Therapeutic effects of laparoscopic Roux-en-Y gastric bypass on T2DM patients with different BMI
10.3760/cma.j.issn.1674-6090.2018.03.005
- VernacularTitle:腹腔镜Roux-en-Y胃旁路术对不同体重指数2型糖尿病疗效分析
- Author:
Gang ZHENG
1
;
Jinfeng ZHANG
;
Pei ZHENG
Author Information
1. 450006 郑州,河南省郑州市第二人民医院(暨南大学附属郑州医院)普外一科,暨南大学附属第一医院国际减重中心郑州分中心
- Keywords:
Laparoscopy;
Roux-en-Y gastric bypass;
Type 2 diabetes mellitus;
Body mass index
- From:
Chinese Journal of Endocrine Surgery
2018;12(3):193-197
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of laparoscopic Roux-en-Y gastric bypass on type 2 diabetes mellitus(T2DM) with different body mass index (BMI).Methods 62 T2DM patients were collected and divided into low BMI,medium BMI,and high BMI groups respectively according to BMI 25-28(kg/m2),28-33(kg/m2),≥33(kg/m2).All patients received laparoscopic Roux-en-Y gastric bypass and the clinical curative effects were monitored and analyzed subsequently.Results At 12 months postoperatively,the levels of total cholesterol(TC),triglyceride(TG) and BMI in medium and high BMI group were lower compared with those before surgery (P＜0.05).In low,medium BMI,and high BMI groups,the therapeutic effective rate was 81.8％(9/11),97.4％ (38/39),and 100％(12/12) respectively.The levels of fasting C-peptide and postprandial 1 h C-peptide were higher compared with those before surgery (P＜0.05).Conclusion Laparoscopic Roux-en-Y gastric bypass has good clinical curative effect for T2DM with different BMI,but for low BMI patients,the selection should be more cautious.
