Laparoscopic Ileal Interposition with Diverted Sleeve Gastrectomy Versus Laparoscopic Transit Bipartition with Sleeve Gastrectomy for Better Glycemic Outcomes in T2DM Patients

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dc.contributor.authorYormaz, Serdar
dc.contributor.authorYılmaz, Hüseyin
dc.contributor.authorEce, Ilhan
dc.contributor.authorŞahin, Mustafa
dc.date.accessioned2020-03-26T19:54:33Z
dc.date.available2020-03-26T19:54:33Z
dc.date.issued2018
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractMetabolic 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. 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. 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/m(2), 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. 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.en_US
dc.identifier.doi10.1007/s11695-017-2803-6en_US
dc.identifier.endpage86en_US
dc.identifier.issn0960-8923en_US
dc.identifier.issn1708-0428en_US
dc.identifier.issue1en_US
dc.identifier.pmid28681261en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage77en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s11695-017-2803-6
dc.identifier.urihttps://hdl.handle.net/20.500.12395/36752
dc.identifier.volume28en_US
dc.identifier.wosWOS:000418304500011en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofOBESITY SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectBariatric surgeryen_US
dc.subjectDiverted sleeve gastrectomy with ileal transpositionen_US
dc.subjectSleeve gastrectomy with transit bipartitionen_US
dc.subjectGlycemic regulationen_US
dc.subjectType 2 diabetesen_US
dc.titleLaparoscopic Ileal Interposition with Diverted Sleeve Gastrectomy Versus Laparoscopic Transit Bipartition with Sleeve Gastrectomy for Better Glycemic Outcomes in T2DM Patientsen_US
dc.typeArticleen_US

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