Abstract
BACKGROUND:Laparoscopic sleeve gastrectomy LSG is known to be a highly effective treatment for morbid obesityand many related conditions including type 2 diabetes mellitus (T2DM) and the metabolic syndrome.OBJECTIVE:To assess the effectiveness of (LSG) on glucose homeostasis in morbidly obese diabetic patients andit shows early experience of metabolic surgery.METHODS:Prospective clinical case series study conducted in Al-Jumhoori Teaching Hospital and involved 20patients (17 females and 3 males); their age (22-54 average 37 years) underwent LSG and the levelof glucose evaluated at different times by measuring fasting blood glucose level, glycosylatedhemoglobin (HbA1C).RESULTS:The initial body weight 70-142(110Kg); BMI 31.8-53.9 (45.16Kg/m2); two patients with diabetesmellitus and BMI less than 35Kg/m2 involved.The mean level of fasting blood glucose assessed and found to be (202,165,130,107,96 mg/dl) inpreoperative ,one-day postoperative,10 days, three and six-months interval; while the level ofHbA1C were( 10.2,9,7.2,6.1) in the preoperative ,10 days,3 and 6 months interval respectively.CONCLUSION:LSG is an effective procedure to decrease weight for morbid obesity and it resolve T2DM in 90%while improvement of T2DM occurred in 10 % so LSG is an effective procedure to treat T2DMand the level of glucose declined significantly started from early postoperative and continued till 6months.
Recommended Citation
Al-Sharbaty, Muthanna A.; Zidan, Yasser F; Al-Saffar, Samir I.; and Mohammed, Israa I.
(2016)
"Early Experience of Metabolic Surgery,"
Iraqi Postgraduate Medical Journal: Vol. 15:
Iss.
2, Article 33.
Available at:
https://www.ipmj.org/journal/vol15/iss2/33