Short-Term Efficacy of Laparoscopic Sleeve Gastrectomy for Obesity with Type 2 Diabetes Mellitus in China: A Systematic Analysis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 YANGZhi-wei ¹ , SUNZhao-dan ² , ZHUDa-yong ¹ , MAOXiao-guang ¹

1. The Second Department of General Surgery, Xiangfang School District Hospital of Heilongjiang Province, Harbin 150036, Heilongjiang Province, China;
2. Department of Immunization Program, Heilongjiang Province Disease Prevention Control Center, Harbin 150030, Heilongjiang Province, China;

Corresponding?author：

YANGZhi-wei, Email: 1403897658@qq.com

Keywords：

Laparoscopic sleeve gastrectomy; Obesity; Type 2 diabetes mellitus; Short-term efficacy; Meta analysis

DOI：

10.7507/1007-9424.20150246

Video：

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Objective To investigate the short-term efficacy of laparoscopic sleeve gastrectomy (LSG) for obesity with type 2 diabetes mellitus (T2MD) in China. Methods Clinical randomized controlled trial literatures about domestic LSG treatment of obesity with T2MD were obtained from Wanfang Data, China Knowledge Resource Integrated Database, PubMed and Web of Science English Data. The literatures were selected according to the inclusive and exclusive criteria, then evaluated. Methodological quality assessment and meta analysis were evaluated according to the data extracted from those literatures. The short-term efficacy (fasting blood glucose or glycosylated hemoglobin) was evaluated after operation. Results One hundred and seven patients performed LSG were retrieved from 7 literatures. The levels of fasting blood glucose and glycosylated hemoglobin on the postoperative 6 months were all obviously decreased as compared with the levels before operation (fasting blood glucose:MD=2.99, 95% CI 2.39-3.60, P < 0.000 01; glycosylated hemoglobin:MD=2.24, 95% CI 1.43-3.04, P < 0.000 01), which on the postoperative 12 months were all obviously decreased as compared with the levels on the postoperative 6 months (fasting blood glucose:MD=0.56, 95% CI 0.16-0.95, P=0.006; glycosylated hemoglobin:MD=0.52, 95% CI 0.22-0.81, P=0.000 6). The postoperative fasting blood glucose and glycosylated hemoglobin levels in patients accepted LSG showed a downward trend. Conclusions LSG on obesity with T2MD has an obvious short-term curative effect. But its long-term efficacy still needs to be supported by large samples randomized controlled clinical research data.

Citation： YANGZhi-wei, SUNZhao-dan, ZHUDa-yong, MAOXiao-guang. Short-Term Efficacy of Laparoscopic Sleeve Gastrectomy for Obesity with Type 2 Diabetes Mellitus in China: A Systematic Analysis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(8): 942-947. doi: 10.7507/1007-9424.20150246 Copy

