Microvascular Outcomes in Patients With Diabetes After Bariatric Surgery
Authors: Yeongkeun Kwon, Sungsoo Park
Journal: Annals of Internal Medicine (2019)

Letters2 April 2019Microvascular Outcomes in Patients With Diabetes After Bariatric SurgeryYeongkeun Kwon, MD, PhD and Sungsoo Park, MD, PhDYeongkeun Kwon, MD, PhDKorea University College of Medicine, Seoul, Korea (Y.K., S.P.)Search for more papers by this author and Sungsoo Park, MD, PhDKorea University College of Medicine, Seoul, Korea (Y.K., S.P.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:O'Brien and colleagues (1) reported that bariatric surgery reduces the risk for microvascular disease in patients with types 2 diabetes. Their findings will help health care professionals and patients who are considering bariatric surgery make decisions on the basis of more accurate information. However, the cubic spline plot in Figure 2 of their article shows that, unlike other microvascular diseases, the risk for diabetic nephropathy in the surgery group increased immediately after bariatric surgery compared with that in the control group. However, the authors did not adequately discuss this finding.Our research team is currently performing a ...References1. O'Brien R, Johnson E, Haneuse S, Coleman KJ, O'Connor PJ, Fisher DP, et al. Microvascular outcomes in patients with diabetes after bariatric surgery versus usual care. A matched cohort study. Ann Intern Med. 2018;169:300-10. [PMID: 30083761]. doi:10.7326/M17-2383 LinkGoogle Scholar2. Fenske WK, Dubb S, Bueter M, Seyfried F, Patel K, Tam FW, et al. Effect of bariatric surgery-induced weight loss on renal and systemic inflammation and blood pressure: a 12-month prospective study. Surg Obes Relat Dis. 2013;9:559-68. [PMID: 22608055] doi:10.1016/j.soard.2012.03.009 CrossrefMedlineGoogle Scholar3. Mohan S, Tan J, Gorantla S, Ahmed L, Park CM. Early improvement in albuminuria in non-diabetic patients after Roux-en-Y bariatric surgery. Obes Surg. 2012;22:375-80. [PMID: 21590347] doi:10.1007/s11695-011-0437-7 CrossrefMedlineGoogle Scholar4. Tsuboi N, Okabayashi Y, Shimizu A, Yokoo T. The renal pathology of obesity. Kidney Int Rep. 2017;2:251-60. [PMID: 29142961] doi:10.1016/j.ekir.2017.01.007 CrossrefMedlineGoogle Scholar5. Reilly SM, Saltiel AR. Adapting to obesity with adipose tissue inflammation. Nat Rev Endocrinol. 2017;13:633-43. [PMID: 28799554] doi:10.1038/nrendo.2017.90 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Korea University College of Medicine, Seoul, Korea (Y.K., S.P.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L19-0014. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoMicrovascular Outcomes in Patients With Diabetes After Bariatric Surgery Versus Usual Care Rebecca O'Brien , Eric Johnson , Sebastien Haneuse , Karen J. Coleman , Patrick J. O'Connor , David P. Fisher , Stephen Sidney , Andy Bogart , Mary Kay Theis , Jane Anau , Emily B. Schroeder , and David Arterburn Microvascular Outcomes in Patients With Diabetes After Bariatric Surgery David Arterburn Microvascular Outcomes in Patients With Diabetes After Bariatric Surgery Lena Carlsson , Björn Carlsson , and Markku Peltonen Metrics 2 April 2019Volume 170, Issue 7Page: 507KeywordsBariatric surgeryDisclosureKidneysProteinsProteinuriaRisk managementSurgerySystematic reviewsType 2 diabetesWeight loss ePublished: 2 April 2019 Issue Published: 2 April 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...