PMID- 21365507
OWN - NLM
STAT- MEDLINE
DCOM- 20121108
LR  - 20110302
IS  - 1671-0274 (Print)
IS  - 1671-0274 (Linking)
VI  - 14
IP  - 2
DP  - 2011 Feb
TI  - [Outcomes after laparoscopic surgery for 219 patients with obesity].
PG  - 128-31
AB  - OBJECTIVE: To evaluate the outcomes after laparoscopic gastrointestinal surgery 
      for patients with obesity and type 2 diabetes mellitus(T2DM). METHODS: From June 
      2003 to June 2010, 219 patients underwent laparoscopic gastrointestinal surgery 
      for obesity and T2DM, including laparoscopic adjustable gastric banding(LAGB, 
      n=201), laparoscopic mini gastric bypass(LMGB, n=13), and laparoscopic sleeve 
      gastrectomy(LSG, n=5). Clinical data were analyzed retrospectively. RESULTS: The 
      mean body mass index(BMI) of patients who received LAGB was 37.9 kg/m(2), and 
      decreased to 32.4 kg/m(2) at 6 months and to 29.7 kg/m(2) at 12 months. In 43 
      patients who had concurrent T2DM, 11(25.6%) showed clinical partial 
      remission(CPR) and 16(37.2%) clinical complete remission (CCR). Postoperative 
      complications occurred in 26 patients(12.9%). The mean BMI of patients undergoing 
      LMGB was 34.7 kg/m(2), and decreased to 31.6 kg/m(2) at 6 months and 26.9 kg/m(2) 
      at 12 months after surgery. Ten patients had T2DM before operation, of whom 
      2(20.0%) had CPR and 7(70.0%) CCR postoperatively. Postoperative complications 
      occurred in 2 patients(15.4%). The mean BMI of patients who underwent LSG was 
      43.8 kg/m(2), and was reduced to 38.1 kg/m(2) at 6 months and 34.3 kg/m(2) at 12 
      months after operation. Three patients were diagnosed with T2DM before operation. 
      One patient (33.3%) had CPR and 1(33.3%) reached CCR after operation. There was 
      1(20.0%) patient who developed complication. No perioperative death occurred. 
      CONCLUSION: Laparoscopic gastrointestinal surgery may result in satisfactory 
      weight loss and clinical remission of T2DM with few complications.
FAU - Ding, Dan
AU  - Ding D
AD  - Department of Minimally Invasive Surgery, Changhai Hospital, The Second Military 
      Medical University, Shanghai 200433, China.
FAU - Chen, Dan-lei
AU  - Chen DL
FAU - Hu, Xu-guang
AU  - Hu XG
FAU - Ke, Chong-Wei
AU  - Ke CW
FAU - Yin, Kai
AU  - Yin K
FAU - Zheng, Cheng-zhu
AU  - Zheng CZ
LA  - chi
PT  - English Abstract
PT  - Journal Article
PL  - China
TA  - Zhonghua Wei Chang Wai Ke Za Zhi
JT  - Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery
JID - 101177990
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Diabetes Mellitus, Type 2/complications/surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Gastrectomy
MH  - Gastric Bypass
MH  - Humans
MH  - *Laparoscopy
MH  - Male
MH  - Middle Aged
MH  - Obesity/complications/*surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2011/03/03 06:00
MHDA- 2012/11/09 06:00
CRDT- 2011/03/03 06:00
PHST- 2011/03/03 06:00 [entrez]
PHST- 2011/03/03 06:00 [pubmed]
PHST- 2012/11/09 06:00 [medline]
AID - 100006182010 [pii]
PST - ppublish
SO  - Zhonghua Wei Chang Wai Ke Za Zhi. 2011 Feb;14(2):128-31.