1.	Yang W, Lu J, Weng J, Jia W, et al. China National Diabetes and Metabolic Disorders Study Group. Prevalence of diabetes among men and women in China. N Engl J Med, 2010, 362(12):1090-1101.
2.	Xu Y, Wang L, He J, et al. 2010 China Noncommunicable Disease Surveillance Group. Prevalence and control of diabetes in Chinese adults. JAMA, 2013, 310(9):948-958.
3.	中國醫師協會外科醫師分會肥胖和糖尿病外科醫師委員會.中國肥胖和2型糖尿病外科治療指南(2014).中國實用外科雜志, 2014, 34(11):1005-1010.
4.	Guariguata L, Whiting D, Weil C, et al. The International Diabetes Federation diabetes atlas methodology for estimating global and national prevalence of diabetes in adults. Diabetes Res Clin Pract, 2011, 94(3):322-332.
5.	王躍東, 葉再元, 竺楊文, 等.腹腔鏡袖套式胃減容術治療病態性肥胖癥.浙江醫學, 2007, 29(3):258-259.
6.	劉金鋼, 田忠, 楊福全, 等.腹腔鏡下袖狀胃切除術治療單純性肥胖癥(2例報告). 2007中國外科周暨第16屆亞洲外科年會, 北京, 2007, PO-064:136.
7.	胡三元, Frezza EE, 李峰.腹腔鏡胃袖套狀切除減肥術.腹腔鏡外科雜志, 2007, 12(5):370-373.
8.	Yang X, Yang G, Wang W, et al. A Meta-analysis:to compare the clinical results between gastric bypass and sleeve gastrectomy for the obese patients. Obes Surg, 2013, 23(7):1001-1010.
9.	趙文嫣, 周勇, 劉源, 等.腹腔鏡袖狀胃切除術治療肥胖癥合并2型糖尿病的近期療效.中華消化外科雜志, 2011, 10(3):120-121.
10.	張偉, 王茍.微創減重手術治療2型糖尿病療效分析.健康必讀(中旬刊), 2012, 11(12):233-234.
11.	謝靜, 張偉, 單成祥, 等.腹腔鏡袖狀胃切除術治療病態性肥胖合并2型糖尿病近期療效分析.現代生物醫學進展, 2014, 14(5):870-872.
12.	王羊, 李強.完全腹腔鏡袖狀胃切除治療肥胖癥合并2-型糖尿病臨床分析.中國冶金工業醫學雜志, 2014, 31(4):412-413.
13.	廉東波, 朱斌, 樊慶, 等.腹腔鏡胃旁路術和胃袖狀切除術治療肥胖合并2型糖尿病療效對比分析.中國實用外科雜志, 2014, 34(11):1056-1059.
14.	常緒生, 鄭成竹, 王鑫, 等.腹腔鏡袖狀胃切除術治療肥胖性2型糖尿病的療效分析.中華胃腸外科雜志, 2014, 17(7):658-662.
15.	楊巍, 宋培立.腹腔鏡袖狀胃切除術治療病態性肥胖合并2型糖尿病近期療效觀察.實用醫技雜志, 2014, 21(12):1324-1325.
16.	Marceau P, Hould FS, Simard S, et al. Biliopanereatic diversion with duodenal Switch. World J Surg, 1998, 22(9):947-954.
17.	Woelnerhanssen B, Peterli R, Steinert RE, et al. Effects of postbaria-tric surgery weight loss on adipokines and metabolic parameters:comparison of laparoscopic Roux-en-Y gastric bypass and laparo-scopic sleeve gastrectomy-a prospective randomized trial. Surg Obes Relat Dis, 2011, 7(5):561-568.
18.	Iannelli A, Anty R, Schneck AS, et al. Inflammation, insulin resis-tance, lipid disturbances, anthropometrics, and Metabolic syndrome in morbidly obese patients:a case control study comparing laparos-copic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy. Surgery, 2011, 149(3):364-370.
19.	Benaiges D, Goday A, Ramon JM, et al. Obemar Group. Laparos-copic sleeve gastrectomy and laparoscopic gastric bypass are equally effective for reduction of cardiovascular risk in severely obese patients at one year of follow-up. Surg Obes Relat Dis, 2011, 7(5):575-580.
20.	Leyba JL, Aulestia SN, Llopis SN. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the treatment of morbid obesity. A prospective study of 117 patients. Obes Surg, 2011, 21(2):212-216.
21.	O'Brien PE, Dixon JB, Laurie C, et al. Treatment of mild to moderate obesity with laparoscopic adjustable gastric banding or an intensive medical program:a randomized trial. Ann Intern Med, 2006, 144(9):625-633.
22.	Rosenthal RJ, International Sleeve Gastrectomy Expert Panel, Diaz AA, et al. International sleeve gastrectomy expert panel consensus statement:best practice guidelines based on experience of >12 000 cases. Surg Obes Relat Dis, 2012, 8(1):8-19.
23.	Wang Y, Yan L, Jin Z, et al. Effects of sleeve gastrectomy in neona-tally streptozotocin-induced diabetic rats. PLoS One, 2011, 6(1):e16383.
24.	Basso N, Capoccia D, Rizzello M, et al. First-phase insulin secretion, insulin sensitivity, ghrelin, GLP-1, and PYY changes 72 h after sleeve gastrectomy in obese diabetic patients:the gastric hypothesis. Surg Endosc, 2011, 25(11):3540-3550.
25.	Karamanakos SN, Vagenas K, Kalfarentzos F, et al. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy:a prospective, double blind study. Ann Surg, 2008, 247(3):401-407.

