Laparoscopic Sleeve Gastrectomy with Duodenojejunal Bypass for the Treatment of Type 2 Diabetes in Non-obese Patients: Technique and Preliminary Results
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Salvador Antonio Navarrete & Jose Luis Leyba & Salvador Navarrete Llopis
- چاپ و سال / کشور: 2011
Description
Background Medical treatment of type 2 diabetes has often insufficient clinical results at long term. Although the surgical option is a well-established alternative for obese patients, the procedures in non-obese are currently being developed. Methods A 12-month prospective trial with ten diabetic non-obese patients who underwent laparoscopic sleeve gastrectomy with duodenojejunal bypass is presented. Changes in fasting blood glucose, HbA1c, weight, and BMI were determined. Results There was a significant reduction in fasting glycemia and HbA1c at 1 year postoperative (p<0.004). One patient had an intra-abdominal bleeding and a wound infection treated with blood transfusion and antibiotic therapy, respectively. The BMI decreased 12.1% and in any case it was reduced to less than 20 kg/m2. Conclusions Laparoscopic sleeve gastrectomy with duodenojejunal bypass is a promising procedure for the treatment of non-obese patients with type 2 diabetes. Studies with large number of patients and longer follow-up are necessary to make definitive conclusions.
OBES SURG (2011) 21:663–667 DOI 10.1007/s11695-011-0371-8 Published online: 19 February 2011
