摘要
目的回顾该院第1例腹腔镜Roux-en-Y胃肠旁路术治疗2型糖尿病的资料并进行疗效分析。方法术前确定2型糖尿病的诊断,完善各项检查,排除手术禁忌证,全身麻醉下进行腹腔镜Roux-en-Y胃肠旁路术,术后对患者恢复情况、血糖、胰岛素抵抗、糖耐量、营养状况以及并发症进行随访。结果患者术后恢复较好,没有并发症发生,术后不用任何降糖药物,血糖控制良好,糖耐量试验结果转为正常,没有发生营养不良和贫血。结论该例患者经腹腔镜Roux-en-Y胃肠旁路术治疗后2型糖尿病获得治愈。
【Objective】To review the first case of curing type 2 diabetes mellitus using laparoscopic Roux-en-Y gastric bypass and to analyze the clinical outcome.【Methods】The patient was diagnosed as type 2 diabetes mellitus definitely,general examination was performed,and underwent laparoscopic Roux-en-Y gastric bypass. The post-operative recovery,serum glucose,Homa-IR,OGTT,nutrition status and complication were analyzed. 【Results】The recovery was fast and no complication occurred,the post-operative level of serum glucose was normal without any antidiabetic medicine,the result of OGTT was normal after operation,and no malnutrition or anemia occurred.【Conclusions】The patient with type 2 diabetes mellitus was cured by laparoscopic Roux-en-Y gastric bypass.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第4期370-373,共4页
China Journal of Endoscopy
基金
首都医学发展科研基金(2007-3075)