1. Yang W, Lu J, Weng J, Jia W, et al. China National Diabetes and Metabolic Disorders Study Group. Prevalence of diabetes among men and women in China. N Engl J Med, 2010, 362(12):1090-1101.
2. Xu Y, Wang L, He J, et al. 2010 China Noncommunicable Disease Surveillance Group. Prevalence and control of diabetes in Chinese adults. JAMA, 2013, 310(9):948-958.
3. 中國醫師協會外科醫師分會肥胖和糖尿病外科醫師委員會.中國肥胖和2型糖尿病外科治療指南(2014).中國實用外科雜志, 2014, 34(11):1005-1010.
4. Guariguata L, Whiting D, Weil C, et al. The International Diabetes Federation diabetes atlas methodology for estimating global and national prevalence of diabetes in adults. Diabetes Res Clin Pract, 2011, 94(3):322-332.
5. 王躍東, 葉再元, 竺楊文, 等.腹腔鏡袖套式胃減容術治療病態性肥胖癥.浙江醫學, 2007, 29(3):258-259.
6. 劉金鋼, 田忠, 楊福全, 等.腹腔鏡下袖狀胃切除術治療單純性肥胖癥(2例報告). 2007中國外科周暨第16屆亞洲外科年會, 北京, 2007, PO-064:136.
7. 胡三元, Frezza EE, 李峰.腹腔鏡胃袖套狀切除減肥術.腹腔鏡外科雜志, 2007, 12(5):370-373.
8. Yang X, Yang G, Wang W, et al. A Meta-analysis:to compare the clinical results between gastric bypass and sleeve gastrectomy for the obese patients. Obes Surg, 2013, 23(7):1001-1010.
9. 趙文嫣, 周勇, 劉源, 等.腹腔鏡袖狀胃切除術治療肥胖癥合并2型糖尿病的近期療效.中華消化外科雜志, 2011, 10(3):120-121.
10. 張偉, 王茍.微創減重手術治療2型糖尿病療效分析.健康必讀(中旬刊), 2012, 11(12):233-234.
11. 謝靜, 張偉, 單成祥, 等.腹腔鏡袖狀胃切除術治療病態性肥胖合并2型糖尿病近期療效分析.現代生物醫學進展, 2014, 14(5):870-872.
12. 王羊, 李強.完全腹腔鏡袖狀胃切除治療肥胖癥合并2-型糖尿病臨床分析.中國冶金工業醫學雜志, 2014, 31(4):412-413.
13. 廉東波, 朱斌, 樊慶, 等.腹腔鏡胃旁路術和胃袖狀切除術治療肥胖合并2型糖尿病療效對比分析.中國實用外科雜志, 2014, 34(11):1056-1059.
14. 常緒生, 鄭成竹, 王鑫, 等.腹腔鏡袖狀胃切除術治療肥胖性2型糖尿病的療效分析.中華胃腸外科雜志, 2014, 17(7):658-662.
15. 楊巍, 宋培立.腹腔鏡袖狀胃切除術治療病態性肥胖合并2型糖尿病近期療效觀察.實用醫技雜志, 2014, 21(12):1324-1325.
16. Marceau P, Hould FS, Simard S, et al. Biliopanereatic diversion with duodenal Switch. World J Surg, 1998, 22(9):947-954.
17. Woelnerhanssen B, Peterli R, Steinert RE, et al. Effects of postbaria-tric surgery weight loss on adipokines and metabolic parameters:comparison of laparoscopic Roux-en-Y gastric bypass and laparo-scopic sleeve gastrectomy-a prospective randomized trial. Surg Obes Relat Dis, 2011, 7(5):561-568.
18. Iannelli A, Anty R, Schneck AS, et al. Inflammation, insulin resis-tance, lipid disturbances, anthropometrics, and Metabolic syndrome in morbidly obese patients:a case control study comparing laparos-copic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy. Surgery, 2011, 149(3):364-370.
19. Benaiges D, Goday A, Ramon JM, et al. Obemar Group. Laparos-copic sleeve gastrectomy and laparoscopic gastric bypass are equally effective for reduction of cardiovascular risk in severely obese patients at one year of follow-up. Surg Obes Relat Dis, 2011, 7(5):575-580.
20. Leyba JL, Aulestia SN, Llopis SN. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the treatment of morbid obesity. A prospective study of 117 patients. Obes Surg, 2011, 21(2):212-216.
21. O'Brien PE, Dixon JB, Laurie C, et al. Treatment of mild to moderate obesity with laparoscopic adjustable gastric banding or an intensive medical program:a randomized trial. Ann Intern Med, 2006, 144(9):625-633.
22. Rosenthal RJ, International Sleeve Gastrectomy Expert Panel, Diaz AA, et al. International sleeve gastrectomy expert panel consensus statement:best practice guidelines based on experience of >12 000 cases. Surg Obes Relat Dis, 2012, 8(1):8-19.
23. Wang Y, Yan L, Jin Z, et al. Effects of sleeve gastrectomy in neona-tally streptozotocin-induced diabetic rats. PLoS One, 2011, 6(1):e16383.
24. Basso N, Capoccia D, Rizzello M, et al. First-phase insulin secretion, insulin sensitivity, ghrelin, GLP-1, and PYY changes 72 h after sleeve gastrectomy in obese diabetic patients:the gastric hypothesis. Surg Endosc, 2011, 25(11):3540-3550.
25. Karamanakos SN, Vagenas K, Kalfarentzos F, et al. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy:a prospective, double blind study. Ann Surg, 2008, 247(3):401-407.

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Short-Term Efficacy of Laparoscopic Sleeve Gastrectomy for Obesity with Type 2 Diabetes Mellitus in China: A Systematic Analysis

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