ASMBS: bariatric surgery helps resolve diabetic nephropathy

ASMBS: bariatric surgery helps resolve diabetic nephropathy
For patients with diabetes who undergo bariatric surgery there is a significant long-term improvement in diabetic nephropathy, according to a study presented at the annual meeting of the American Society for Metabolic & Bariatric Surgery, held from June 17 to 22 in San Diego.

(HealthDay) -- For patients with diabetes who undergo bariatric surgery there is a significant long-term improvement in diabetic nephropathy, according to a study presented at the annual meeting of the American Society for Metabolic & Bariatric Surgery, held from June 17 to 22 in San Diego.

To examine whether bariatric surgery would have positive effects on end-organ complications in , Helen M. Heneghan, M.D., from the Cleveland Clinic Bariatric and Metabolic Institute, and colleagues followed 52 patients for five years; the patients had diabetes and had undergone bariatric surgery. The presence of before and after surgery was assessed using the urinary albumin-creatinine ratio.

The researchers found that diabetic nephropathy was present in 35 percent of patients preoperatively. At a mean follow-up of 66 months it had resolved in 55 percent of these patients. Of those with no evidence of diabetic nephropathy before surgery, only 25 percent subsequently developed albuminuria five years later. The five-year remission rate was 22 percent and the five-year improvement rate was 55 percent in this patient sample, with mean reductions of 32.0 mg/dL and 1.2 percent in fasting glucose and glycated hemoglobin, respectively.

"When we started this study, we thought bariatric surgery may just halt the progression of diabetic nephropathy; instead, over half of the patients who had diabetic nephropathy prior to undergoing bariatric surgery experienced remission," Heneghan said in a statement. "This is a remarkable finding that warrants greater consideration of bariatric in this patient population."

More information: Abstract No. PL-116
More Information

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Fluorescent dyes 'light up' brain cancer cells

Jan 30, 2015

Two new fluorescent dyes attracted to cancer cells may help neurosurgeons more accurately localize and completely resect brain tumors, suggests a study in the February issue of Neurosurgery, official journal of the Congre ...

'Vast majority' of neurosurgeons practice defensive medicine

Jan 30, 2015

More than three-fourths US neurosurgeons practice some form of defensive medicine—performing additional tests and procedures out of fear of malpractice lawsuits, reports a special article in the February issue of Neurosurgery, offici ...

Facelift surgery after massive weight loss poses challenges

Jan 29, 2015

Patients undergoing bariatric surgery for severe obesity are often left with excess, sagging skin affecting all areas of the body—including the face. The unique challenges of facelift surgery in this group of patients—and ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.