Early Experience of Metabolic Surgery

Muthanna A.Al-Sharbaty,Yasser F.Zidan ,Samir I. Al-Saffar , Israa I.Mohammed

Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية
ISSN: 16088360 Year: 2016 Volume: 15 Issue: 2 Pages: 169-173
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية


ABSTRACT:BACKGROUND:Laparoscopic sleeve gastrectomy LSG is known to be a highly effective treatment for morbid obesity and many related conditions including type 2 diabetes mellitus (T2DM) and the metabolic syndrome.OBJECTIVE: To assess the effectiveness of (LSG) on glucose homeostasis in morbidly obese diabetic patients and it shows early experience of metabolic surgery.METHODS: Prospective clinical case series study conducted in Al-Jumhoori Teaching Hospital and involved 20 patients (17 females and 3 males); their age (22-54 average 37 years) underwent LSG and the level of glucose evaluated at different times by measuring fasting blood glucose level, glycosylated hemoglobin (HbA1C).RESULTS: The initial body weight 70-142(110Kg); BMI 31.8-53.9 (45.16Kg/m2); two patients with diabetes mellitus and BMI less than 35Kg/m2 involved.The mean level of fasting blood glucose assessed and found to be (202,165,130,107,96 mg/dl) in preoperative ,one-day postoperative,10 days, three and six-months interval; while the level of HbA1C were( 10.2,9,7.2,6.1) in the preoperative ,10 days,3 and 6 months interval respectively.CONCLUSION: LSG is an effective procedure to decrease weight for morbid obesity and it resolve T2DM in 90% while improvement of T2DM occurred in 10 % so LSG is an effective procedure to treat T2DM and the level of glucose declined significantly started from early postoperative and continued till 6 months. .


KEYWORDS: metabolic --- bariatric --- sleeve --- diabetes