Laparoscopic Roux-en-Y gastric bypass in the treatment of obese diabetes:an analysis of 20 cases
10.3969/j.issn.1005-6483.2024.07.017
- VernacularTitle:腹腔镜Roux-en-Y胃旁路术治疗肥胖糖尿病20例疗效分析
- Author:
Aikebaier·Aili
1
;
Jianyu CUI
;
Pierdiwasi·Maimaitiyusupu
;
Maimaitiaili·Maimaitiming
;
Yibitihaer·Maimaitiaili
;
Huiling LI
;
Xiuli DENG
;
Yusujiang·Tusuntuoheti
;
Xin LI
;
Kelimu·Abudureyimu
Author Information
1. 830001 乌鲁木齐,新疆维吾尔自治区人民医院微创、疝和腹壁外科;新疆胃食管反流病与减重代谢外科临床医学研究中心;新疆维吾尔自治区普外微创研究所
- Keywords:
laparoscopic Roux-en-Y gastric bypass;
obesity;
type 2 diabetes mellitus;
bariatric surgery;
laparoscopic sleeve gastrectomy
- From:
Journal of Clinical Surgery
2024;32(7):733-735
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of laparoscopic Roux-en-Y gastric bypass surgery(LRYGB)in the treatment of obese diabetes.Methods The clinical data of 20 obese diabetic patients who received LRYGB from 2012 to 2018 in the Minimally Invasive and Herniac Abdominal Surgery Center of Xinjiang People's Hospital were retrospectively analyzed.Result The all 20 surgeries were successfully completed,and 1 case was converted to open surgery.The surgical time ranged from 60 to 420 minutes,with an average of(150±105.64)minutes,the intraoperative blood loss ranged from 20 to 100,with an average of(37.5±20.99)ml,and the postoperative hospital stay ranged from 5 to 15,with an average of(8.25±2.51)days.Complications occurred in 7 cases(35.00％)within 5 years after surgery,all of which were Clavien Dindo grade Ⅱ.The body weight,BMI,glycosylated blood glucose,fasting blood glucose,and the percentage of total weight loss(TWL％)at 1,3,and 5 postoperatively improved compared with those before surgery(P＜0.05).15 cases(75.00％)of type 2 diabetes were completely relieved by LRYGB 5 years after operation.Conclusion Laparoscopic gastric bypass surgery is an effective way to reduce weight and blood sugar in obese patients with type 2 diabetes.
