在2型糖尿病管理中提供减肥手术的触发因素。

Triggers to offering bariatric surgery in the management of type 2 diabetes.

作者信息

Depczynski Barbara, Poynten Ann M, Fazekas Monika

出版信息

Obes Res Clin Pract. 2014 Sep-Oct;8(5):e421-5. doi: 10.1016/j.orcp.2014.03.003.

DOI:10.1016/j.orcp.2014.03.003

Abstract

It is unclear how current guidelines suggesting bariatric surgery as a therapeutic option for management of obesity complicated by type 2 diabetes mellitus are utilised in clinical practice. Of 609 patients with T2DM assessed in this study, 147 had a BMI ≥ 35 kg/m2; and of these 147, patients where bariatric surgery had been discussed as compared to those where it had not been discussed, had a higher BMI (44.4 ± 6.8 kg/m2 versus 40.3 ± 5.2 kg/m2, p < 0.005). Diabetes related factors did not differ between the two groups.

摘要

目前尚不清楚，对于将减肥手术作为肥胖合并2型糖尿病管理的一种治疗选择的现行指南，在临床实践中是如何应用的。在本研究评估的609例2型糖尿病患者中，147例的体重指数（BMI）≥35kg/m²；在这147例患者中，与未讨论过减肥手术的患者相比，讨论过减肥手术的患者BMI更高（分别为44.4±6.8kg/m²和40.3±5.2kg/m²，p<0.005）。两组之间的糖尿病相关因素没有差异。