Effect of laparoscopic sleeve gatrectomy on type 2 diabetes mellitus in obese patients with body mass index less than 40 kg/m 2

• Published in: Zhonghua wei chang wai ke za zhi Vol. 20; no. 4; p. 400
• Main Authors: Guo, Yulin, Xu, Xiao, Wu, Anjian, Du, Jin, Dong, Guanglong
• Format: Journal Article
• Language: Chinese
• Published: China 25.04.2017
• Subjects: Adult; Bariatric Surgery - methods; Blood Glucose - physiology; Body Mass Index; Diabetes Mellitus, Type 2 - surgery; Female; Gastrectomy; Glycated Hemoglobin A - physiology; Humans; Laparoscopy; Male; Middle Aged; Obesity - surgery; Postoperative Complications; Remission Induction - methods; Retrospective Studies; Treatment Outcome; Weight Loss
• ISSN: 1671-0274

To evaluate the effect of laparoscopic sleeve gastrectomy(LSG) on type 2 diabetes mellitus (T2DM) in patient with a body mass index(BMI) less than 40 kg/m . Twenty four obese patients with T2DM and BMI less than 40 kg/m received LSG between 1 January 2011 and 1 September 2013 at the Department of General Surgery in Chinese PLA General Hospital. The clinical data and 3-year follow-up outcomes regarding weight loss and remission of diabetes were retrospectively analyzed. There were 10 males and 14 females with a median age of 40.8(35 to 48) years. The preoperative body weight and BMI was(99.9±15.0) kg and (34.4±2.8) kg/m , respectively. The median duration of type 2 diabetes was 4.3(2 to 15) years. The preoperative fasting blood glucose and glycosylated hemoglobin(HbAlc) was (11.4±1.3) mmol/L and (8.7±0.8)%, respectively. All these patients were preoperatively diagnosed as T2DM by the multidisciplinary experts of the surgical treatment team for obesity and diabetes in our center. All these patients were eligibl