Efficacy evaluation of laparoscopic gastric bypass for the treatment of obese type 2 diabetes mellitus / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
;
(12): 1132-1135, 2012.
Artigo
em Chinês
| WPRIM
| ID: wpr-312334
ABSTRACT
<p><b>OBJECTIVE</b>To explore the treatment outcomes of obese type 2 diabetes mellitus (T2DM) after laparoscopic gastric bypass.</p><p><b>METHODS</b>The clinical data of 18 patients with obese T2DM who underwent laparoscopic Roux-en-Y gastric bypass in Beijing Shijitan Hospital between March 2009 and February 2011 were retrospectively analyzed. The clinical parameters included preoperative and postoperative blood glucose, blood lipid, nutrition status and weight lose.</p><p><b>RESULTS</b>Eighteen patients included 8 men and 10 women. The range of age was 27-62 years (mean, 42.4±10.7 years). The range of BMI was 28.7-57.4 kg/m(2)(mean, 34.9±6.9 kg/m(2)). All the patients underwent laparoscopic Roux-en-Y gastric bypass, and no mortality, complication or conversion to open operation occurred. At 3 months after operation, there were significant changes in OGTT, BMI, HbA1c, Homa-IR and Homa-β(all P<0.05). Fourteen patients(77.8%) showed clinical complete remission, and the overall effective rate was 100%(18/18). The level of blood lipid decreased significantly (P<0.05), and the change of nutritional status was not statistically significant(P>0.05).</p><p><b>CONCLUSION</b>Gastric bypass is an effective treatment for obese type 2 diabetes mellitus.</p>
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DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Derivação Gástrica
/
Estudos Retrospectivos
/
Resultado do Tratamento
/
Laparoscopia
/
Diabetes Mellitus Tipo 2
/
Métodos
/
Obesidade
Tipo de estudo:
Estudo observacional
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Gastrointestinal Surgery
Ano de publicação:
2012
Tipo de documento:
Artigo
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