Shuyin Mao
Chi Mei Medical center, China
Title: Moderate obesity for Laparoscopic sleeve gastrectomy(LSG) treatment DM
Biography
Biography: Shuyin Mao
Abstract
Obesity is increasing in prevalence in the United States and worldwide, In Taiwan men prevalence was 19.2% nearly South Korea 12 times that of Japan 8 times. in woman prevalence was 16.6% also South Korea and Japan 5 times. Health hazards associated with obesity in adults including type 2 diabetes, heart disease, stroke, certain cancers, osteoarthritis, liver disease, obstructive sleep apnea, and depression. cost of treating obesity and its complications in the United States is approximately 100 billion dollars per year. increased rate of death from all causes and from cardiovascular disease. Method: Case 56year old male patient past history of(1) DM with OADs and insulin control over 10years,102/5/21 C-peptid 3.97ng/dl(2)CAD,DVD s/p cardiac catheter(with drug eluting Stenting)(3)erythromatous gastritis and esophagitis regular PPI(4)old lacunar Infarction.BMI:38 visit GS with Bariatric surgical LSG(mechanisms: restriction:102/6/26)with Dietitian nutrition consultation and follow. Result: BW loss at post op 2 months 11kg. post op three months Bw loss:18kgblood glucose controlwellHbA1C:10.3(5/1)→8.7(7/10) →7.7(8/6) →6.4(103/4). AC sugar control :189mg/dl(5/1). →133 mg/dl(7/10) →113 mg/d (8/6) →103(103/4)Insulin injection:NPH: 20u→15u→10u. lipid profile:HDL:40mg/dl LDL:120mg/dl.UA:6.3mg/dl.Body fat :34.3—30and waistine 105cm hips:105cm. Conclusion For many study Bariatric surgical(Roux-en-Y gastric bypass) treatment DM Ghrelin is a peptide hormone secreted in the foregut (stomach and duodenum) that stimulates the early phase of meal consumption. in laparoscopic sleeve gastrectomy exaggerated response of peptide YY (PYY) may also contribute to the loss of appetite Hormones such as glucagon-like peptide-1 (GLP-1) and cholecystokinin (CCK), which are increased after RYGB, may promote an anorectic state. In this case use LSG and diet control and adequate excise successful weight control and treatment DM and metabolic syndrome. Key word: Moderate obesityã€Bariatric surgical〠Laparoscopic sleeve gastrectomyã€DMã€Metabolic syndrome