1c (≥ 7%) 100 |
Medical therapy | 50 | 43.45 (7.27) | 45.62 (6.24) | 136.40 (21.94) | ‐ | %: type 2 diabetes 100, elevated HbA1c (≥ 7%) 100 | |
all: | 53 | ‐ | ‐ | ‐ | |||
Nguyen 2009 | Laparoscopic Roux‐en‐Y gastric bypass | 77.4 | 41.4 (11.0) | 47.5 (5.5) | 133 (21) | ‐ | %: diabetes 20.7, hypertension 38.7, previous abdominal surgery 45.9 |
Laparoscopic adjustable gastric banding | 75.6 | 45.8 (9.8) | 45.5 (5.4) | 129 (21) | ‐ | %: diabetes 26.7, hypertension 51.1, previous abdominal surgery 47.7 | |
Nogues 2010 | Laparascopic Roux‐en‐Y gastric bypass | 100 | 45.86 (8.6)e | 43.1 (3.9)e | 116.7 (5.5) | N (%): metformin 2 (28.6) | N (rounded %): hypertension 5 (71), diabetes mellitus 2 (29), dyslipidaemia 5 (71), arthropathy 4 (57), GERD 0 (0), urinary incontinence 3 (43), depression 4 (57), obstructive sleep apnoea 2 (29), insulin resistance 6 (86) |
Laparoscopic sleeve gastrectomy | 100 | 49.63 (9.6) | 43.5 (3.2) | 108.9 (6.3) | N (%): metformin 2 (25.0) | N (rounded %): hypertension 7 (88), diabetes mellitus 2 (25), dyslipidaemia 5 (63), arthropathy 6 (75), GERD 1 (13), urinary incontinence 6 (75), depression 7 (88), obstructive sleep apnoea 2 (25), insulin resistance 4 (50) | |
all: | 100 | 47.8 (9.0) | 43.3 (3.4) | ‐ | |||
O'Brien 2006 | Laparoscopic adjustable gastric band | 75 | 41.8 (6.4) | 33.7 (1.8) | 96.1 (11.2) | ‐ | %: hypertension 22.5, metabolic syndrome 37.5, coronary artery disease 0 |
Intensive non‐surgical programme | 77.5 | 40.7 (7.0) | 33.5 (1.4) | 93.6 (11.9) | ‐ | %: hypertension 17.5, metabolic syndrome 37.5, coronary artery disease 0 | |
Paluszkiewicz 2012 | Roux‐en‐Y gastric bypass | 64 | 43.9 (10.8) | 48.6 (5.4) | 137.7 (17.7) | ‐ | N (rounded %): hypertension 30 (83), type 2 diabetes 14 (39), dyslipidaemia 31 (86) |
Laparoscopic sleeve gastrectomy | 72 | 44.9 (10.6) | 46.1 (5.9) | 130.7 (15.5) | ‐ | N (rounded %): hypertension 25 (69), type 2 diabetes 10 (28), dyslipidaemia 31 (86) | |
all: | 68 | ‐ | ‐ | ‐ | |||
Peterli 2012 | Laparoscopic Roux‐en‐Y gastric bypass | 72 | 42.1 (11.2) | 44.2 (5.3) | 124.8 (19.8) | ‐ | %: hypertension 59, type 2 diabetes 26, dyslipidaemia 51, obstructive sleep apnoea 42, GERD 46, back/joint arthralgia 68, depression 11 |
Laparoscopic sleeve gastrectomy | 72 | 43.0 (11.1) | 43.6 (5.3) | 123.5 (19.4) | ‐ | %: hypertension 63, type 2 diabetes 24, dyslipidaemia 67, obstructive sleep apnoea 48, GERD 44, back/joint arthralgia 61, depression 20 | |
all: | 72 | 43.0 (5.3) | 44 (11.1) | ‐ | |||
Praveen Raj 2012 | Laparoscopic duodenojejunal bypass with sleeve gastrectomy | 64 | 39.5 | 48.28 (3.80) | ‐ | ‐ | N (%): type 2 diabetes 20 (71), hypertension 10 (36) |
Laparoscopic Roux‐en‐Y gastric bypass | 55 | 43.5 | 49.29 (3.63) | ‐ | ‐ | N (%): type 2 diabetes 16 (55), hypertension 12 (41) | |
all: | 60 | ‐ | ‐ | ‐ | |||
Schauer 2012 | Laparoscopic Roux‐en‐Y gastric bypass | 58 | 48.3 (8.4) | 37.0 (3.3) | 106.7 (14.8) | N (%): insulin 22 (44) | N (%): type 2 diabetes 50 (100), elevated HbA1c (> 7%) 50 (100), metabolic syndrome 45 (90), dyslipidaemia history 44 (88), hypertension history 35 (70) |
Laparoscopic sleeve gastrectomy | 78 | 47.9 (8.0) | 36.2 (3.9) | 100.8 (16.4) | N (%): insulin 22 (44) | N (%): type 2 diabetes 50 (100), elevated HbA1c (> 7%) 50 (100), metabolic syndrome 47 (94), dyslipidaemia history 40 (80), hypertension history 30 (60) | |
Intensive medical therapy | 62 | 49.7 (7.4) | 36.8 (3.0) | 106.5 (14.7) | N (%): insulin 22 (44) | N (%): type 2 diabetes 50 (100), elevated HbA1c (> 7%) 50 (100), metabolic syndrome 46 (92), dyslipidaemia history 36 (84), hypertension history 26 (60) | |
Sharma 2013 | Laparoscopic gastric imbrication | ‐ | 40.5 | 44.7 (6.1) | ‐ | ‐ | ‐ |
Laparoscopic sleeve gastrectomy | ‐ | 39.9 | 44.0 (7.8) | ‐ | ‐ | ‐ | |
Vix 2013 | Laparoscopic Roux‐en‐Y gastric bypass | 87 | 35.23 (9.37) | 47.09 (5.64) | 129.58 (21.17) | ‐ | %: type 2 diabetes 8.9, hypertension 37.8, sleep apnoea syndrome 20.0, vitamin D deficiency 85.7, hypercholesterolaemia 26.7, abnormal LDL 11.1, abnormal HDL 6.7, abnormal triglycerides 17.8, hyperparathyroidism 24.0 |
Laparoscopic sleeve gastrectomy | 78 | 35.13 (9.7) | 45.57 (4.79) | 128.68 (18.27) | ‐ | %: type 2 diabetes 7.3, hypertension 21.8, sleep apnoea syndrome 9.1, vitamin D deficiency 84.6, hypercholesterolaemia 27.3, abnormal LDL 9.1, abnormal HDL 5.5, abnormal triglycerides 27.3, hyperparathyroidism 28.13 | |
"‐" denotes not reported aUnclear whether data are based on 16 or 18 participants in this group ‐ the data extracted here assume 18 (16 females and 2 males) bN = number completing study cBaseline characteristics of per protocol population only presented dThis was reported as 30.34 in table 1 and 30.94 in table 2 eData here are from the Nogues paper ‐ those from the associated Ramon paper are slightly different GERD: gastroesophageal reflux disease; HbA1c: glycosylated haemoglobin A1c: HDL: high density lipoprotein; LDL: low density lipoprotein |