Document Detail


Long-term results of gastric bypass surgery in morbidly obese type 1 diabetes patients.
MedLine Citation:
PMID:  20127290     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Long-term effects of bariatric surgery in morbidly obese type 1 patients are unknown. Five to eight-year experience in the case series of type 1 diabetes subjects is presented. METHODS: Three poorly controlled type 1 diabetes patients, aged 19, 23, and 28 underwent Roux-en-Y gastric bypass surgery. RESULTS: Their maximum body weight reduction noted during the follow-up was between 27% and 31% of baseline body weight, insulin requirement decreased from 0.6-0.95 to 0.3-0.83 IU/kg, and absolute reduction in HbA(1c) was 3-4%. Significant improvement in blood pressure, plasma lipid profile, and microalbuminuria was noted. CONCLUSIONS: RYGB surgery in morbidly obese type 1 diabetes patients leads to a significant and maintained weight loss and results in remarkable improvement in blood glucose control and concomitant disorders. Bariatric surgery should be recommended to significantly obese type 1 diabetes patients as a means of reduction of vascular complications risk.
Authors:
Leszek Czupryniak; Marcin Wiszniewski; Dariusz Szymański; Maciej Pawłowski; Jerzy Loba; Janusz Strzelczyk
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-02-02
Journal Detail:
Title:  Obesity surgery     Volume:  20     ISSN:  1708-0428     ISO Abbreviation:  Obes Surg     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-15     Completed Date:  2010-07-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  506-8     Citation Subset:  IM    
Affiliation:
Diabetology and Metabolic Diseases Department, Barlicki University Hospital No 1, Kopcinskiego 22, Lodz, Poland. leszek.czupryniak@umed.lodz.pl
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MeSH Terms
Descriptor/Qualifier:
Adult
Diabetes Mellitus, Type 1 / blood,  complications,  surgery*
Female
Gastric Bypass
Humans
Male
Obesity, Morbid / blood,  complications,  surgery*
Young Adult

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