Abstract
Background: Type 2 diabetes mellitus (T2DM) is now a global health problem. The World Health Organization estimates that between 2000 and 2030, the number of diabetic patients will increase by 114%. T2DM and morbid obesity are conditions representing increasing public health threats. They are associated with significant morbidity and mortality. Despite lifestyle modifications and medical support, glycemic control remains difficult to achieve in obese diabetic patients. Objective: To compare the effect of laparoscopic mini gastric bypass and laparoscopic sleeve gastrectomy in controlling blood glucose level in type 2 DM obese patients. Patients and methods: This prospective study was conducted on 40 adult morbid obese patients with T2DM. Twenty patient underwent laparoscopic mini-gastric bypass and the other 20 patients underwent sleeve gastrectomy. All patients were followed up at 1, 3, 6, 9 and 12 months post-operatively by measuring BMI, excess weight-loss (EWL), Fasting and 2 hours post prandial blood glucose level, HbA1C also postoperative gastrograffin study to exclude complications. Results: MGB was superior to SG in controlling T2DM along 1 year of follow up with lower 1-year HBA1C, FBG,2HPP blood glucose level. Conclusion: MGB is safe and effective in controlling T2DM in morbidly obese patients candidate for bariatric surgery.
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