Laparoscopic Roux-en-Y gastric bypass on bowel habits in patients with type 2 diabetes mellitus
10.3760/cma.j.issn.1674-6090.2015.03.005
- VernacularTitle:腹腔镜胃旁路术影响2型糖尿病患者排气排便情况的研究
- Author:
Yulong ZHOU
;
Xiaodong HAN
;
Jianzhong DI
;
Hongwei ZHANG
;
Yibao DU
;
Kun LI
;
Pin ZHANG
- Publication Type:Journal Article
- Keywords:
Laparoscopic Roux-en-Y gastric bypass;
Type 2 diabetes mellitus;
Bowel habit;
Flatus
- From:
Journal of Endocrine Surgery
2015;(3):193-195
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the impact of laparoscopic Roux-en-Y gastric bypass on bowel habits in patients with type 2 diabetes mellitus(T2DM).Methods 70 cases of T2DM undergoing laparoscopic Roux-en-Y gastric bypass were studied.Changes in bowel habits, frequency and odor of flatulence, and social life were estimated at least 6 months after surgery using a self-administered questionnaire.Results 67.1%of the patients had normal bowel habit, 68.6%of patients maintained normal flatus before undergoing surgery, and visual ana-logue scale reveals bowel and flatus habit would cause little trouble on daily life.47.1% of patients maintained their normal bowel habit, and 45.7%of patients had loose stools and diarrhea after surgery.The number of pa-tients with loose stools significantly increased(28/70, 40% after surgery vs 5/70, 7.1% before surgery), with statistical difference( P<0.001) .42.9%patients believed that eating high-fat diet was related with loose stools (P<0.001).Patients with constipation decreased significantly after surgery(5/70, 7.1% vs the preoperative 16/70, 22.9%), with statistical difference(P=0.016).Visual analogue scale showed that 57.1% of patients thought their daily life and social activities were not affected(P=0.05).50%of patients considered an increase flatus, and 55.7%had malodorous flatus, which had statistical significance compared with those before surgery ( P<0.001) .A visual analogue scale showed that 60%of patients thought that this change would not affect their daily life and social activities( P=0.212) .Conclusions After laparoscopic Roux-en-Y gastric bypass surgery, some patients had loose stod, diarrhea, increased flatus and and offensive odor, but after proper treatment these changes do not affect their daily life and social activities.
