| Use of Laparoscopic Sleeve Gastrectomy and Adjustable Gastric Banding for Suboptimally Controlled Diabetes in Hong Kong. | |
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MedLine Citation:
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PMID: 22050632 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Bariatric surgery has recently been considered as an option for treatment of type 2 diabetes mellitus (T2DM). We assessed the effect of laparoscopic gastric banding and laparoscopic sleeve gastrectomy in a cohort of 39 T2DM Chinese patients with body mass index (BMI) over 30kg/m2. Their mean body weights and BMIs before surgery were 108 kg and 40 kg/m(2) , respectively, and 18 patients (46%) had suboptimal diabetic control (HbA1c >7%). After a mean follow-up of 27 months, 4 of 11 insulin-dependent patients (36%) were able to stop their insulin therapy, and 18 patients (46%) achieved remission of T2DM (HbA1c <6.5% without the use of medication). Glycemic control remained poor in only nine other patients (27%). Logistic regression analysis showed that a short history of T2DM and high BMI could predict remission of diabetes after restrictive procedures. Our results suggest that restrictive surgery can significantly improve glycemic control in obese T2DM patients. |
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Authors:
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Simon K H Wong; Alice P S Kong; W Y So; Bonnie Y S Tsung; Phyllis Y P Yau; Juliana C N Chan; Enders K W Ng |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-11-3 |
Journal Detail:
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Title: Diabetes, obesity & metabolism Volume: - ISSN: 1463-1326 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-4 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883645 Medline TA: Diabetes Obes Metab Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 Blackwell Publishing Ltd. |
Affiliation:
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Division of Upper Gastrointestinal Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong Division of Endocrinology, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong Dietetic Department, Prince of Wales Hospital. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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