Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
A Comparative Study of the Effect of Two Procedures of Classic Roux-En-Y and Omega Bariatric Surgery on the Control and Management of Diabetes Publisher



Shahraki MS1 ; Mahmoudieh M1 ; Keleidari B1 ; Melali H1 ; Algazali A1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Advanced Biomedical Research Published:2022


Abstract

Background: Patient management after bariatric surgery is important in controlling patients' diabetes and recurrence prevention. This study aimed to meet the medical managements of patients with diabetes 6 months after the bariatric surgery. Materials and Methods: This cross-sectional study was performed on 77 type 2 diabetes patients' candidates for bariatric surgery (Roux-en-Y [RYGP] and Omega). Postoperative implementation protocol was one-third of insulin for patients taking long-term insulin and the discontinuation of medications for patients of oral antidiabetic agents. Blood glucose (BG) level was checked regularly by the patients at home and the necessary medical management was applied. The weight, BG and HbA1C levels, and use of oral antidiabetic agents and insulin were assessed and recorded before 1, 3, and 6 months after the surgery. Results: BG levels and HbA1C percentage in the 1 st, 3 rd, and 6 th months after the intervention in Omega group were significantly lower than RYGB group (P value < 0.05). At 1 and 3 months after surgery, the mean insulin dose received by the Omega and RYGB groups was reduced to <30 units/day and 10 units/day, respectively, following the management protocol in this study. Moreover, 23.1% and 7.7% of patients in RYGB group and 12.1% and 3% of patients in Omega group took oral antidiabetic agents 1and 3 months after surgery, respectively. Insulin and oral antidiabetic agents were completely discontinued 6 months after the surgery. Conclusion: The long-term management and support of the patients by the implementation of a standard protocol after surgery are of great significance in obtaining the optimal outcome after bariatric surgery. © 2022 Advanced Biomedical Research | Published by Wolters Kluwer-Medknow.
Related Docs
View other Related Docs
1. Impact of Probiotics on Gastrointestinal Function and Metabolic Status After Roux-En-Y Gastric Bypass: A Double-Blind, Randomized Trial, Obesity Surgery (2024)
2. Efficacy and Safety of Oral Insulin Compared to Subcutaneous Insulin: A Systematic Review and Meta-Analysis, Journal of Endocrinological Investigation (2016)
3. The Trend of Atherogenic Indices in Patients With Type 2 Diabetes After Bariatric Surgery: A National Cohort Study, Surgery for Obesity and Related Diseases (2025)
4. Does Bromocriptine Improve Glycemic Control of Obese Type-2 Diabetics?, Hormone Research (2004)
5. The Effect of Home Care on Metabolic Profile and Blood Pressure in Type 2 Diabetic Patients Who Underwent General Surgeries, International Journal of Preventive Medicine (2023)
6. Comparison of the Bile Reflux Frequency in One Anastomosis Gastric Bypass and Roux-En-Y Gastric Bypass: A Cohort Study, Obesity Surgery (2019)
7. One Anastomosis/Mini-Gastric Bypass (Oagb/Mgb) As Revisional Surgery Following Primary Restrictive Bariatric Procedures: A Systematic Review and Meta-Analysis, Obesity Surgery (2021)
8. Benefits of Metformin Combined With Insulin in Children With Type 1 Diabetes Mellitus, Shiraz E Medical Journal (2011)
Experts (# of related papers)
View all Related Experts
Mohsen Mahmoudieh (11)
Behrooz Keleidari (9)
Other Related Docs
9. Areas of Non-Consensus Around One Anastomosis/Mini Gastric Bypass (Oagb/Mgb): A Narrative Review, Obesity Surgery (2021)
10. The Effects of Berberis Integerrima Fruit Extract on Glycemic Control Parameters in Patients With Type 2 Diabetes Mellitus: A Randomized Controlled Clinical Trial, Evidence-based Complementary and Alternative Medicine (2021)
11. Effect of Bariatric Surgery on the Circulating Level of Adiponectin, Chemerin, Plasminogen Activator Inhibitor-1, Leptin, Resistin, and Visfatin: A Systematic Review and Meta-Analysis, Hormone and Metabolic Research (2020)
12. The Effect of Omega-3 on the Serum Visfatin Concentration in Patients With Type Ii Diabetes, Journal of Research in Medical Sciences (2011)
13. The Safety and Efficacy of Biphasic Insulin Aspart 30 (Biasp 30) in Iranians With Type 2 Diabetes: An Open-Label, Non-Randomised, Multi-Centre Observational Study - the Iran Subgroup of the Improve™ Study, Endokrynologia Polska (2010)
14. Comparison of Blood Electrolytes and Glucose During Cardiopulmonary Bypass in Diabetic and Non-Diabetic Patients, Journal of Research in Medical Sciences (2013)
15. Short-Term Outcomes of Bariatric Surgery in Patients With Obesity, Journal of Isfahan Medical School (2018)
16. The Effect of Home Care on Readmission and Mortality Rate in Patients With Diabetes Who Underwent General Surgeries, Journal of Education and Health Promotion (2021)
17. Comparison of Body Mass Index With Abdominal Obesity Indicators and Waist-To-Stature Ratio for Prediction of Type 2 Diabetes: The Isfahan Diabetes Prevention Study, Obesity Research and Clinical Practice (2010)
18. Single-Anastomosis Sleeve Jejunal: A Mid-Term Follow-Up Report of a New Surgical Technique, Obesity Surgery (2023)
