Can low BMI Chinese patients with type 2 diabetes benefit from laparoscopic Roux-en-Y gastric bypass surgery?

被引:12
|
作者
Wang, Guohui [1 ]
Zhu, Liyong [2 ]
Li, Weizheng [2 ]
Yang, Xiangwu [2 ]
Li, Pengzhou [2 ]
Zhu, Shaihong [1 ,2 ]
机构
[1] Cent S Univ, Xiangya Hosp 3, Ctr Med Expt, Changsha, Hunan, Peoples R China
[2] Cent S Univ, Xiangya Hosp 3, Dept Gen Surg, Tongzipo Rd, Changsha, Hunan, Peoples R China
关键词
Type II diabetes; Laparoscopic Roux-en-Y gastric bypass (LRYGB); Body mass index (BMI); Insulin resistance; Chinese population; BARIATRIC SURGERY; C-PEPTIDE; MELLITUS; OVERWEIGHT; KG/M(2); WEIGHT;
D O I
10.1016/j.soard.2016.06.005
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: The efficacy of laparoscopic Roux-en-Y gastric bypass (LRYGB) in type 2 diabetes mellitus (T2D) is closely associated with the preoperative body mass index (BMI) of the patient. There is a lack of long-term and large sampling evidence on the efficacy of LRYGB in T2D patients with low BMI in China. Objectives: This retrospective study aimed to evaluate the efficacy of surgical treatment in a Chinese population with T2D (especially patients with BMI <27.5 kg/m(2)). Setting: University-affiliated hospital, China Methods: Seventy-eight patients with T2D were included in the study and evaluated before and after LRYGB surgery. No patients were lost to follow-up at any time points. Results: Thirty-eight T2D patients with BMI >= 27.5 kg/m(2) in group 1 (high BMI group) had significant improvements in waist circumference, blood glucose levels, homeostasis model assessment-insulin resistance index, and C-peptide levels after LRYGB (P < .05). Forty T2D patients with BMI <27.5 kg/m(2) in group 2 (low BMI group, including 19 T2D patients with BMI <25 kg/m(2)) had significant improvements in waist circumference and waist-to-hip ratio after LRYGB (P < .05). Conclusions: LRYGB surgery may be beneficial in T2D patients with BMI <27.5 kg/m(2) in China. (C) 2016 American Society for Metabolic and Bariatric Surgery. All rights reserved.
引用
收藏
页码:1890 / 1895
页数:6
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