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Medicina interna de México

versión impresa ISSN 0186-4866

Resumen

ESCALANTE-GARCIA, Maricela et al. Remission of metabolic syndrome with bariatric surgery. Med. interna Méx. [online]. 2018, vol.34, n.5, pp.678-682. ISSN 0186-4866.  http://dx.doi.org/10.24245/mim.v34i5.2026.

OBJECTIVE

To determine the relief of comorbidities in patients undergoing bariatric surgery of metabolic syndrome in the Regional Hospital of High Specialty of the Yucatan Peninsula, Mexico.

MATERIAL AND METHOD

A retrospective observational study was done from 2011 to 2014 in patients with a body mass index (BMI) ≥ 40 kg/m2 or ≥ 35 kg/m2 with comorbidities undergoing bariatric surgery. The diagnostic criteria of the metabolic syndrome were those of the International Diabetes Federation applied to the Mexican population.

RESULTS

A total of 67 patients undergoing bariatric surgery (laparoscopic Roux-en-Y gastric bypass) were included in the study; 79% were women, the age range was 19-55 years with an average of 36.5 ± 8.2 years. The average weight before surgery was 119.4 ± 20 kg. The average percentage of postoperative weight loss was 19.8%, 27.9% and 34.3% at 3, 6 and 12 months, respectively. The mean weight, BMI, systolic and dyastolic blood pressure, total cholesterol, LDL, HDL and glucose decreased significantly (p < 0.001) one year after surgery. The percentages of remission were: metabolic syndrome, diabetes mellitus and low HDL-cholesterol: 100%, arterial hypertension: 94.1%, hypertriglyceridemia: 60.9%.

CONCLUSION

At twelve months, the remissions of metabolic syndrome, diabetes mellitus and low HDL were 100%, being greater than 60% in the other components of the metabolic syndrome.

Palabras llave : Bariatric surgery; Metabolic syndrome; Obesity, Morbid.

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