Correlation between Postoperative Weight Loss and Diabetes Mellitus Remission: A Meta-Analysis

被引:16
作者
Yan, Yon-xin [2 ]
Wang, Guo-feng [1 ]
Xu, Ning [1 ]
Wang, Feng-li [2 ]
机构
[1] Xuzhou Med Coll, Affiliated Hosp, Dept Endocrinol Med, Lianyungang Peoples Hosp 1, Lianyungang 222000, Peoples R China
[2] Xuzhou Med Coll, Affiliated Hosp, Dept Gastrointestinal Surg, Lianyungang Peoples Hosp 1, Lianyungang 222000, Peoples R China
关键词
Diabetes; Bariatric surgery; Metabolic surgery; Remission; Meta-analysis; Y GASTRIC BYPASS; BARIATRIC SURGERY; SLEEVE GASTRECTOMY; TYPE-2;
D O I
10.1007/s11695-014-1285-z
中图分类号
R61 [外科手术学];
学科分类号
摘要
This meta-analysis was conducted to determine the effect of percent excess weight loss (%EWL) after bariatric surgery on diabetes remission. The Cochrane Library, PubMed, MEDLINE, Embase, and CINAHL were searched. All reports on %EWL involving humans and published in English between 1 January 1992 and 1 September 2013 were included in the analysis. Eight studies involving 1,247 patients who underwent bariatric surgery were selected. %EWL was positively associated with remission rate (WMD = 11.15, 95 % CI: 6.73-15.56, p < 0.01) in the Caucasian population. Patients with extensive weight loss were more likely to achieve T2DM remission after bariatric surgery. Further randomized controlled trials (RCTs) with uniform remission criterion should be performed to provide more reliable evidence.
引用
收藏
页码:1862 / 1869
页数:8
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