Role of operation of longitudinal gastric resection in guaranteeing of glycemic control in patients, suffering diabetes mellitus type II and obesity


Keywords: morbid obesity; sleeve gastrectomy; gastric shunting; type II diabetes mellitus; bariatric surgery

Abstract

Objective. To study a correlation between control of the glycaemia level and degree of the body mass index (BMI) in patients after bariatric operation.

Маterials and methods. Control of the glucose metabolism level was conducted in 84 patients, suffering prediabetes and diabetes mellitus type II, morbid obesity after the gastric reduction operation.

Results. In 30/84 (35.7%) patients the diabetes mellitus type II duration have constituted 1 year, in 27 (32.1%) – 10 years, and in 12 (14.3%) – more than 10 years. In 15 (17.9%) patients a prediabetes was diagnosed. While studying of anthropometric indices a BMI lowering by 38% postoperatively, comparing with initial indices, was noted. The BMI have lowered from 46.8 (41.3 – 54.3) tо 27.6 (25.4 – 30.9) kg/m2 (р = 0.001). In 2 years postoperatively a general lowering of the body mass, comparing with primary indices, have constituted 42%, аnd BMI have lowered tо 26.8 (23.1 – 28.4) kg/m2. Remission of diabetes mellitus type II in terms of observation 1 - 3 years was noted in 82 (98.6%) patients (level of glycaemized hemoglobin lesser than 6.0%, glucose in fasting state lesser than 5,6 mmol/l).

Conclusion. Results of the investigation conducted have shown, that longitudinal gastric resection  in patients, suffering diabetes mellitus type II is effective not only for the BMI lowering, but for the metabolic syndrome as well. In postoperative period in them a stability of the glycaemia and carbohydrate metabolism indices was followed.

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Author Biographies


T. Omarov, Аzerbaijani Medical University, Baku, Аzerbaijani Republic

Taryel Omarov, MD, PhD, assistant professor

Assistant professor

Azerbaijan Medical University I Surgical Diseases Department

AZ1022, Baku city, Nasimi district, 23, Bakikhanov st.

Mobile phone +994557900109

E-mail:taryel.omerov@gmail.com

ORCID:0000-0003-1220-242X


S. Salahova, Аzerbaijani Medical University, Baku, Аzerbaijani Republic

Sevinc Salahova, MD, PhD, assistant professor

Assistant professor

Azerbaijan Medical University I Surgical Diseases Department

AZ1022, Baku city, Nasimi district, 23, Bakikhanov st.

Mobile phone +994503151717

E-mail: salahovaseva@yahoo.com

ORCID:0000-0002-0164-7928


A. Ibrahimova, Аzerbaijani Medical University, Baku, Аzerbaijani Republic

Aygun İbrahimova, MD

Azerbaijan Medical University I Surgical Diseases Department

AZ1022, Baku city, Nasimi district, 23, Bakikhanov st.

Mobile phone +99470 342 43 94

E-mail: dr.a.ibrahimova@gmail.com

ORCID:0000-0002-1676-7594


N. Bayramov, Аzerbaijani Medical University, Baku, Аzerbaijani Republic

Nuru Bayramov,  MD, DSci (Med), professor

Professor and chief Azerbaijan Medical University I Surgical Diseases Department

Adress: AZ1022, Baku city, Nasimi district, 23, Bakikhanov st. Mobile phone +994502222708

E-mail:nurubay2006@yahoo.com

ORCID: 0000-0001-6958-5412

Published
2018-12-28
How to Cite
Omarov, T., Salahova, S., Ibrahimova, A., & Bayramov, N. (2018). Role of operation of longitudinal gastric resection in guaranteeing of glycemic control in patients, suffering diabetes mellitus type II and obesity. Klinicheskaia Khirurgiia, 85(12), 20-22. https://doi.org/10.26779/2522-1396.2018.12.20
Section
General Problems of Surgery