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Changes of Body Composition in Patients with BMI 23–50 After Tailored One Anastomosis Gastric Bypass (BAGUA): Influence of Diabetes and Metabolic Syndrome

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Abstract

Background

The use of bariatric surgery to treat diabetes mellitus (DM) requires procedures developed for morbid obese in patients with normal and over-weight. Therefore, we started tailoring one anastomosis gastric bypass (BAGUA) adapted to each patient. This study analyzes changes in body composition (BC) of patients with BMI 23–50 after BAGUA as well as influence of DM and MS.

Methods

We studied 79 (37 diabetic and 42 non-diabetic) patients (BMI 23–50) who completed all evaluation appointment (preoperative, 10 days, 1, 3, 6, and 12 months) after tailored BAGUA for obesity, diabetes, or diabesity. Patients were classified according to BMI (23–29, 30–34, 35–50) and bearing or not diabetes. Variables are components of BC as well as DM and MS.

Results

Preoperatively, mean values of weight varied 37 kg (78–115 kg), muscle mass (MM) 8 kg (54–62 kg), while fat mass (FM) 30 kg (22–53 kg). Basal metabolism (BM) was higher in diabetic. After surgery, percentage (%) of excess weight loss (%EWL) ranged from 76 % (BMI 35–50) to 128 % (BMI 23–29), FM 56 % (BMI 23–29) to 65 % (BMI 35–50), without differences bearing DM. MM 12 % (non-diabetics BMI 30–34) to 17 % (diabetics BMI 35–50) and visceral fat (VF) 50 % (diabetics BMI 30–34) to 56 % (non-diabetics BMI 35–50).

Conclusions

After tailored BAGUA, MM maintains steady while FM is highly reduced and variable. BM is reduced in all groups. Diabetics lose less weight and VF but more MM than non-diabetic patients. Preoperative presence of MS influences the changes in BC.

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Abbreviations

BAGUA:

Bypass Gástrico Una Anastomosis (one anastomosis gastric bypass in Spanish)

DM:

Diabetes mellitus

BC:

Body composition

MS:

Metabolic syndrome

BMI:

Body mass index

MM:

Muscle mass

FM:

Fat mass

BM:

Basal metabolism

VF:

Visceral fat

FFM:

Fat-free mass

T2DM:

Type 2 diabetes mellitus

TBW:

Total water

Mini GB:

Mini gastric bypass

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Acknowledgments

We acknowledge every author who collaborates in the paper.

Grant information

Each author gave grants.

Conflict of Interest

M. Garciacaballero: no conflict of interest.

A. Reyes-Ortiz: no conflict of interest.

M. García: no conflict of interest.

J.A. Toval: no conflict of interest.

J. M. Martínez-Moreno: no conflict of interest.

A. García: no conflict of interest.

A. Mínguez: no conflict of interest.

D. Osorio: no conflict of interest.

J.M. Mata: no conflict of interest.

F. Miralles: no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Surgery, Medical Faculty, University of Malaga, 29080, Malaga, Spain

    M. Garciacaballero, A. Reyes-Ortiz, M. García, J. M. Martínez-Moreno, J. A. Toval, A. García, A. Mínguez, D. Osorio & J. M. Mata

  2. Autonomous University of the State of México (UAEMex), Toluca, Mexico

    A. Reyes-Ortiz

  3. U.M.F. 229, Del. 16. Mexican Social Security Institute (IMSS), State of Mexico, Mexico

    A. Reyes-Ortiz

  4. Department of Internal Medicine, Associate University Hospital Parque San Antonio, 29016, Malaga, Spain

    F. Miralles

Authors
  1. M. Garciacaballero
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  2. A. Reyes-Ortiz
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  3. M. García
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  4. J. M. Martínez-Moreno
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  5. J. A. Toval
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  6. A. García
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  7. A. Mínguez
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  8. D. Osorio
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  9. J. M. Mata
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  10. F. Miralles
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Corresponding author

Correspondence to M. Garciacaballero.

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Garciacaballero, M., Reyes-Ortiz, A., García, M. et al. Changes of Body Composition in Patients with BMI 23–50 After Tailored One Anastomosis Gastric Bypass (BAGUA): Influence of Diabetes and Metabolic Syndrome. OBES SURG 24, 2040–2047 (2014). https://doi.org/10.1007/s11695-014-1288-9

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  • DOI: https://doi.org/10.1007/s11695-014-1288-9

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