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Table 1 Table of included studies, detailing title, author’s name, publication year, country of origin, methodology and design, duration of activity, quality assessment, patient population in each arm of the comparison, and baseline differences between populations

From: Hypoglycemia rates and glycemic hormonal response after laparoscopic Roux-en-Y gastric bypass versus sleeve gastrectomy: a meta-analysis of comparative studies

Title

Author

Type

Design

Population

Duration

Quality

Baseline

Frequency of hypoglycemia after different bariatric surgical procedures

Brix et al. (2019) (Austria)

Single center without patient matching

OGTT, Q, MMTT no DM2 pts included

Nexp = 175 Nctrl = 62 (Total: 237)

729 days (1/1/2017–31/12/2018)

NOS: 5 ROBINS-I: Serious

RYGB: higher BMI

Incidence of hypoglycemia after gastric bypass vs. sleeve gastrectomy: A randomized trial

Capristo et al. (2018) (Italy)

Single center with patient matching

CGM, OGTT, MMTT, Q no DM2 pts included

Nexp = 59 Nctrl = 58 (Total: 117)

760 days (1/12/2012–31/12/2014)

NOS: 9 ROBINS-I: Low

No baseline differences

Symptomatic and asymptomatic hypoglycemia after three different bariatric procedures: A common and severe complication

Lazar et al. (2019) (Israel)

Single center without patient matching

MMTT, Q, CGM no DM2 pts included

Nexp = 16 Nctrl = 15 (Total: 31)

364 days (1/8/2017–31/7/2018)

NOS: 5 ROBINS-I: Serious

RYGB: pts with more education years

Prevalence of and risk factors for hypoglycemic symptoms after gastric bypass and sleeve gastrectomy

Lee et al. (2015) (USA)

Single center without patient matching

Q DM2 pts included

Nexp = 355 Nctrl = 95 (Total: 450)

1491 days (1/8/2008–31/8/2012)

NOS: 4 ROBINS-I: Critical

RYGB: 78.9% of pts

Comparison of hormonal response to a mixed-meal challenge in hypoglycemia after sleeve gastrectomy vs. gastric bypass

Lee et al. (2022) (USA)

Single center without patient matching

MMTT no DM2 pts included

Nexp = 20 Nctrl = 23 (Total: 43)

2190 days (1/1/2009–31/12/2014)

NOS: 6 ROBINS-I: Serious

RYGB: older pts, less time since surgery

Continuous glucose monitoring in subjects undergoing bariatric surgery: Diurnal and nocturnal glycemic patterns

Lupoli et al. (2020) (Italy)

Single center without patient matching

CGM DM2 pts included

Nexp = 22 Nctrl = 29 (Total: 51)

364 days (1/1/2019–31/12/2019)

NOS: 5 ROBINS-I: Serious

No baseline differences

Risk factors for spontaneously self-reported postprandial hypoglycemia after bariatric surgery

Nannipieri et al. (2016) (Italy)

Single center without patient matching

OGTT, Q no DM2 pts included

Nexp = 34 Nctrl = 51 (Total: 85)

729 days (1/1/2013–31/12/2014)

NOS: 6 ROBINS-I: Moderate

LSG: older pts, more obese pts

Glycemic variability and hypoglycemia before and after Roux-en-Y gastric bypass and sleeve gastrectomy: A cohort study of females without diabetes

Nilsen et al. (2023) (Sweden)

Single center without patient matching

CGM, Q no DM2 pts included

Nexp = 28 Nctrl = 19 (Total: 47)

364 days (1/1/2022–31/12/2022)

NOS: 6 ROBINS-I: Moderate

Female pts RYGB: higher BMI

Clinical features of symptomatic hypoglycemia observed after bariatric surgery

Nor Hanipah et al. (2018) (USA)

Single center without patient matching

OGTT, MMTT DM2 pts included

Nexp = 104 Nctrl = 13 (Total: 117)

5112 days (1/1/2002–31/12/2015)

NOS: 4 ROBINS-I: Critical

No baseline differences

Persistent post-bariatric surgery hypoglycemia: A long-term follow-up reassessment

Ostrovsky et al. (2023) (Israel)

Single center without patient matching

CGM, MMTT, Q no DM2 pts included

Nexp = 10 Nctrl = 5 (Total: 15)

333 days (1/6/2020–30/4/2021)

NOS: 5 ROBINS-I: Serious

LSG: older pts RYGB: greater weight regains

Comparison between RYGB, DS, and VSG effect on glucose homeostasis

Roslin et al. (2012) (USA)

Single center without patient matching

OGTT, HOMA-IR DM2 pts included

Nexp = 12 Nctrl = 13 (Total: 25)

365 days (1/1/2012–31/12/2012)

NOS: 6 ROBINS-I: Moderate

No baseline differences

Response to glucose tolerance testing and solid high carbohydrate challenge: Comparison between Roux-en-Y gastric bypass, vertical sleeve gastrectomy, and duodenal switch

Roslin et al. (2014) (USA)

Single center without patient matching

OGTT DM2 pts included

Nexp = 13 Nctrl = 12 (Total: 25)

364 days (1/1/2013–31/12/2013)

NOS: 6 ROBINS-I: Moderate

No baseline differences

Hypoglycemia during oral glucose tolerance test among post-bariatric surgery pregnant patients: Incidence and perinatal significance

Rottenstreich et al. (2018) (Israel)

Single center without patient matching

OGTT no DM2 pts included

Nexp = 30 Nctrl = 55 (Total: 85)

4017 days (1/1/2006–31/12/2016)

NOS: 6 ROBINS-I: Moderate

Pregnant pts No baseline differences

Effect of single anastomosis duodenal-ileal bypass with sleeve gastrectomy on glucose tolerance test: Comparison with other bariatric procedures

Sessa et al. 2019 (Sessa et al. 2019)

Single center with patient matching

OGTT no DM2 pts included

Nexp = 11 Nctrl = 7 (Total: 18)

637 days (1/6/2016–28/2/2018)

NOS: 6 ROBINS-I: Moderate

No baseline differences

Weight regain in patients with symptoms of post-bariatric surgery hypoglycemia

Varma et al. (2017) (USA)

Single center without patient matching

Q DM2 pts included

Nexp = 334 Nctrl = 94 (Total: 428)

272 days (1/8/2013–30/4/2014)

NOS: 4 ROBINS-I: Critical

RYGB: 78% of pts

Continuous glucose monitoring in bariatric patients undergoing laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass

Wysocki et al. (2019) (Poland)

Single center without patient matching

CGM DM2 pts included

Nexp = 14 Nctrl = 18 (Total: 32)

364 days (1/1/2018–31/12/2018)

NOS: 5 ROBINS-I: Serious

RYGB: more pts with DM2, higher proportion of females DM2: higher ASA score, older pts

  1. RYGB Roux-en-Y gastric bypass, LSG laparoscopic sleeve gastrectomy, NOS Newcastle–Ottawa scale, ROBINS-I risk of bias in non-randomized studies of interventions, Nexp patient population in experimental arm (RYGB), Nctrl patient population in control arm (LSG), OGTT oral glucose tolerance test, MMTT mixed-meal tolerance test, CGM continuous glucose monitoring, Q questionnaires, DM2 type 2 diabetes mellitus, ASA American Society of Anesthesiologists, BMI body mass index, pts patients