<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0378-6420</journal-id>
<journal-title><![CDATA[Revista Venezolana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[RevVenezCir]]></abbrev-journal-title>
<issn>0378-6420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Venezolana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0378-64202024000100017</article-id>
<article-id pub-id-type="doi">10.48104/rvc.2024.77.1.9</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[EVALUACIÓN DE LA DIABETES MELLITUS TIPO 2 EN PACIENTES SOMETIDOS A BYPASS GÁSTRICO LAPAROSCÓPICO EN Y DE ROUX. ESTUDIO RETROSPECTIVO, DESCRIPTIVO]]></article-title>
<article-title xml:lang="en"><![CDATA[EVALUATION OF TYPE 2 DIABETES MELLITUS IN PATIENTS UNDERGOING LAPAROSCOPIC ROUX EN Y GASTRIC BYPASS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rondón Arreaza]]></surname>
<given-names><![CDATA[Gabriel Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses Rivas]]></surname>
<given-names><![CDATA[Luis Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vassallo P]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Herrera]]></surname>
<given-names><![CDATA[Stefany Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[Sarai]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Molero]]></surname>
<given-names><![CDATA[Aquiles]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abarca Aquino]]></surname>
<given-names><![CDATA[Andy Christiand]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinoza Altahona]]></surname>
<given-names><![CDATA[Antonio José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario de Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario de Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario de Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Universitario de Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,IVSS Hospital Dr. José María Vargas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>77</volume>
<numero>1</numero>
<fpage>17</fpage>
<lpage>21</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_arttext&amp;pid=S0378-64202024000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_abstract&amp;pid=S0378-64202024000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://hml-ve.scielo.org/scielo.php?script=sci_pdf&amp;pid=S0378-64202024000100017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  Establecer la prevalencia, remisión y recurrencia, según el DiaRem, de la diabetes mellitus tipo 2, en pacientes sometidos a bypass gástrico laparoscópico en Y de Roux con seguimiento durante 3 años, en la unidad de cirugía bariátrica del Hospital Universitario de Caracas, periodo 2005-2015.  Métodos:  Estudio retrospectivo, descriptivo, longitudinal, incluyó 28 pacientes con diabetes mellitus sometidos a bypass gástrico laparoscópico en Y de Roux.  Resultados:  La prevalencia de diabetes mellitus fue 12,4 %. Las características de los pacientes en la escala DiaRem fueron: 85,7 % no utilizaba insulina, 50 % tenía entre 40-49 años, 39,3 % tenía hemoglobina glicosilada de 7 %-8,9 %, y 60,7 % no utilizaba sulfonilurea y agentes sensibilizantes a la insulina. El puntaje promedio fue 6,1 ± 4,8 (0-17). La remisión al año y tres años fue 78,6 % y 71,4 %, respectivamente. Con 0-2 puntos, la sensibilidad de DiaRem para predecir remisión a 1 y 3 años fue 22,7 % y 30,0 %. La especificidad fue 83,3 % al año y 100 % a los 3 años [OR 1,5 (0,1-15,7) y 7,6 (0,4-152,8)]. La concordancia entre la remisión teórica y real fue moderada y significativa (1 año: k = 0,533; p = 0,001; 3 años: k = 0,543; p = 0,003). La recurrencia a 5 años fue de 31,8 %.  Conclusión:  La cirugía bariátrica se asoció a remisión en más de 70 % de los pacientes, la escala DiaRem puede ser útil para predecir no remisión en los grupos con puntajes más bajos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective:  To establish the prevalence, remission and recurrence, according to the DiaRem, of type 2 diabetes mellitus in patients who underwent laparoscopic Roux-en-Y gastric bypass with follow-up for 3 years, in the bariatric surgery unit of the University Hospital of Caracas, period 2005-2015.  Methods:  A retrospective, descriptive, longitudinal study included 28 patients with diabetes mellitus who underwent laparoscopic Roux-en-Y gastric bypass.  Results:  The prevalence of diabetes mellitus was 12.4%. The characteristics of the patients on the DiaRem scale were: 85.7% did not use insulin, 50% were between 40-49 years old, 39.3% had glycosylated hemoglobin of 7%-8.9%, and 60.7% did not use sulfonylurea and insulin-sensitizing agents. The average score was 6.1 ± 4.8 (0-17). Remission at one year and three years was 78.6% and 71.4%, respectively. At 0-2 points, the sensitivity of DiaRem to predict remission at 1 and 3 years was 22.7% and 30.0%. Specificity was 83.3% at one year and 100% at 3 years [OR 1.5 (0.1-15.7) and 7.6 (0.4-152.8)]. The concordance between theoretical and actual remission was moderate and significant (1 year: k = 0.533; p = 0.001; 3 years: k = 0.543; p = 0.003). The 5-year recurrence rate was 31.8%.  Conclusion:  Bariatric surgery was associated with remission in more than 70% of patients, and the DiaRem scale may be useful in predicting non-remission in groups with lower scores.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bypass gástrico]]></kwd>
<kwd lng="es"><![CDATA[Diabetes mellitus Tipo 2]]></kwd>
<kwd lng="es"><![CDATA[Tratamiento quirúrgico de la diabetes]]></kwd>
<kwd lng="es"><![CDATA[Escala DiaRem]]></kwd>
<kwd lng="en"><![CDATA[Gastric bypass]]></kwd>
<kwd lng="en"><![CDATA[Type 2 diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[Surgical treatment of diabetes]]></kwd>
<kwd lng="en"><![CDATA[DiaRem Scale]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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