19. Clinical Trial of the Effects of Coenzyme Q10 Supplementation on Glycemic Control and Markers of Lipid Profiles in Diabetic Hemodialysis Patients, International Urology and Nephrology (2018)
20. What About My Weight? Insufficient Weight Loss or Weight Regain After Bariatric Metabolic Surgery, International Journal of Endocrinology and Metabolism (2023)
21. Comparison of the Effects of Special Care Enhanced Recovery and Conventional Recovery Methods After Mini Omega Gastric Bypass, Advanced Biomedical Research (2023)
22. The Effect of Salsalate on Biochemical Factors and Endothelial Dysfunction of Prediabetic Patients: A Randomized Clinical Trial, Journal of Research in Medical Sciences (2014)
23. Incidence of Type 2 Diabetes by Hba1c and Ogtt: The Isfahan Diabetes Prevention Study, Acta Diabetologica (2012)
24. Predicting of Trend of Hemoglobin A1c in Type 2 Diabetes: A Longitudinal Linear Mixed Model, International Journal of Preventive Medicine (2014)
25. The Effect of Laparoscopic Sleeve Gastrectomy on Serum Levels of Vitamin A, D and B12 and Iron Profile on Patients With Morbid Obesity, Advanced Biomedical Research (2023)
26. Effects of Probiotic Supplementation in Patients With Type 2 Diabetes: Systematic Review and Meta-Analysis, Nutrition Reviews (2016)
27. The Two Different Biliopancreatic Limb Lengths for Roux-En-Y Gastric Bypass, Obesity Medicine (2019)
28. Gastroileostomy for Controlling Body Weight and Lipid Profile: An Experimental Rat Model, Obesity Medicine (2019)
29. The Effect of Phytochemicals in Prediabetic Patients: A Systematic Review of Randomized Controlled Trials, Phytotherapy Research (2023)
30. Long Term Effects of Oral Vitamin E Supplement in Type Ii Diabetic Patients, International Journal for Vitamin and Nutrition Research (2005)
31. Comparing the Quality of Life in Insulin Recipient and Refusal Patients With Type 2 Diabetes, Iranian Journal of Nursing and Midwifery Research (2016)
32. 30-Day Morbidity and Mortality of Sleeve Gastrectomy, Roux-En-Y Gastric Bypass and One Anastomosis Gastric Bypass: A Propensity Score-Matched Analysis of the Geneva Data, International Journal of Obesity (2022)
33. Weight Change, Blood Pressure, Lipids and Glycemic Control Among Patients With Type 2 Diabetes, Annals of Nutrition and Metabolism (2011)
34. Prevalence of Uncontrolled Diabetes and Its Predictors in Patients With Type 2 Diabetes Covered by Comprehensive Health Care Centers of Isfahan, Iranian Journal of Endocrinology and Metabolism (2022)
35. Salsalate Efficacy in Blood Glucose Level Reduction in Diabetes, Journal of Isfahan Medical School (2009)
36. The Association of Demographic Characteristics With the Rate of Weight Loss and Changes in Nutritional Factors (Albumin, Vitamin D3, Ferritin) One Year After One Anastomosis Gastric Bypass, Advanced Biomedical Research (2023)
37. Predictors of Switching to Insulin From Non-Insulin Therapy in Patients With Type 2 Diabetes Mellitus, Diabetes Research and Clinical Practice (2011)
38. Effect of Pharmacist-Led Patient Education on Glycemic Control of Type 2 Diabetics: A Randomized Controlled Trial, Journal of Research in Medical Sciences (2010)
39. Effectiveness of Educational Intervention Based on Psychological Factors on Achieving Health Outcomes in Patients With Type 2 Diabetes, Diabetology and Metabolic Syndrome (2018)
40. Effects of Paleolithic Diet on Glucose Control in Adults: A Systematic Review and Meta-Analysis of Controlled Clinical Trials, Journal of Nutrition and Food Security (2019)
41. Dapagliflozin: An Effective Adjunctive Treatment in Type 1 Diabetes, Cardiovascular Endocrinology and Metabolism (2021)
42. Sugar-Sweetened Beverages Consumption Is Associated With Abdominal Obesity Risk in Diabetic Patients, Diabetes and Metabolic Syndrome: Clinical Research and Reviews (2017)
43. Evaluation of the Effects of Dietary Energy Density on Anthropometric and Glycemic Indices and Lipid Profile in Women With Type 2 Diabetes Mellitus, Journal of Isfahan Medical School (2012)
44. Moderate Replacement of Carbohydrates by Dietary Fats Affects Features of Metabolic Syndrome: A Randomized Crossover Clinical Trial, Nutrition (2014)
45. Effect of Sodium–Glucose Cotransporter 2 Inhibitors on Insulin Resistance; a Systematic Review and Meta-Analysis, Acta Diabetologica (2023)
46. The Effect of Hydroalcoholic Saffron (Crocus Sativus L.) Extract on Fasting Plasma Glucose, Hba1c, Lipid Profile, Liver, and Renal Function Tests in Patients With Type 2 Diabetes Mellitus: A Randomized Double-Blind Clinical Trial, Phytotherapy Research (2019)
47. Effect of Pharmacist-Led Patient Education on Glycemic Control of Type 2 Diabetics: A Randomized Controlled Trial, Journal of Research in Medical Sciences (2011)
48. The Effects of Formal Nutrition Education on Anthropometric Indices, Lipid Profile, and Glycemic Control of Patients With Type 2 Diabetes: A Systematic Review and Meta-Analysis, International Journal of Diabetes in Developing Countries (2022)
49. Comparative Effectiveness of Roux-En-Y Gastric Bypass Vs. One Anastomosis Gastric Bypass on Kidney Function, Obesity Surgery (2021)
50. Bile Reflux After One Anastomosis Gastric Bypass Surgery: A Review Study, Annals of Medicine and Surgery (2021)