scholarly journals Laparoscopic sleeve gastrectomy for treatment of type 2 diabetes mellitus in adolescents

2022 ◽  
Vol 18 (1) ◽  
Author(s):  
Mohamed Saber Mostafa ◽  
Ahmed Abdelhaseeb Youssef ◽  
Mohamed Hisham Soliman

Abstract Background Metabolic diseases have been associated with childhood obesity no longer restricted to adults as previously known. Hypertension and diabetes mellitus (DM) have been reported in children with morbid obesity. Laparoscopic sleeve gastrectomy (LSG) has been used as a primary procedure for weight control among children and adolescents with acceptable records of effective weight loss together with evidence of improvement of associated co-morbidities. Results Thirty-two patients were diagnosed with morbid obesity and DM presented to obesity and nutrition clinic and were included in this study. Laparoscopic sleeve gastrectomy (LSG) was the chosen operation to treat their obesity and associated co-morbidities. Fasting blood sugar and HbA1c were measured before the operation and 1 year after surgery. Twenty-seven patients had significant improvement of their glycemic profile and managed to stop the hypoglycemic medication. Conclusion LSG may play an important role as a metabolic control procedure rather than a bariatric restrictive procedure only.

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Hidetaka Ichikawa ◽  
Hirofumi Imoto ◽  
Naoki Tanaka ◽  
Hiroaki Musha ◽  
Shojiro Sawada ◽  
...  

Abstract Background Bariatric surgery is effective for the treatment of patients with morbid obesity and type 2 diabetes mellitus (T2DM), for body weight loss and glycemic control. However, in Japan, there has been no previous report of the effectiveness bariatric surgery in a case of morbid obesity associated with acute onset type 1 diabetes mellitus (T1DM), in which pancreatic β-cells were destroyed and endogenous insulin was depleted. Case presentation A 36-year-old woman with morbid obesity and T1DM, diagnosed when she was 6 years, was admitted for bariatric surgery. At her first consultation, she had a body weight of 106.7 kg and a body mass index of 42.2 kg/m2. Her HbA1c level was 9.0%, with a required daily insulin dose of 75 units. She underwent laparoscopic sleeve gastrectomy. At 1 year after surgery, her body weight had decreased to 81.0 kg and her body mass index to 32.2 kg/m2. In addition, her daily required dose of insulin had decreased to 24 units, with an improvement in her HbA1c level to 7.7%. Conclusions Although further evidence needs to be accumulated, including long-term outcomes, laparoscopic sleeve gastrectomy may provide an effective treatment for patients with morbid obesity and T1DM for body weight loss, improvement in HbA1c level, and insulin dose reduction.


2019 ◽  
Vol 29 (9) ◽  
pp. 2957-2962 ◽  
Author(s):  
Michał Wysocki ◽  
Maciej Walędziak ◽  
Hady Razak Hady ◽  
Mikołaj Czerniawski ◽  
Monika Proczko-Stepaniak ◽  
...  

2014 ◽  
Vol 7 (3) ◽  
pp. 121-124
Author(s):  
Salman Al-Sabah ◽  
Sulaiman Almazeedi ◽  
Sameer Alosaimi ◽  
Ahmed Al-Mulla ◽  
Daliya AlMohammad Ali ◽  
...  

2014 ◽  
Vol 7 ◽  
pp. 121-124 ◽  
Author(s):  
Salman Al-Sabah ◽  
Sulaiman Almazeedi ◽  
Sameer Alosaimi ◽  
Ahmed Al-Mulla ◽  
Daliya AlMohammad Ali ◽  
...  

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