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Article
Early Experience of Metabolic Surgery

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

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Abstract

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. .


Article
Metabolic Syndrome; Comparing the Results of Three Definition Criteria in an Iraqi Sample

Author: Omar Farooq Al-Azzawi
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2018 Volume: 14 Issue: 2 Pages: 7-12
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Different diagnostic definition and criteria have been recommended by different expert groups for the diagnosis of metabolic syndrome, however, it’s prevalence in the same population could differ depending on the definition used yielding different results. In Iraq, there is a lack of research comparing these different diagnostic definitions. Objective: To find out the most suitable metabolic syndrome definition to be used for Iraqi people. Methods: 320 participants were recruited for this study, 53.4% men and 46.6% women, aged between 25-85 years, visiting Baghdad Teaching Hospital, the prevalence of metabolic syndrome according to different definitions were compared and the agreement was assessed by the Kappa statistic.Results: Metabolic syndrome was diagnosed in 37.8%, 40.6% and 46.9% participants respectively for the National Cholesterol Education Programme Adult Treatment Panel III 2005, International Diabetes Federation 2005 and the recently (2009) revised International Diabetes Federation definition. The prevalence was higher in women than in men, independent of the criteria used. The Kappa statistics suggested that the agreement between the three definitions ranged from good-to-very good,Conclusion: Metabolic syndrome was high in this Iraqi cohort regardless of the definition used. The recently (2009) revised International Diabetes Federation definition may be more suitable in diagnosis of metabolic syndrome in Iraq.

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