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Association of gastric bypass surgery with risk of developing diabetic retinopathy among patients with obesity and type 2 diabetes in Sweden: An observational study

JAMA Ophthalmology Feb 21, 2021

Åkerblom H, Franzén S, Zhou C, et al. - Utilizing data from 2 nationwide registers in Sweden, the Scandinavian Obesity Surgery Registry and the National Diabetes Register, researchers sought to examine the incidence of diabetic ocular complications in patients with type 2 diabetes following gastric bypass surgery (GBP) compared with the incidence of diabetic ocular complications in a matched cohort of patients with obesity and diabetes who have not undergone GBP. A total of 5,321 diabetes patients from the Scandinavian Obesity Surgery Registry who had undergone GBP from January 1, 2007, to December 31, 2013, were matched with 5,321 diabetes patients from the National Diabetes Register who did not receive GBP on the basis of gender, age, BMI, and calendar time (2007-2013). According to this nationwide matched cohort study, there is a decreased risk of developing new GBP-related DR and no evidence of an increased risk of developing DR that threatens sight or needs therapy.

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