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Use of laparoscopic sleeve gastrectomy and adjustable gastric banding for suboptimally controlled diabetes in Hong Kong
Author(s) -
Wong S. K. H.,
Kong A. P. S.,
So W. Y.,
Tsung B. Y. S.,
Yau P. Y. P.,
Chan J. C. N.,
Ng E. K. W.
Publication year - 2012
Publication title -
diabetes, obesity and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.445
H-Index - 128
eISSN - 1463-1326
pISSN - 1462-8902
DOI - 10.1111/j.1463-1326.2011.01528.x
Subject(s) - medicine , body mass index , sleeve gastrectomy , type 2 diabetes mellitus , diabetes mellitus , logistic regression , laparoscopic adjustable gastric banding , cohort , surgery , gastrectomy , gastric banding , type 2 diabetes , obesity , weight loss , gastric bypass , endocrinology , cancer
Bariatric 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.