Microinvasive bariatric operations relieve type 2 diabetes
10.3760/cma.j.issn.1007-631X.2011.06.010
- VernacularTitle:微创减重手术治疗2型糖尿病
- Author:
Yong WANG
;
Yong ZHOU
;
Yuan LIU
;
Zhong TIAN
;
Donghua GENG
;
Fang CHAI
;
Jingang LIU
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus,type 2;
Digestive system surgical procedures;
Obesity,morbid;
Blood glucose
- From:
Chinese Journal of General Surgery
2011;26(6):478-480
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of three laparoscopic bariatric operations on relieving type 2 diabetes in morbid obese patients. Methods From 2005 to 2009, 15 morbid obese patients with type 2 diabetes received bariatric operations in Shengjing Hospital including lapband operation (7 cases) , sleeve gastrectomy (7 cases) and gastric bypass(4 cases). All patients were followed up for more than 1 year. Results All patients recovered without major complications. Body weight decreased and BMI was respectively (27. 6 ± 2. 0) kg/m2, ( 26. 9 ± 1. 4) kg/m2 and (27. 5 ± 3. 0) kg/m21 year after operation. The excess BMI loss in three groups were (76. 4% ± 6. 8% ) , (83. 7% ± 4. 6% ), (85. 7% ±9. 5% ) 1 year after operation. On the other side, the fasting glucose levels and glycohemoglobin in gastric bypass group were much lower than that in other two groups. Conclusion All these operations were effective in controling the weights and fasting glucose levels, while the gastric bypass method is better than other two methods in weight and serum glucose control. Sleeve gastrectomy was better in weight and glucose control than lap band operation.
