Rationale of Operation Choice in Patients with Morbid Obesity and Diabetes Mellitus Type 2

• Published in: Journal of pharmaceutical sciences and research Vol. 9; no. 8; p. 1355
• Main Authors: Kruchinin, E V, Autlev, K M, Yanin, E L, Hashimov, B B, Efanov, A V
• Format: Journal Article
• Language: English
• Published: Cuddalore Journal of Pharmaceutical Sciences and Research 01-08-2017
• Subjects: Compensation; Diabetes; Gastrointestinal surgery; Heart surgery; Hyperglycemia; Hypertension; Laparoscopy; Metabolic syndrome; Methods; Obesity; Patients; Surgical techniques; Weight control
• ISSN: 0975-1459

If a patient with score of 3 (a patient with morbid obesity) undergoes gastric banding, the success rate of diabetes compensation drops to 40%, and only 7% of patients who scored 6 and more had diabetes mellitus compensated. 80% of patients who underwent longitudinal gastric resection and scored 3 or 4 had diabetes compensated and achieved subnormal body mass. If BMI was higher than 40.0 (class III obesity), 1 point was added for each extra 5 points in BMI. [...]BMI of 56.0 nets 6 points, while class III obesity (BMI 40) transfers to 3 points. [...]body weight decreased from 101 kg to 76 kg. 80% of patients who underwent longitudinal gastric resection and scored 3 or 4 points had diabetes compensated and achieved subnormal body mass. 99 (99%) patients who had biliary-pancreatic bypass surgery achieved compensation of arterial hypertension after 1 and 3 years post-op. 69% of patients who had laparoscopic gastric banding achieved compensation of arterial hypertension in 1 year and 91% in 3 years post-op. 87% of patients who had longitudinal gastric resection achieved compensation of arterial hypertension in 1 year and 90% in 3 years post-op. [...]bariatric operations - laparoscopic gastric banding, longitudinal gastric resection, biliary-pancreatic bypass surgery - proved effective in treatment of morbid obesity, and caused the compensation of both diabetes mellitus type 2 and arterial hypertension as a part of metabolic syndrome: this link was reported recently (10).