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Item
#15
Stomach
Surgery Improves Health of Obese Diabetes Patients
Stomach
surgery improves health of obese diabetes patients
Surgery
can assist in weight loss and improve diabetes control in severely
obese patients with type 2 diabetes, according to a study
published in Diabetes Care.
In
the study, 50 patients (17 men; 33 women) with type 2 diabetes and
weighed on average 137kg underwent laparoscopic adjustable gastric
banding (LAGB), where an adjustable band is placed around the
upper stomach, and inflated with saline. All the patients had
significant disabilities and had attempted to lose weight for 5 or
more years.
One
year after the surgery, there were significant improvements in all
measures of glucose metabolism, 32 patients (64%) had remission of
diabetes and 13 patients (26%) had major improvements in glucose
control. In addition, weight loss was associated with
significant improvements in blood pressure, HDL cholesterol,
depression, and health-related quality of life.
Early
complications occurred in 30% of patients (wound infection 4%;
respiratory support 2%) and late complications occur in 30% of
patients (gastric prolapse 20%; band erosion 6%; tubing leaks 4%).
All the late complications were successfully revised surgically.
Reference:Dixon
JB et al. Health outcomes of severely obese type 2 diabetic
subjects 1 year after laparoscopic adjustable gastric banding.
Diabetes Care 2002; 25: 358-63.
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