Document Detail


Laparoscopic adjustable gastric banding and laparoscopic sleeve gastrectomy: which has a place in the treatment of diabetes in morbidly obese patients?
MedLine Citation:
PMID:  20152738     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) are two bariatric procedures approved for the management of morbidly obese patients. According to a meta-analysis of all obese patients who underwent bariatric procedures, 11% also had type 2 diabetes mellitus (T2DM) before surgery, and improvement or resolution of this co-morbidity was highlighted in many of the studies. However, the mechanism(s) of action underlying such an effect with the various types of bariatric procedure remain unclear. Also, in terms of weight loss, the most efficient operations are those that come with a high rate of morbidity. This means that the choice of procedure is best done after a multidisciplinary team discussion with the patient in an effort to predict the beneficial effects and risks of each possible procedure. However, for years now, the bariatric team at Montpellier Hospital has preferred either LSG or LGBP as the treatment of choice for morbidly obese patients with T2DM, given the higher rates of failure with LAGB over time compared with the excellent results achieved by both LSG and LGBP in many studies.
Authors:
D Nocca
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Diabetes & metabolism     Volume:  35     ISSN:  1878-1780     ISO Abbreviation:  Diabetes Metab.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-02-15     Completed Date:  2010-04-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9607599     Medline TA:  Diabetes Metab     Country:  France    
Other Details:
Languages:  eng     Pagination:  524-7     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Elsevier Masson SAS. All rights reserved.
Affiliation:
CHRU Montpellier, 80, Avenue Augustin Fliche 34295 Montpellier Cedex 5, France. david.nocca@sfr.fr
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MeSH Terms
Descriptor/Qualifier:
Diabetes Mellitus, Type 2 / complications,  surgery*
Gastrectomy / methods*
Humans
Laparoscopy*
Obesity, Morbid / complications,  surgery*
Treatment Outcome
Weight Loss

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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