Laparoscopic metabolic surgery for the treatment of type 2 diabetes in Asia: a scoping review and evidence-based analysis

Abstract

BackgroundLaparoscopic metabolic surgery has been previously shown to be an effective treatment for obese patients with type 2 diabetes (T2DM). The objective of this scoping review is to determine the impact of metabolic surgery for the treatment of type 2 diabetes in Asia and perform an evidence-based analysis.MethodsWe performed a literature search in PubMed for research on laparoscopic metabolic surgery for the treatment of T2DM in Asia region. We classified the included studies based on the Oxford Center for Evidence Based Medicine guidelines. And performed and evidence analysis.ResultsIn total, 205 articles were identified. 62.9% of the studies were from East Asia. The evidence of 26 studies are level I, 59 are level II. Laparoscopic sleeve gastrectomy (LSG) was the most commonly reported surgical procedure (63.1%) in Asia. The number of laparoscopic metabolic surgery for T2DM in Asian countries has increased rapidly over the last 8 years. We identified 16 studies which showed that laparoscopic metabolic surgery is an effective and safe treatment for T2DM in patients with a BMI of > 25 kg/m2 to < 35 kg/m2 in Asia.ConclusionsOur results suggest that laparoscopic metabolic surgery might be an effective and safe treatment for T2DM patients with BMI < 35 kg/m2, and that LSG is the most commonly performed surgical procedure for this in Asia.

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“…T2DM is often associated with an aggregation of risk criteria such as obesity, aging, and lifestyle modifications. The main objective of the medication for T2DM is to arrest or slow down the glycemic and ensure a quality life, although such therapeutic medication is very limited to cure obesity individuals with T2DM 21. Several studies are illustrated recently on obesity related to T2DM individuals.…”

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“…This has led to the fact that within a short period of time the LSG has become the most frequently used bariatric procedure worldwide. [4][5][6]. Nevertheless, this procedure has its immanent pitfalls and thus demands personal surgical skills and an accurate and exact technical realization.…”