7 de dezembro de 2012

Artigo recomendado: Surgery Reverses Diabetic Nephropathy in Almost 60% of Patients


Researchers, Expecting a Halt in Progression After Bariatric Surgery, Instead See Remission

Christina Frangou
Gereral Surgery News - ISSUE: NOVEMBER 2012 | VOLUME: 39:11

San Diego—Bariatric surgery induces a significant and lasting improvement in diabetic nephropathy, with nearly 60% of patients with this condition achieving remission five years after surgery, according to a study presented at the 2012 annual meeting of the American Society for Metabolic and Bariatric Surgery.

The investigators say that the finding demonstrates a previously unknown microvascular effect of bariatric surgery.

“When we started this study, we thought bariatric surgery may just halt the progression of diabetic nephropathy. Instead, over half the patients who had diabetic nephropathy prior to undergoing bariatric surgery experienced remission,” said lead author Helen M. Heneghan, MD, a bariatric surgery fellow at Cleveland Clinic Bariatric and Metabolic Institute, in Ohio.

Dr. Heneghan said the finding warrants greater consideration of bariatric surgery in patients with diabetic kidney disease. However, she said, more studies with larger numbers of patients are still needed to confirm the results.

Dr. Heneghan and her colleagues examined the five-year outcomes of 52 diabetic patients who underwent bariatric surgery at the Cleveland Clinic. Of these patients, 75% were women. They had a mean age of 51.2 years (±10.1 years) and a preoperative body mass index of 49 kg/m2 (±8.7 kg/m2).

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