Laparoscopic Roux-en-Y Gastric Bypass vs. Laparoscopic Sleeve Gastrectomy for Morbid Obesity and Diabetes Mellitus: A Meta-Analysis of Sixteen Recent Studies

Author(s):  
Ping Li ◽  
Ping Fu ◽  
Jie Chen ◽  
Liu-Hua Wang ◽  
Dao-Rong Wang
Author(s):  
Tantawi Abdel Naeem Mohamed ◽  
Salah Abdel- Razik ◽  
Ayman Mohamed Hassanien ◽  
Tohamy A. Tohamy ◽  
Ashraf Abdel Azeem ◽  
...  

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.


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