Laparoscopic sleeve gastrectomy for treatment of Type 2 Diabetes Mellitus in adolescents
Obesity is a health problem observed globally with it’s percentage increasing tri-fold in three decades among communities. Metabolic diseases such as hyperlipidemia, hypertension and type 2 diabetes mellitus have been increasingly prevalent in younger patients. Laproscopic sleeve gastrectomy (LSG) has been used as a key procedure in adolescents and have demonstrated acceptable records of weight loss along with improvement of related co-morbidities. Mohamed Hisham Soliman and colleagues conducted the research titled “Laparoscopic sleeve gastrectomy for treatment of Type 2 Diabetes Mellitus in adolescents” and the summary has been given below.
Objective:
To elucidate the alterations in glycemic pattern after conducting LSG surgery in morbid obese children with Type 2 Diabetes.
Method:
The prospective study was carried out between January 2019 to January 2020. Thirty-two participants who were morbidly obese and had Type 2 diabetes were enrolled in the study and were instructed to undergo LSG. These participants were observed to be having a BMI over 35 kg/m2 and an HbA1c above 6.5 %. They were kept on Oral Hypoglycemic Drugs. The chief outcome target was to analyze the impact of surgery on diabetes by evaluating fasting blood glucose and HbA1c prior and post surgery and the secondary outcome was to gauge the excess weight loss (EWL) post surgery.
Findings:
Alterations in eating habits and sedentary lifestyle are major causative factors for obesity, but yet there are many other familial, pscyhological and genetic syndromes responsible too. Screening children with obesity is now a prerequisite and the chief goal of combating obesity in children is purely directed towards managing the co-morbid conditions since the risk of these associated diseases with obesity is higher in children than in obese adults. Literature reports weight regain and relapse of diabetes if proper follow-up and diet are not paid heed to. This study notifies that it is easier to manage relapses with lower drug doses. Hence LSG plays a major role as a metabolic control procedure rather than a bariatric restrictive procedure only.
Limitations:
The number of patients enrolled in the study were limited in number and the follow-up period was also short.
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