Scopus Eşleşmesi Bulundu
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Atıf
28
Cilt
77-86
Sayfa
Özet
Background: Metabolic procedures provide better outcomes for obese patients with type 2 diabetes mellitus. Our aim was to compare the glycemic regulation in patients that have undergone the laparoscopic ileal interposition with diverted sleeve gastrectomy (II-DSG), laparoscopic transit bipartition with sleeve gastrectomy (TB-SG), and laparoscopic sleeve gastrectomy (LSG) throughout a 12-month follow-up period retrospectively. Methods: This study considered patients with T2DM who underwent metabolic procedures. The postoperative changes in the glucose, C-peptide, HbA1c, HOMA-IR, insulin, cholesterol, body mass index, and total weight loss (TWL) were compared retrospectively. The intended outcome was to reach a long lasting fasting blood glucose (FBG) <126 mg/dl. A multivariate regression analysis was applied to define the predictive markers in glucose regulation. Results: Present study consisted of 83 patients with a mean age of 47.25 ± 6.58 years, mean preoperative BMI of 37.36 ± 2.71 kg/m2, and mean outcomes in the HbA1C and FBG of 9.05 ± 1.33% and 237 ± 15 mg/dl, respectively. There were similar correlations in BMI and total weight loss (TWL). At 12-month follow up period, compared to LSG group, TB-SG and II-DSG groups have higher remission proportions (35.3, 67.9, 54.7, respectively, p < 0.05) with similar TWL% (22.35, 27.14, 23.16%) outcomes. The II-DSG and TB-SG results drew closer together toward the end of this study interval unlike the LSG group. Conclusion: Our results showed that II-DSG and TB-SG ensured significant regression rates during the follow-up period. Since the TB-SG achieved these outcomes by finite anastomoses and intervening segments, it was considered to be a superior procedure compared to II-DSG and LSG procedures.
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Article
Belge Türü
Kaynak: OBESITY SURGERY
· s. 77-86
Anahtar Kelimeler (WoS)
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Anahtar Kelimeler
Bariatric surgery
Diverted sleeve gastrectomy with ileal transposition
Sleeve gastrectomy with transit bipartition
Glycemic regulation
Type 2 diabetes
WoS |
Bir kelimeye tıklayıp ilgili kaynaktaki yayınları görün.
Makale Bilgileri
Dergi
Obesity Surgery
ISSN
0960-8923
Yıl
2018
/ 1. ay
Cilt / Sayı
28
/ 1
Sayfalar
77 – 86
Makale Türü
Özgün Makale
Hakemlik
Hakemli
Endeks
SCI
Teşvik Puanı
8,10
· YÖKSİS Akademik Teşvik
Yayın Dili
İngilizce
Kapsam
Uluslararası
Toplam Yazar
4 kişi
Erişim Türü
Elektronik
Alan
Sağlık Bilimleri Temel Alanı-
Genel Cerrahi
YÖKSİS Yazar Kaydı
Yazar Adı
YORMAZ SERDAR,YILMAZ HÜSEYİN,ECE İLHAN,ŞAHİN MUSTAFA
YÖKSİS ID
3508763