Mansour, M., Salama, R., Elbegawy, M., Ahmed, M. (2019). Sleeve Gastrectomy Versus Mini-gastric Bypass in Type 2 Diabetes. Benha Journal of Applied Sciences, 4(2), 109-115. doi: 10.21608/bjas.2019.187191
M.A. Mansour; R.S. Salama; M.A. Elbegawy; M.E. Ahmed. "Sleeve Gastrectomy Versus Mini-gastric Bypass in Type 2 Diabetes". Benha Journal of Applied Sciences, 4, 2, 2019, 109-115. doi: 10.21608/bjas.2019.187191
Mansour, M., Salama, R., Elbegawy, M., Ahmed, M. (2019). 'Sleeve Gastrectomy Versus Mini-gastric Bypass in Type 2 Diabetes', Benha Journal of Applied Sciences, 4(2), pp. 109-115. doi: 10.21608/bjas.2019.187191
Mansour, M., Salama, R., Elbegawy, M., Ahmed, M. Sleeve Gastrectomy Versus Mini-gastric Bypass in Type 2 Diabetes. Benha Journal of Applied Sciences, 2019; 4(2): 109-115. doi: 10.21608/bjas.2019.187191
Sleeve Gastrectomy Versus Mini-gastric Bypass in Type 2 Diabetes
General Surgery Dept., Faculty of Medicine, Benha Univ, Benha, Egypt
Abstract
Obesity is a major health burden worldwide.A variety of surgical procedures are available, and currently, it is
difficult to identify the most effective option based on patient characteristics and comorbidities. This study aimed to
compare the results of sleeve gastrectomy and mini-gastric bypass on type 2 diabetic morbid obese patient. Sixty
morbidly obese patients thirty for sleeve gastrectomy and thirty for minigastric bypasse.g., BMI >40 kg/m2 or >35
kg/m2 with associated comorbidity with failed diet for more than two years will be included in this study
for12months. mean operative time of group A [sleeve gastrectomy] was 110 minute while the mean operative time
of group B [minigastric bypass] was 119 minutes. The difference between operative time in both groups was
statistically significant.there was statistically significant decrease in BMI at 12 months among Mini-gastric Bypass
group than Sleeve Gastrectomy group. there was statistically significant decrease in HbA1c 12 months and Total
HbA1c change among Group B than Group A. In present study, there was no statistically significant difference
between Group A and Group B regarding complications except statistically significant decrease in Dumping and
Symptomatic cholelithiasis [conserve] among Group A than Group B. Sleeve gastrectomy has shorter operative time
than mini-gastric bypass. both procedures have near same effect on loss of weight and resolving or better control on
co-morbidities as DM.There was no statistically significant difference between Sleeve gastrectomy and mini-gastric
bypass group regarding complications.