scholarly journals Surgical Treatment of Type 2 Diabetes Mellitus in Youth

2020 ◽  
pp. 321-330
Author(s):  
Anna Zenno ◽  
Evan P. Nadler
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Surgical Treatment

TYPE 2 DIABETES MELLITUS REMISSION AND ITS PREDICTION AFTER TWO-STAGE SURGICAL TREATMENT OF PATIENTS WITH MORBID OBESITY

2019 ◽  
Vol 72 (5) ◽  
pp. 739-743
Author(s):  
Oleksandr Yu. Ioffe ◽  
Mykola S. Kryvopustov ◽  
Yuri A. Dibrova ◽  
Yuri P. Tsiura
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Morbid Obesity ◽  
Weight Loss ◽  
Type 2 Diabetes Mellitus ◽  
Surgical Treatment ◽  
Two Stage ◽  
C Peptide ◽  
Peptide Level

Introduction: Morbid obesity (MO) has a significant impact on mortality, health and quality of life of patients. Type 2 diabetes mellitus (T2DM) is a common comorbidity in patients with MO. The aim is to study T2DM remission and to develop a prediction model for T2DM remission after two-stage surgical treatment of patients with MO. Materials and methods: The study included 97 patients with MO. The mean BMI was 68.08 (95% CI: 66.45 - 69.71) kg/m2. 70 (72,2%) patients with MO were diagnosed with T2DM. The first stage of treatment for the main group (n=60) included the IGB placement, for the control group (n=37) - conservative therapy. In the second stage of treatment the patients underwent bariatric surgery. The study addresses such indicators as BMI, percentage of weight loss, percentage of excess weight loss, ASA physical status class, fasting glucose level, HbA1c, C-peptide. Results: Two-stage treatment of morbidly obese patients with T2DM promotes complete T2DM remission in 68.1% of patients. The risk prediction model for failure to achieve complete T2DM remission 12 months after LRYGB based on a baseline C-peptide level has a high predictive value, AUC = 0.84 (95% CI: 0.69-0.93), OR = 0.23 ( 95% CI: 0.08-0.67). Conclusions: Two-stage treatment of patients with MO promotes improvement of carbohydrate metabolism indicators. With a C-peptide level > 3.7 ng/ml, prediction of complete T2DM remission 12 months after Laparoscopic Roux-en-Y Gastric Bypass is favorable.

Surgical treatment of type 2 diabetes mellitus

The Lancet ◽  
2001 ◽  
Vol 358 (9282) ◽  
pp. 668-669 ◽  
Author(s):  
Francesco Rubino ◽  
Michel Gagner ◽  
Jacques Marescaux
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Surgical Treatment

Type 2 Diabetes Mellitus in Patients with Mild Obesity: Preliminary Results of Surgical Treatment

2012 ◽  
Vol 23 (2) ◽  
pp. 234-240 ◽  
Author(s):  
Enrique Lanzarini ◽  
Attila Csendes ◽  
Luis Gutierrez ◽  
Pedro Cuevas ◽  
Hanns Lembach ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Surgical Treatment ◽  
Preliminary Results ◽  
Mild Obesity

scholarly journals Hemophthalmia after surgical treatment of diabetic retinopathy in patients with type 2 diabetes mellitus

2021 ◽  
Vol 9 (3) ◽  
pp. 14-20
Author(s):  
S.S. Lytvynenko
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Retinopathy ◽  
Surgical Treatment ◽  
Glycated Hemoglobin ◽  
Vitreous Hemorrhage ◽  
History Of

Background. In patients with type 2 diabetes mellitus (DM2) and diabetic retinopathy (DR), vitreous hemorrhage is one of the most common complications after pars plana vitrectomy (PPV) and ranges from 12 to 63 %. The study was aimed to analyze the frequency and causes of the development of hemophthalmia after surgical treatment of diabetic retinopathy in patients with type 2 diabetes mellitus. Materials and methods. The study involved 118 patients (118 eyes) with type 2 diabetes mellitus and DR, who were divided into three groups: the first group — with initial non-proliferative DR (NPDR; 28 eyes), the second group — with moderate to severe NPDR (49 eyes) and the third group — with proliferative DR (РDR; 41 eyes). The age of patients ranged from 44 to 84 years, men — 52 (44.1 %), women — 66 (55.9 %). The study did not include the patients with severe PDR and tractional retinal detachment or massive hemorrhage that required silicone oil tamponade of the vitreal cavity. All patients underwent closed subtotal vitrectomy 25G with panretinal laser photocoagulation and tamponade with an air-gas C3F8 mixture or the operation was completed with BSS plus solution injected into the vitreal cavity. Patients were examined based on a standard protocol of clinical and ophthalmological studies. Results. Within three months after vitrectomy, 33.1 % of patients developed postoperative hemophthalmia, which happened more often in РDR (39.0 %). In most cases (71.4 %), the preoperative hemophthalmia in РDR was accompanied by the development of postoperative hemophthalmia. Gender did not significantly impact the incidence of postoperative hemophthalmia. Patients with hemophthalmia were 9.3 years older than patients without hemophthalmia (p < 0.001), which affected both men and women equally. Patients with hemophthalmia had a longer history of type 2 diabetes mellitus compared to those wi­thout it (three years; p = 0.007), which was confirmed for men: men with hemophthalmia had a longer history of type 2diabetes mellitus than those without hemophthalmia (seven years; p = 0.026). Elevated blood levels of glycated hemoglobin (HbA1c) and a high score on the ETDRS scale are the risk factors for the development of postoperative hemophthalmos in patients with РDR. Conclusions. A study within three months after PPV in patients with DR and type 2 diabetes mellitus found that 33.1 % of patients developed postoperative hemophthalmia, which occurred more often in РDR (39.0 %). In most cases (71.4 %), the preoperative hemophthalmos in РDR was accompanied by the development of postoperative hemophthalmia. The risk factors for postoperative hemophthalmia after vitrectomy in type 2 diabetes mellitus and DR were age and diabetes duration, and for РDR — the presence of preoperative hemophthalmia, increased blood glycated hemoglobin, and a high score on the ETDRS scale.

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