Kirkil Cuneyt, Aydin Ilayda, Yur Mesut, Ag Onur, Bozcan Muhammed Yusuf
School of Medicine, Department of General Surgery, University of Firat, 23119, Elazig, Turkey.
Faculty of Health Sciences, Department of Nutrition and Dietetics, Ataturk University, 25240, Erzurum, Turkey.
Obes Surg. 2024 Jan;34(1):133-140. doi: 10.1007/s11695-023-06950-3. Epub 2023 Nov 20.
ABCD score is one of the scoring systems that predicts the probability of T2DM remission after bariatric surgery. Its success in determining T2DM remission after sleeve gastrectomy with transit bipartition (TB) has not yet been validated. The aim of this study was to evaluate the predictive value of ABCD score in TB.
Of 438 patients with T2DM, 191 underwent sleeve gastrectomy (SG), 136 underwent one anastomosis gastric bypass (OAGB), and 111 underwent TB. Retrospective analysis of ABCD scores, 1-year postoperative remission rates, and the predictive accuracy of ABCD scores for these were conducted.
In the SG, OAGB, and TB groups, respectively, median ABCD scores were 7, 6, and 4, while complete remission rates were 95.3%, 84.6%, and 76.6% (p < 0.001). The area under curves (AUCs) for SG, OAGB, and TB were 0.829 (95% CI = 0.768 to 0.879, p < 0.0001), 0.801 (95% CI = 0.724 to 0.865, p < 0.0001), and 0.840 (95% CI = 0.758 to 0.902, p < 0.0001), respectively. There was no statistically significant difference between AUCs.
ABCD score predicts the probability of remission at 1-year follow-up in T2DM patients undergoing TB as accurately as in patients receiving SG or OAGB.
ABCD评分是预测减重手术后2型糖尿病（T2DM）缓解概率的评分系统之一。其在经胃转流二分法（TB）的袖状胃切除术后确定T2DM缓解方面的成效尚未得到验证。本研究的目的是评估ABCD评分在TB中的预测价值。
在438例T2DM患者中，191例行袖状胃切除术（SG），136例行单吻合口胃旁路术（OAGB），111例行TB。对ABCD评分、术后1年缓解率以及ABCD评分对这些指标的预测准确性进行回顾性分析。
在SG组、OAGB组和TB组中，ABCD评分中位数分别为7、6和4，而完全缓解率分别为95.3%、84.6%和76.6%（p＜0.001）。SG组、OAGB组和TB组的曲线下面积（AUC）分别为0.829（95%CI = 0.768至0.879，p＜0.0001）、0.801（95%CI = 0.724至0.865，p＜0.0001）和0.840（95%CI = 0.758至0.902，p＜0.0001）。AUC之间无统计学显著差异。
ABCD评分在预测接受TB的T2DM患者1年随访时的缓解概率方面，与接受SG或OAGB的患者一样准确。
