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Weight loss and type II diabetes control after Laparoscopic Sleeve Gastrectomy in an early post-operative period - A prospective cohort study

  • Prospective Cohort Study
  • Published:
Hellenic Journal of Surgery

Abstract

Aim-Background

Obesity has reached epidemic proportions worldwide with India ranked third after USA and China. The health consequences range from increased risk of premature death due to serious chronic illness, like Hypertension and diabetes mellitus (DM), which reduces the overall quality of life. Laparoscopic Sleeve Gastrectomy (LSG) produces long lasting control of Obesity as well as DM. The aim of the present study is to evaluate the control of obesity and DM.

Material and Methods

A prospective cohort study was conducted between the periods of January 2015 to March 2016. The criteria for selection were BMI ≥ 40 kg/m2 or BMI ≥ 35 kg/m2 with co-morbidities. All the patients were screened by a multidisciplinary team and operated by the same surgeon to avoid any procedural biasness. At each follow-up visit, weight loss and glycemic control status were evaluated.

Results

Out of 60 patients operated for morbid obesity, our focus was on those 18 patients, who were morbidly obese having Diabetes as the only comorbidity. Rest were having either no co-morbidity or multiples co-morbidity. Post operatively all patients were followed up and were given same diet plan for the first three months of the follow up. Post-operatively on follow-up, there was a significant change in all parameters, like weight reduction, BMI, Fasting Blood sugar level, Post Prandial Sugar Level.

Conclusions

LSG is simple, effective and reproducible surgical method to treat obesity as well as DM2.

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Abbreviations

LSG:

Laparoscopic Sleeve Gastrectomy

BMI:

Body Mass Index

FBS:

Fasting Blood Sugar

PPBS:

Post Prandial Blood Sugar

DM:

Diabetes Mellitus

EWL:

Excess Weight Loss

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Authors and Affiliations

  1. PGIMER, Dr. RML Hospital, New Delhi, India

    Shailesh Kumar, Md Abu Masud Ansari, Umakant Verma, Naveen Kumar & Priyadarshi Dixit

Authors
  1. Shailesh Kumar
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  2. Md Abu Masud Ansari
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  3. Umakant Verma
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  4. Naveen Kumar
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  5. Priyadarshi Dixit
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Correspondence to Shailesh Kumar.

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Kumar, S., Ansari, M.A.M., Verma, U. et al. Weight loss and type II diabetes control after Laparoscopic Sleeve Gastrectomy in an early post-operative period - A prospective cohort study. Hellenic J Surg 88, 329–335 (2016). https://doi.org/10.1007/s13126-016-0342-6

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  • DOI: https://doi.org/10.1007/s13126-016-0342-6

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