Use of laparoscopic sleeve gastrectomy and adjustable gastric banding for suboptimally controlled diabetes in Hong Kong
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AbstractBariatric surgery has recently been considered as an option for treatment of type 2 diabetes mellitus (T2DM). We assessed the effect of laparoscopic gastric banding and laparoscopic sleeve gastrectomy in a cohort of 39 T2DM Chinese patients with body mass index (BMI) over 30 kg/m(2). Their mean body weights and BMI before surgery were 108 kg and 40 kg/m(2), respectively, and 18 patients (46%) had suboptimal diabetic control (HbA1c >7%). After a mean follow-up of 27 months, 4 of 11 insulin-dependent patients (36%) were able to stop their insulin therapy, and 18 patients (46%) achieved remission of T2DM (HbA1c <6.5% without the use of medication). Glycaemic control remained poor in only nine other patients (27%). Logistic regression analysis showed that a short history of T2DM and high BMI could predict remission of diabetes after restrictive procedures. Our results suggest that restrictive surgery can significantly improve glycaemic control in obese T2DM patients.
All Author(s) ListWong SKH, Kong APS, So WY, Tsung BYS, Yau PYP, Chan JCN, Ng EKW
Journal nameDiabetes, Obesity and Metabolism
Detailed descriptionTo ORKTS: duplicate record
Volume Number14
Issue Number4
Pages372 - 374
LanguagesEnglish-United Kingdom
Keywordsbariatric surgery; diabetes mellitus; obesity therapy; type 2 diabetes; weight loss therapy
Web of Science Subject CategoriesEndocrinology & Metabolism; ENDOCRINOLOGY & METABOLISM

Last updated on 2020-17-11 at 23:46