Revisional large gastric pouch with Roux-en-Y gastric bypass for patients with type 2 diabetes and a body mass index less than 35 kg/m

Xiang Gao, Liyong Zhu, Weizheng Li, Shaihong Zhu, Pengzhou Li

Abstract read

In one paragraph

Article in Surgery today, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

0.2field-weighted citation impact, top 47% of its field

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1 citing paper in PubMed, 1 citations in OpenAlex.

Diabetes remission in newly diagnosed type 2 diabetes mellitus through short-term continuous subcutaneous insulin infusion intensive therapy combined with low-carbohydrate diet treatment.Journal of diabetes investigation · 2025
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5 · Who and what money

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5 authors at 1 institution in 1 country.

Xiang GaoDepartment of General Surgery, Third Xiangya Hospital, Central South University, Changsha, 410013, China.

Liyong ZhuDepartment of General Surgery, Third Xiangya Hospital, Central South University, Changsha, 410013, China.

Weizheng LiDepartment of General Surgery, Third Xiangya Hospital, Central South University, Changsha, 410013, China.

Shaihong ZhuDepartment of General Surgery, Third Xiangya Hospital, Central South University, Changsha, 410013, China.

Pengzhou LiDepartment of General Surgery, Third Xiangya Hospital, Central South University, Changsha, 410013, China. 602223@csu.edu.cn.ORCID http://orcid.org/0000-0003-0271-1765

Central South University · CN

Funding

The New Xiangya Talent Project of the Third Xiangya Hospital of Central South University JY201708

6 · The paper itself

Abstract

purposeTo evaluate the long-term efficacy of large gastric pouch surgery and revisional surgery in patients with a body mass index (BMI) < 35 kg/m

methodsWe conducted a retrospective review of patients who underwent laparoscopic Roux-en-Y gastrojejunostomy with a large gastric pouch in our hospital. The clinical pre- and post-surgery data, including BMI, waist circumference, fasting plasma glucose (FPG), glycated hemoglobin (HbA1c), lipid metabolism-related indicators, homoeostatic model assessment of insulin resistance (HOMA-IR), and major complications, were recorded and analyzed.

resultsTwenty-four patients were included in the analysis, 12 of whom underwent revisional surgery. At their 5-year-follow-up after the primary surgery, the BMI and waist circumference of the patients with T2DM were lower than their baseline values. The BMI, HbA1c, HOMA-IR, FPG and waist circumference also decreased after the revisional surgery. The rates of remission of diabetes after the primary vs. after the revisional surgery were 4.17% vs. 41.70%, respectively (P < 0.05).

conclusionRoux-en-Y gastrojejunostomy with a large gastric pouch is not effective in the long term and, therefore, is unsuitable for Chinese patients with T2DM and a BMI < 35 kg/m

Indexed as

Body Mass IndexAdultDiabetes Mellitus, Type 2FemaleGastric BypassHumansLaparoscopyMaleMiddle AgedObesity, MorbidReoperationRetrospective StudiesTreatment OutcomeWaist CircumferenceBMIRevisional surgeryRoux-en-Y gastric bypassType 2 diabetes

Identifiers

PMID34109448

DOI10.1007/s00595-021-02317-2

OpenAlexW3172405685

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.