腹腔镜胃旁路术和迷你胃旁路术对肥胖症合并2型糖尿病患者的短期治疗效果

目的探讨腹腔镜胃旁路手术和迷你胃旁路术对合并2型糖尿病的病态肥胖症患者的治疗效果。方法7例伴有2型糖尿病的单纯性肥胖症患者中1例行腹腔镜胃旁路术．6例行腹腔镜迷你胃旁路术，观察患者术后2型糖尿病治疗效果。结果7例患者手术顺利，手术时间100～170（平均135）min。无手术并发症。术后平均随访1年，体质量平均减少24．3kg，均已停用所有降糖药物，各项糖尿病检查指标均正常。结论腹腔镜胃旁路术或迷你胃旁路术对2型糖尿病短期治疗有效。

Short-term outcome of laparoscopic gastric bypass and minigastric bypass on obesity patients with type 2 diabetes mellitus

Objective To evaluate the short-term outcome of laparoscopic gastric bypass on obesity patients with type 2 diabetes mellitus. Methods Seven obesity patients with type 2 diabetes mellitus received laparoscopic gastric bypass (n=1) or laparoscopic minigastric bypass (n=6), and their data of treatment outcomes were analyzed. Results The operations were all successfully performed without any complications. The average operation time was 125 minutes (range:100 to 170 minutes). The patients underwent 1-18 months follow-up after operation. Diabetic indicators returned to normal without any medication and body weight reduced by on average of 24.3 kg. Conclusion Laparoscopic gastric bypass and minigastric bypass have good short-term outcome in the treatment of obesity patients with type 2 diabetes mellitus.