腹腔镜Roux-en-Y胃旁路手术治疗2型糖尿病
[Laparoscopic Roux-en-Y gastric bypass surgery for treatment of type 2 diabetes mellitus].
作者信息
Yang Jing-ge, Wang Cun-chuan, Huang Jing, Hu You-zhu, Li Jin-yi, Pan Yun-long, Liu Xian-ming, Yu Chun-liang, Shen Ying-ying, Yu Hai-bo
机构信息
Department of Gastrointestinal Surgery, First Affiliated Hospital of Jinan University, Guangzhou 510630, China.
出版信息
Nan Fang Yi Ke Da Xue Xue Bao. 2010 Jun;30(6):1373-5.
OBJECTIVE
To investigate the surgical approach, feasibility and effectiveness of laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery for treating type 2 diabetes mellitus.
METHODS
Seven obese patients with type 2 diabetes and 5 type 2 diabetic patients without obesity received LRYGB surgery. The changes of the body mass, fasting blood glucose (FBG), 2-hour postprandial blood glucose (2 h PBG), C peptide (C-P) and HbA1c% were observed postoperatively.
RESULTS
LRYGB procedures were successfully performed in all the 12 patients with no conversion to open surgery. The resolution rate was 85.7% in the obese group and 80% in the non-obese diabetic group.
CONCLUSION
LRYGB surgery is feasible for treatment of type 2 diabetes with good short-term result, but the long-term outcome awaits further observation.
目的
探讨腹腔镜Roux-en-Y胃旁路术（LRYGB）治疗2型糖尿病的手术方式、可行性及疗效。
方法
7例肥胖2型糖尿病患者和5例非肥胖2型糖尿病患者接受了LRYGB手术。术后观察患者体重、空腹血糖（FBG）、餐后2小时血糖（2 h PBG）、C肽（C-P）及糖化血红蛋白（HbA1c%）的变化。
结果
12例患者均成功实施LRYGB手术，无中转开腹。肥胖组缓解率为85.7%，非肥胖糖尿病组为80%。
结论
LRYGB手术治疗2型糖尿病可行，近期效果良好，但远期疗效有待进一步观察。
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