Abstract
Type 2 Diabetes Mellitus (T2DM) is considered a life style disease. 56% diabetic patients with HbA1c above 7 are at high risk of diabetes related complications. Bariatric surgery results in diabetes resolution in over 84% patients. Based on hindgut hypothesis suggesting role of incretins like GLP-1, early trials of ileal interposition surgery have displayed consistent HbA1c levels below 7 in over 80% patients with > 30 kg/m2 BMI. In developing countries majority of T2DM patients are not morbidly obese and surgical procedures are to be evaluated for their efficacy in this group. In this study we have assessed the efficacy of ileal transposition with Laparoscopic Sleeve Gastrectomy (LSG) in 23 – 35 kg/m2 BMI T2DM patients.
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