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[Efficacy evaluation of laparoscopic gastric bypass for the treatment of obese type 2 diabetes mellitus].
Lian, Dong-bo; Amin, Bu-he; Zhu, Bin; Gong, Ke; Li, Kai; Wang, Tong-sheng; Zhang, Dong-dong; Zhang, Neng-wei.
Afiliação
  • Lian DB; Surgery Centre of Diabetes Mellitus, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.
Zhonghua Wei Chang Wai Ke Za Zhi ; 15(11): 1132-5, 2012 Nov.
Article em Zh | MEDLINE | ID: mdl-23172523
ABSTRACT

OBJECTIVE:

To explore the treatment outcomes of obese type 2 diabetes mellitus (T2DM) after laparoscopic gastric bypass.

METHODS:

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.

RESULTS:

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-ß(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).

CONCLUSION:

Gastric bypass is an effective treatment for obese type 2 diabetes mellitus.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Derivação Gástrica / Laparoscopia / Diabetes Mellitus Tipo 2 / Obesidade Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: Zh Ano de publicação: 2012 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Derivação Gástrica / Laparoscopia / Diabetes Mellitus Tipo 2 / Obesidade Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: Zh Ano de publicação: 2012 Tipo de documento: Article