| Medium-term outcomes of patients with insulin-dependent diabetes after laparoscopic adjustable gastric banding. | |
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MedLine Citation:
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PMID: 21955740 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Bariatric surgery is effective in the control of type 2 diabetes mellitus. Laparoscopic adjustable gastric banding is a popular form of bariatric surgery, but very limited data are available on its long-term effect on type 2 diabetes mellitus. The present study examined the effect of gastric banding on a consecutive cohort of unselected patients with insulin-dependent diabetes mellitus at a teaching hospital in Birmingham, United Kingdom. METHODS: From April 2003 to December 2008, 200 patients with diabetes underwent laparoscopic adjustable gastric banding at our unit. All those with insulin-dependent diabetes and ≥1 year of follow-up were included in the present analysis. Data collection included the body mass index, weight, blood pressure, glycosylated hemoglobin, fasting glucose, total cholesterol, triglycerides, and medication dose preoperatively and 1, 2, and 3 years postoperatively. RESULTS: Preoperatively, 69 patients were taking insulin, with a mean daily preoperative dose of 132.3 U (range 15-500). At 1 year, 27 of these patients had discontinued using insulin (34.8%). At 2 years, 34 patients had discontinued using insulin (54.8% of the patients taking insulin preoperatively and who had also completed 2 yr of follow-up). At 3 years, 40 patients had discontinued using insulin (80% of patients who were taking insulin preoperatively and who had also completed 3 yr of follow-up). These changes were accompanied by an improvement in glycosylated hemoglobin, fasting glucose, total serum cholesterol, triglycerides, and mean arterial pressures. CONCLUSION: Laparoscopic gastric banding can be considered a powerful treatment option in the management of obese patients with insulin-dependent diabetes and becomes increasingly effective with time ≤3 years after surgery. |
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Authors:
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Rishi Singhal; Missba Ahmed; Avril Krempic; Mark Kitchen; Paul Super |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-8-6 |
Journal Detail:
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Title: Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery Volume: - ISSN: 1878-7533 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-9-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101233161 Medline TA: Surg Obes Relat Dis Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Upper Gastrointestinal Unit and Minimally Invasive Unit, Heart of England National Health Service Foundation Trust, Birmingham, United Kingdom. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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