Clinical effect comparison of the type 2 diabetes mellitus with different BMI after the laparoscopic gastric bypass
10.11659/jjssx.12E014046
- VernacularTitle:不同体重指数的2型糖尿病腹腔镜胃旁路术后临床疗效对比研究
- Author:
Dandan SONG
;
Youqing TANG
;
Di JIN
;
Fei LI
;
Yuxin ZHANG
;
Liangping WU
;
Xiaojiang DAI
;
Hongbing ZHANG
;
Huixin KANG
;
Wenbing XI
- Publication Type:Journal Article
- Keywords:
BMI;
laparoscopic gastric bypass;
type 2 diabetes mellitus;
laparoscope
- From:Journal of Regional Anatomy and Operative Surgery
2015;(2):150-153
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore impact of BMI on the clinical efficacy of treatment of type 2 diabetes mellitus after the laparoscopic gastric bypass. Methods Twenty patients were randomly selected from type 2 diabetes mellitus patients with BMI of 25 ~28 kg/m2 after laparoscopic gastric bypass surgery in our hospital from 2010 to 2013,20 patients from type 2 diabetes mellitus patients with BMI of 28~35 kg/m2 and 20 patients from type 2 diabetes mellitus patients with BMI≥35 kg/m2 . Accordingly,the total of 60 patients were divided into low BMI group,middle BMI group and high BMI group. The difference of the rate of blood glucose control and other indicators between three groups were compared and analyzed. Results The rate of blood glucose control in low BMI group was 75%,middle BMI group was 85%, and high BMI group was 90%. There was no statistical difference of the rate of blood glucose control between three groups at 12 months after laparoscopic gastric bypass surgery. The blood glucose and weight obviously improved in all patients,and fasting insulin and postprandial ser-um insulin decreased at 12 months after laparoscopic gastric bypass surgery. Conclusion All the patient of type 2 diabetes mellitus with dif-ferent BMI in three group can acquire satisfying clinical therapeutic effect after the laparoscopic gastric bypass.
