An Observational Longitudinal Study of the Impact of Sleeve Gastrectomy on Glycemic Control in Type 2 Diabetes Mellitus

Abstract

Laparoscopic sleeve surgery is a safe and effective treatment option among the obese Indian type 2 diabetes population with significant remission rates. Follow-up studies are necessary to assess the long-term durability of these results.

Resolving of diabetes mellitus post laparoscopic sleeve gastrectomy

“…The weight loss and percentage of EWL noted in one year were significantly reduced (31.14-7.8% and 61.52-15%, respectively). It was also found that anti-diabetic medication usage reduced from 88.57% to 11.4% [3].…”

“…The results showed that GB, LSG, and BPD change to decrease excess weight in patients by 47%, 62%, and 70%, respectively. While the reviews on LSG by Gill et al (2010) and Brethauer et al (2009) found that the mean percentage of loss was 47.3% and 60.4%, respectively [3].…”

“…Some of these surgical strategies are purely restrictive like AGB and some primarily malabsorptive like BPD, whereas others are a mixture of restrictive and malabsorbtive procedures such as RYGBP [3]. RYGB is one of the main bariatric procedures characterized by high therapeutic benefits and a low rate of adverse complications [19].…”

“…It also does not cause any malabsorption. It does not include placement of foreign bodies and needs less time [3]. On the other hand, this surgery like other types of surgery has some complications.…”

“…Obesity is the main risk factor of type 2 diabetes (T2DM), and majority of patients with T2DM (90%) are either overweight or obese [2]. The prevalence of T2DM is increasing and 439 million adults will develop diabetes by 2030 [3]. It has been estimated that the risk of chemical diabetes is about 50% with a body mass index (BMI) higher than or equal to 30 kg/m 2 and over 90% with a BMI of 40 kg/m2 or over [2].…”