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العنوان
Comparison between Early Results of Laparoscopic Mini Gastric Bypass and Sleeve Gastrectomy Regarding Weight loss, Remission of Type II Diabetes Mellitus and Hypertension/
الناشر
Faculty of medicine.
المؤلف
El Ghamrawy,Mohamed Salah El din Ebrahim
هيئة الاعداد
باحث / محمد صلاح الدين ابراهيم الغمراوي
مشرف / أ.د / عوض حسن الكيال
مشرف / د/ حسام الصادق إبراهيم
مشرف / د/محمد ابراهيم محمد
تاريخ النشر
2020
عدد الصفحات
180 P.:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2020
مكان الإجازة
جامعة عين شمس - كلية الطب - الجراحة العامة
الفهرس
Only 14 pages are availabe for public view

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Abstract

Background: Bariatric Surgery leads to a dramatic improvement in morbid obesity associated type 2 Diabetes Mellitus (T2DM) and hypertension.
Objectives: The aim of the study was to compare between early results of Laparoscopic Mini Gastric Bypass and Sleeve Gastrectomy regarding excess weight loss, remission of Type II diabetes mellitus and hypertension.
Patients and Methods: Our study was carried out at The General Surgery Department Ain Shams University Hospitals. All cases were operated during the period February and march 2019. Follow up of patients 6 months after operation was done. Last follow up was done on September 2019. The study included 50 patients aged 18-60 years with Type II Diabetes Mellitus and hypertension of at least 6 months duration, BMI 35 65 kg/m2 for at least 5 years.
Results: In this study, there was a statistical significant difference between patients in LMGB group before and six months after surgery as regard weight in kg, BMI and HbA1C (P value 0.000). There was also a statistical significant difference between studied groups as regard percent of change of weight and BMI (P value 0.000). In this study, there was no statistical significant difference between studied groups regarding improvement and remission of T2DM six months after surgery. However, 80% of patients who did LMGB resolved and 20% improved. 60% of patients who did LSG resolved and 40% improved. In this study, there was no statistical significant difference between studied groups regarding control of hypertension six months after surgery. However, the percent of postoperative control of hypertension among patients who did LMGB was 76% whereas that of LSG was 56%. Further results and data could be reached on long-term follow up of patients involved in this study.
Conclusion: Patients receiving mini-gastric bypass had more advantageous indexes than patients receiving sleeve gastrectomy, such as higher six months EWL% (excess weight loss), higher T2DM remission rate and higher hypertension remission rate. Mini-gastric bypass is simple, safe and more effective bariatric procedure than laparoscopic sleeve gastrectomy.