Larporoscopic Roux-en-Y gastric bypass by different anastomoses for the treatment of type 2 diabetes mellitus
10.3760/cma.j.issn.1007-631X.2012.09.007
- VernacularTitle:不同吻合方式对腹腔镜胃肠旁路术治疗2型糖尿病的疗效
- Author:
Dongbo LIAN
;
Bin ZHU
;
Ke GONG
;
Buhe AMIN
;
Kai LI
;
Tongsheng WANG
;
Dongdong ZHANG
;
Nengwei ZHANG
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus,type 2;
Laparoscopes;
Anastomosis,Roux-en-Y
- From:
Chinese Journal of General Surgery
2012;27(9):713-716
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate treatment of type 2 diabetes mellitus (T2DM) by laparoscopic Roux-en-Y gastric bypass (LRYGB) using different amastomoses. MethodsTwenty one T2DM patients were divided into two groups:transoral EEA (OrVil) and Endo-GIA according to ways of gastrointestinal anatomosis andunderwentLRYGB. Clinicaldataincluding outcomeof operation, complications,preoperative and postoperative oral glucose tolerance test (OGTT),Homa-IR,Homa-β,blood lipid and nutrition status were analyzed.ResultsLRYGB procedures were successfully performed in all the 21 patients with no conversion to open surgery.The difference of intraoperative blood loss,postoperative recovery time between two groups was not significant.The mean operation time in OrVil group ( 126 ± 29 )mins was shorter than that in Endo-GIA group ( 156 ± 28 ) mins ( P ＜ 0.05 ),but at the same time,the mean expenditure was higher. Evaluated on three months after operation,the T2DM cure rate was 78％,and effective rate was 100％ in OrVil goup and those were 83％,100％ respectively in Endo-GIA group.No postoperative malnutrition, anemia or severe complication occurred.ConclusionsThe efficiency of laparoscopic Roux-en-Y gastric bypass using different amastomoses was same in the treatment of type 2 diabetes mellitus.The operation time was shorter in OrVil group but the expenditure was higher.
