Adjustable gastric tract to help control diabetes

Release date: 2010-04-02

It is well known that obesity can cause diabetes. The effect of laparoscopic adjustable gastric band weight loss surgery on obesity type 2 diabetes has recently been confirmed by clinical practice at home and abroad. Recently, Zou Yiping, director of the Department of Hepatobiliary Surgery at the Hospital of Johnson & Johnson Medical Devices and the 309 Hospital of the People's Liberation Army, said: "The weight loss surgery can not only effectively reduce weight, but also solve the problem of type 2 diabetes caused by obesity. helpful."

It is understood that there are more than 100 million diabetic patients worldwide, including type 2 diabetes, with a proportion of more than 90%. The World Health Organization estimates that obese people are three times more likely to develop type 2 diabetes than normal people. About 50% of obese people are at risk of developing diabetes, while 80% of type 2 diabetics are overweight or obese at the time of diagnosis.

According to Director Zou Yiping, since 2006, the General Hospital of the General Staff of the People's Liberation Army has successfully carried out more than 200 cases of laparoscopic adjustable gastric band weight loss surgery. The results showed that about 80% of obese patients with type 2 diabetes were relieved two years after surgery. Further analysis of 15 patients with obesity and type 2 diabetes who underwent laparoscopic adjustable gastric banding surgery showed that 4 of 8 patients who underwent insulin therapy before surgery were rehabilitated at 12 months after surgery. Hypoglycemic drugs, another 4 cases stopped drug treatment; 7 patients who were treated with oral hypoglycemic drugs before surgery were discontinued 6 to 12 months after surgery; 80% of patients discontinued drugs 24 months after surgery. Blood sugar can still maintain normal.

This result has also been confirmed abroad. According to a recent study published in the Journal of the American Medical Association, "type 2 diabetes can be treated by weight loss surgery." The study included 60 patients with severe obesity who were divided into two groups for treatment with adjustable gastric banding and conventional diabetes control. Results 73% of patients in the surgical group continued to have normal blood glucose levels, much higher than the other group.

The adjustable gastric band is a special low-pressure flexible silicone tape with an adjustable water bladder on the inside. Adjustable gastric banding is a minimally invasive procedure performed by laparoscopy. The surgery binds the stomach band to the upper end of the stomach and divides the patient's stomach into two parts, just like wearing a "claw" on the stomach. After the operation, the patient's food reaches the upper small stomach sac and accumulates, and the related stimulation is transmitted to the brain to produce a feeling of fullness, thereby controlling the food intake and achieving the weight loss effect. If the patient's diet slowly recovers after a period of surgery, the water can be injected into the water bladder inside the gastric band by a syringe pump pre-buried under the abdominal wall of the patient to further increase the water balloon, thereby further reducing the intragastric passage. Control the amount of food. Adjustable gastric banding surgery has a longer weight loss cycle and can continue to lose weight within 3 to 5 years.

Zou Yiping also reminded that although this weight loss surgery is effective, weight loss surgery is not equal to bariatric surgery, patients need to meet certain conditions before surgery can be performed, body mass index is high, obesity complications such as diabetic fatty liver have emerged, and non-surgical This type of surgery is only suitable for patients with poor therapeutic or intolerable conditions, and cannot be blindly performed.

(Source: China Medical News)

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