The use of different bougie diameters had no impact on the volume of resected stomach, morbidity or short-term weight loss after LSG, although a trend was seen toward better weight loss with the smaller bougie. A longer-lasting follow-up will be necessary to further assess differences.
Our evidence suggests that hospital stays after LSG beyond 24 h are unnecessary in patients with no persistent vomiting or signs of bleeding or leaks; major complications generally present either within the first 24 h or after the fifth postoperative day.
Introducción: en pacientes con obesidad y diabetes mellitus tipo 2 es difícil alcanzar las metas de peso y control metabólico con cambios del estilo de vida y farmacoterapia, que a veces se logran con la cirugía bariátrica (CB).Objetivos: evaluar los efectos metabólicos de la CB en una población de pacientes con diabetes y obesidad.Materiales y métodos: 56 pacientes con diabetes fueron estudiados pre y postCB; se recabaron datos personales, medidas antropométricas y presión arterial (PA). Se calculó el índice de masa corporal (IMC). Se midieron hemograma, hepatograma, lípidos, glucemia, HbA1c y función renal. Análisis estadístico: se realizó Test de Student o Test de Mann-Whitney y/o Test de Wilcoxon. Se calculó el coeficiente de correlación de Spearman. Valores expresados en media ± desvío estándar. p significativa p˂0,05.
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