Microvascular Outcomes in Patients With Diabetes After Bariatric Surgery
Authors: David Arterburn
Journal: Annals of Internal Medicine (2019)

Letters2 April 2019Microvascular Outcomes in Patients With Diabetes After Bariatric SurgeryDavid Arterburn, MD, MPHDavid Arterburn, MD, MPHKaiser Permanente Washington Health Research Institute, Seattle, Washington (D.A.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Carlsson and colleagues are correct that the SOS study did examine retinopathy independent of other microvascular outcomes. We reviewed and referenced their 2014 article but not their article published in 2017. We also agree that whether diabetes duration is a potential effect modifier is an important question. The analysis that Dr. Carlsson and colleagues performed in their 2017 article, which stratified analyses of microvascular outcomes by baseline glycemic status, evaluates a similar question. Overall, we agree that their results suggest that patients with earlier-stage diabetes may benefit more from bariatric surgery than those with later-stage disease. This ...References1. Arterburn DE, Bogart A, Sherwood NE, Sidney S, Coleman KJ, Haneuse S, et al. A multisite study of long-term remission and relapse of type 2 diabetes mellitus following gastric bypass. Obes Surg. 2013;23:93-102. [PMID: 23161525] doi:10.1007/s11695-012-0802-1 CrossrefMedlineGoogle Scholar2. O'Connor ME, Kirwan CJ, Pearse RM, Prowle JR. Incidence and associations of acute kidney injury after major abdominal surgery. Intensive Care Med. 2016;42:521-30. [PMID: 26602784] doi:10.1007/s00134-015-4157-7 CrossrefMedlineGoogle Scholar3. Gameiro J, Fonseca JA, Neves M, Jorge S, Lopes JA. Acute kidney injury in major abdominal surgery: incidence, risk factors, pathogenesis and outcomes. Ann Intensive Care. 2018;8:22. [PMID: 29427134] doi:10.1186/s13613-018-0369-7 CrossrefMedlineGoogle Scholar4. Thakar CV, Kharat V, Blanck S, Leonard AC. Acute kidney injury after gastric bypass surgery. Clin J Am Soc Nephrol. 2007;2:426-30. [PMID: 17699447] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Kaiser Permanente Washington Health Research Institute, Seattle, Washington (D.A.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-2383. 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 Lena Carlsson , Björn Carlsson , and Markku Peltonen Microvascular Outcomes in Patients With Diabetes After Bariatric Surgery Yeongkeun Kwon and Sungsoo Park Metrics Cited byHigh-throughput mediation analysis of human proteome and metabolome identifies mediators of post-bariatric surgical diabetes controlASMBS position statement on the rationale for performance of upper gastrointestinal endoscopy before and after metabolic and bariatric surgery 2 April 2019Volume 170, Issue 7Page: 507-508KeywordsAbdominal surgeryAcute renal failureBariatric surgeryDisclosureForecastingMedical risk factorsRetinopathySurgery ePublished: 2 April 2019 Issue Published: 2 April 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...