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Comparative Study between Laparoscopic Sleeve Gastrectomy and Laparoscopic Mini Gastric Bypass in Control of Type 2 Diabetes Mellitus in Obese Patients

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Last updated: 03 Jan 2025

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Abstract

Background: Among morbidly obese adult patients (body mass index (BMI) <40 kg/m2) those who are super obese (BMI < 60 kg/m2) present particular challenges for bariatric surgeons. Management of super obese (SO) patient has been associated with higher morbidity and mortality and increase surgical risk. The optimal surgical management of these patients is controversial. Aim: This work aimed to focus light on super obese patient. Considering the advantages, the disadvantages and determine long-term outcome of different plans of management regarding the recent guidelines for this group of patients. Patients and Methods: This study included 60 obese patients with type 2 diabetes mellitus (DM) and randomly divided using closed envelopment method into two groups: Group (1): (30 patients) treated by laparoscopic Sleeve gastrectomy (LSG), Group (2): (30 patients) treated by laparoscopic Mini-Gastric Bypass (MGB). Results: This study included 60 obese patients with type 2 D.M. As regard all sample patients (60 obese patients with type 2 D.M), the group age ranged between 22 -55 years with a mean ± SD of 37.88 ± 9.52 years. The group BMI ranged between 37 – 72 kg/m2 with a mean ± SD of 52.42 ± 9.45 kg/m2. Of the 60 patients, 38 patients (63.3%) were women and 22 patients (36.7%) were men. Conclusion: Bariatric surgery (LSG and MGB) is not only weight reducing surgery but a metabolic surgery which can cure most of the metabolic syndrome and they are considered the most effective long term treatment modality for type 2 diabetes in obese patients and with comparing between LSG and MGB, our study suggests that MGB has better and earlier effect than LSG in diabetes remission.

DOI

10.21608/ejhm.2018.9127

Keywords

Laparoscopic sleeve gastrectomy, Laparoscopic Mini Gastric Bypass, type2 diabetes mellitus, Obese Patients

Authors

First Name

Ashraf Abd-Elhamid Abd-Elmonem1, Kamel Suliman Hamad2, Mohamed Noshi El-Alfi3,

Last Name

Abd El-Hafez Abd-El Aziz Selim1, Fouad Ebrahim Fouad Agwa*

MiddleName

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Affiliation

1General Surgery Department, 2Clinical Pathology Department, 3Internal Medicine Department Faculty of Medicine, Al-Azhar University

Email

foadagwa@gmail.com

City

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Orcid

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Volume

72

Article Issue

3

Related Issue

1778

Issue Date

2018-07-01

Receive Date

2018-07-15

Publish Date

2018-07-01

Page Start

4,120

Page End

4,125

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 72_Issue 3_Pages 4120-4125.pdf

PDF . 292.9kB

Link

https://ejhm.journals.ekb.eg/article_9127.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=9127

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15

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparative Study between Laparoscopic Sleeve Gastrectomy and Laparoscopic Mini Gastric Bypass in Control of Type 2 Diabetes Mellitus in Obese Patients

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Article

Created At

22 Jan 2023