ArticleMedical science monitor : international medical journal of experimental and clinical research2025
Glycemic Control in Obese Type 2 Diabetic Patients Treated with Laparoscopic Sleeve Gastrectomy and Transit Bipartition.
Article in Medical science monitor : international medical journal of experimental and clinical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
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2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND Type 2 diabetes mellitus (T2DM) and obesity are significant health challenges linked to increased morbidity and mortality. Laparoscopic sleeve gastrectomy with transit bipartition (LSG+TB) has shown promise in improving glycemic control. This study aimed to evaluate the outcomes of obese patients with T2DM treated with LSG+TB, focusing on variations in surgical techniques. MATERIAL AND METHODS This retrospective study analyzed obese T2DM patients who underwent LSG+TB at a single center. Data on preoperative and postoperative hemoglobin A1c (HbA1c) levels, body mass index (BMI), sex, and surgical technique details were collected. Changes in HbA1c levels were assessed at 3 and 12 months after surgery based on variations in stapler line distance, common channel length, and anastomotic loop diameter. RESULTS A total of 420 patients were included. Baseline BMI of patients with stapler line distances of 6 cm, 8 cm, and 10 cm from the pylorus was 40.06, 34.87, and 30.42, respectively (P<0.001). The average percentage of excess weight loss at 1 year was 68.11%. Significant reductions in HbA1c were observed across all groups, with greater reductions in the 6 cm group compared to the 8 cm and 10 cm groups (P=0.019). Common channel length and anastomotic loop diameter showed no significant impact on HbA1c levels. CONCLUSIONS LSG+TB effectively improves glycemic control in obese T2DM patients. A 6 cm stapler line distance from the pylorus is associated with superior HbA1c reduction and comparable safety to longer distances.
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