Evolution of Nutritional Status Following Sleeve Gastrectomy with Ileal Interposition Duo-denojejunal Bypass Operation in Treatment of Nonobese Type 2 Diabetes Mellitus——Results of 3-Year Follow-up_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 YANGYing-hong , WUYan-jun , YANJing , LINYuan , YUEXiao-lin

Department of General Surgery, The Central Hospital of Panzhihua City, Panzhihua 617067, Sichuan Province, China;

Corresponding author：

YANGYing-hong, Email: yy_hong@sina.com

Keywords：

Type 2 diabetes mellitus; Sleeve gastrectomy; Ileal interposition; Nutritional deficiency; Micronutrients

DOI：

10.7507/1007-9424.20150254

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the changes of nutritional status following sleeve gastrectomy with ileal interposition duodenojejunal bypass operation in treatment of nonobese type 2 diabetes mellitus. Methods A total of 47 patients submitted to sleeve gastrectomy with ileal interposition duodenojejunal bypass operation from March 2009 to November 2011 in this hospital were retrospectively analyzed. Serum iron, calcium, vitamin B₁₂, folic acid, albumin (Alb), hemoglobin (Hb), glycosylated hemoglobin (HbA1c), and body mass index (BMI) were assessed before operation and on 6, 12, 24, and 36 months after operation. Results ①The values of Alb, Hb, HbA1c, and iron after operation were significantly lower than those of the corresponding values before operation (P < 0.01), the values of calcium, vitamin B₁₂, folic acid, and BMI had no significant differences between after operation and before operation (P > 0.05).②The incidences of the lower Alb and lower iron after operation were significantly higher than those before operation (P < 0.01), the other indexes had no significant differences between after operation and before operation (P > 0.05). Conclusions Sleeve gastrectomy with ileal interposition duodenojejunal bypass operation is an effective treatment of nonobese type 2 diabetes mellitus. However, nutritional deficiency is one of its side effects, which should be properly diagnosed and handled in order to improving the patient's quality of life and preventing related complications.

Citation： YANGYing-hong, WUYan-jun, YANJing, LINYuan, YUEXiao-lin. Evolution of Nutritional Status Following Sleeve Gastrectomy with Ileal Interposition Duo-denojejunal Bypass Operation in Treatment of Nonobese Type 2 Diabetes Mellitus——Results of 3-Year Follow-up. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(8): 977-980. doi: 10.7507/1007-9424.20150254 Copy

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3.	Kim S, Richards WO. Long-term follow-up of the metabolic profiles in obese patients with type 2 diabetes mellitus after Roux-en-Y gastric bypass. Ann Surg, 2010, 251(6):1049-1055.
4.	冯潇, 王勇.胃肠道营养物质代谢与胰高血糖素样肽-1水平改变.中国普外基础与临床杂志, 2012, 19(12):1286-1290.
5.	邵永春, 岳玉桃, 邵玉玲. 138例2型糖尿病病人营养状况评价.河南科技大学学报:医学版, 2009, 27(4):282-284.
6.	Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guide-lines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-2013 update:cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Endocr Pract, 2013, 19(2):337-372.
7.	Adams TD, Davidson LE, Litwin SE, et al. Health benefits of gastric bypass surgery after 6 years. JAMA, 2012, 308(11):1122-1131.
8.	Schweiger C, Weiss R, Berry E, et al. Nutritional deficiencies in bariatric surgery candidates. Obes Surg, 2010, 20(2):193-197.
9.	Von Drygalski A, Andris DA. Anemia after bariatric surgery:more than just iron deficiency. Nutr Clin Pract, 2009, 24(2):217-226.
10.	Bavaresco M, Paganini S, Lima TP, et al. Nutritional course of patients submitted to bariatric surgery. Obes Surg, 2010, 20(6):716-721.
11.	Von Drygalski A, Andris DA, Nuttleman PR, et al. Anemia after bariatric surgery cannot be explained by iron deficiency alone:results of a large cohort study. Surg Obes Relat Dis, 2011, 7(2):151-156.
12.	Toh SY, Zarshenas N, Jorgensen J. Prevalence of nutrient deficien-cies in bariatric patients. Nutrition, 2009, 25(11/12):1150-1156.
13.	Dalcanale L, Oliveira CP, Faintuch J, et al. Long-term nutritional outcome after gastric bypass. Obes Surg, 2010, 20(2):181-187.
14.	Poitou Bernert C, Ciangura C, Coupaye M, et al. Nutritional defici-ency after gastric bypass:diagnosis, prevention and treatment. Diabetes Metab, 2007, 33(1):13-24.

1. Yang WY, Lu JM, Weng JP, et al. Prevalence of diabetes among men and women in China. N Engl J Med, 2010, 362(12):1090-1101.
2. 杨映弘, 吴艳军, 颜璟, 等.袖状胃切除间置回肠的十二指肠空肠旁路手术治疗非肥胖型2型糖尿病.中华普通外科杂志, 2012, 27(6):483-486.
3. Kim S, Richards WO. Long-term follow-up of the metabolic profiles in obese patients with type 2 diabetes mellitus after Roux-en-Y gastric bypass. Ann Surg, 2010, 251(6):1049-1055.
4. 冯潇, 王勇.胃肠道营养物质代谢与胰高血糖素样肽-1水平改变.中国普外基础与临床杂志, 2012, 19(12):1286-1290.
5. 邵永春, 岳玉桃, 邵玉玲. 138例2型糖尿病病人营养状况评价.河南科技大学学报:医学版, 2009, 27(4):282-284.
6. Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guide-lines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-2013 update:cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Endocr Pract, 2013, 19(2):337-372.
7. Adams TD, Davidson LE, Litwin SE, et al. Health benefits of gastric bypass surgery after 6 years. JAMA, 2012, 308(11):1122-1131.
8. Schweiger C, Weiss R, Berry E, et al. Nutritional deficiencies in bariatric surgery candidates. Obes Surg, 2010, 20(2):193-197.
9. Von Drygalski A, Andris DA. Anemia after bariatric surgery:more than just iron deficiency. Nutr Clin Pract, 2009, 24(2):217-226.
10. Bavaresco M, Paganini S, Lima TP, et al. Nutritional course of patients submitted to bariatric surgery. Obes Surg, 2010, 20(6):716-721.
11. Von Drygalski A, Andris DA, Nuttleman PR, et al. Anemia after bariatric surgery cannot be explained by iron deficiency alone:results of a large cohort study. Surg Obes Relat Dis, 2011, 7(2):151-156.
12. Toh SY, Zarshenas N, Jorgensen J. Prevalence of nutrient deficien-cies in bariatric patients. Nutrition, 2009, 25(11/12):1150-1156.
13. Dalcanale L, Oliveira CP, Faintuch J, et al. Long-term nutritional outcome after gastric bypass. Obes Surg, 2010, 20(2):181-187.
14. Poitou Bernert C, Ciangura C, Coupaye M, et al. Nutritional defici-ency after gastric bypass:diagnosis, prevention and treatment. Diabetes Metab, 2007, 33(1):13-24.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Evolution of Nutritional Status Following Sleeve Gastrectomy with Ileal Interposition Duo-denojejunal Bypass Operation in Treatment of Nonobese Type 2 Diabetes Mellitus——Results of 3-Year Follow-up

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