Efficacy of laparoscopic sleeve gastrectomy on type 2 diabetes with BMI less than 35: a retrospective study
Journal Title: Journal of Diabetes and Obesity - Year 2015, Vol 2, Issue 1
Abstract
Objective: To evaluate the effectiveness of Laparoscopic Sleeve Gastrectomy (LSG) for resolving type 2 diabetes in obese patients even with BMI<35 kg/m2. Methods: A retrospective study was conducted on 90 type 2 diabetic patients with BMI>30 kg/m2 who underwent LSG at Sunrise Hospital, Kochi, India, from September 2009 to February 2014. In this study, we compared preoperative parameters such as BMI, HbA1c and diabetic medications with postoperative parameters during periodic reviews. Results: Complete resolution of type 2 diabetes found in 86.6%, 91.1%, and 88.4% in patients with obese class I, II & III respectively. The complete resolution of diabetes (F=0.421, P=0.658) and drop in HbA1c (F=0.172, P=0.842) among the BMI groups were statistically not significant, i.e. class I obese patients were equally benefited compared to class II and class III obese patients. Co-morbidities also resolved to a good extent; sleep apnea 100%, fatty liver 89.47%, dyslipidemia 88.57%, polycystic ovarian disease 83.33% and hypertension 82.22%. Minor complications were reported in 3.84%, whereas no complications in 96.16% of the patients. Conclusion: Laparoscopic sleeve gastrectomy was found to be an effective intervention for obese type 2 diabetic patients, even when BMI is 30-34.9 kg/m2.
Authors and Affiliations
PadmaKumar RamaKrishna Pillai
Keywords
Related Articles
- EP ID EP417817
- DOI 10.15436/2376-0494.15.019
- Views 120
- Downloads 0
Possibility of Diabetes Prevention by High-amylose Rice and Super Hard Rice
Diabetes is one of the most devastating diseases in the world Its prevention is very important in addition to the development of the curing technology We started the cooperative research on low Glycemic Index GI rice...
Prophylactic Effect of Dietary Supplementation of Fish Oil Extracted from Sardinella Longiceps on Renal Dysfunction in Alloxan Induced Diabetic Mice (Mus Musculus)
emsp emsp Diabetes mellitus is a multifactorial metabolic disorder caused due to deficiency of pancreatic hormone insulin which results in failure to metabolize sugar or due to adequacy of another pancreatic hormone...
A Calorie is Still a Calorie, According to Rigorous New Evidence
Chronic degenerative “diseases of civilization” are the top challenges of all health systems globally. Among them, obesity is the most pernicious because it a) has survived several meritorious lifestyle initiatives undet...
Efficacious Approach to Integrating Health and Wellness Coaching into the Clinical Care for Weight Management: A Systematic Review and Proposal
Objectives: Current clinical obesity management is insufficient in helping patients initiate and sustain weight loss, requiring innovative and efficacious interventions. We investigated health and wellness coaching in cl...
Clinical Outcomes in Patients with Diabetes Mellitus Using a Medically Supervised Commercial Weight Reduction Program Compared to Standard Care in an Endocrine Specialty Clinic
Aims: To evaluate metabolic and anthropometric changes achieved and maintained by diabetic patients (pts) in a structured weight loss (WL) program vs usual care in an endocrine clinic (UCG). Materials and Methods: This r...