Laparoscopic metabolic surgery for the treatment of type 2 diabetes in Asia: a scoping review and evidence-based analysis

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Term Occurence Count Dictionary
diabetes mellitus 3 endocrinologydiseases
hypertriglyceridemia 1 endocrinologydiseases
hyperuricemia 1 endocrinologydiseases
metabolic syndrome 1 endocrinologydiseases
Insulin 3 endocrinologydiseasesdrugs
diabetic retinopathy 1 endocrinologydiseases
hyperglycemia 1 endocrinologydiseases
hyperlipidemia 3 endocrinologydiseases
obesity 13 endocrinologydiseases
type 2 diabetes mellitus 1 endocrinologydiseases

Graph of close proximity drug and disease terms (within 200 characters).

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Select Drug Character Offset Drug Term Instance
Insulin 16709 2014 [[30]]No state053%, 63%, 90% at 1, 2 and 3 year1aBMI, HbA1c, Fasting glucose, 2 h glucose, CP, Insulin , HOMA-IRPostoperative bleeding, outflow stasis, infected fluid collection, leakage144 at 1 year; 116
Insulin 18146 55% patients in 1, 4, 12, 26, and 52 weeks and 2 years0BMI, Glucose, insulin, HbA1c, HOMA, Glucose, Insulin , Insulinogenic indexseven minor complications, no major complication62 at 1,4 week, 45 at 12 week,
Insulin 18155 patients in 1, 4, 12, 26, and 52 weeks and 2 years0BMI, Glucose, insulin, HbA1c, HOMA, Glucose, Insulin, Insulin ogenic indexseven minor complications, no major complication62 at 1,4 week, 45 at 12 week, 40 at 26 weeks,
Select Disease Character Offset Disease Term Instance
diabetes mellitus 1766 the most commonly performed surgical procedure for this in Asia.BackgroundThe prevalence of type 2 diabetes mellitus (T2DM) and obesity is increasing rapidly worldwide, especially in developing countries [[1]]. The International
diabetes mellitus 4684 used: “bariatric surgery OR metabolic surgery OR obesity surgery OR weight loss surgery” AND “ diabetes mellitus ” AND “names of Asian countries and regions: according to WHO list of countries and regions.” There
diabetes mellitus 23210 to < 35 kg/m2 has increased in Asian countries (Fig. 2; Table 3), and all studies had an acceptable diabetes mellitus resolution (remission rate range from 52.9 to 96.2% at 1, 3, or 5 years). A meta-analysis including
diabetic retinopathy 17580 2 months, 6 at 4 months.Zhu 2012 [[34]]Chronic gastritis, fatty liver, hypertension, hypertriglyceridemia, diabetic retinopathy , diabetic nephropathy0Significant reduction in Glycosylated hemoglobin, diabetes was completely resolved
hyperglycemia 22851 patients with BMI 30.0–34.9 kg/m2 or 27.5–32.4 kg/m2 in Asian descent, and inadequately controlled hyperglycemia despite optimal medical treatment by either oral or injectable insulin during Diabetes Surgery Summit
hyperlipidemia 3516 control a patient’s weight, but can also improve obesity-related complications, including hypertension, hyperlipidemia , snoring, sleep apnea syndrome, polycystic ovarian syndrome, and other metabolic diseases, especially
hyperlipidemia 15442 completed 1 year follow-up, 3 were lost at 2 years, 2 lost at 3 years.Di 2016 [[24]]Hypertension, hyperlipidemia 074.2% (49/66) at 1-year; 57.6% (38/66) at 3-year0BMI, FPG, 2 hPG, HbA1C, FCP, FINS, HOMA-IRNo stateAll
hyperlipidemia 22601 BMI ≥ 35 kg/m2 or in patients with one or more severe obesity-related co-morbidities (T2DM, hypertension, hyperlipidemia , obstructive sleep apnea, etc.) [[54]–[57]]. Laparoscopic metabolic surgery also be considered to
hypertriglyceridemia 17558 infectionAll at 2 months, 6 at 4 months.Zhu 2012 [[34]]Chronic gastritis, fatty liver, hypertension, hypertriglyceridemia , diabetic retinopathy, diabetic nephropathy0Significant reduction in Glycosylated hemoglobin, diabetes
hyperuricemia 17059 2hPG, FINS, HOMA-IRNo stateAll at 3 month follow-upLakdawala 2013 [[32]]Hypertension, dyslipidemia, hyperuricemia , gastroesophageal reflux disease, sleep apnea, joint pain096.2% (50/52) at 1 year and 5 year0Average
metabolic syndrome 21644 However, Li JF et al. [[49]] suggested that LRYGB is more effective than LSG for the treatment of T2DM and metabolic syndrome . Yang et al. [[27]] reported in a RCT of 64 patients that both LSG with LRYGB procedures achieved complete
obesity 1795 surgical procedure for this in Asia.BackgroundThe prevalence of type 2 diabetes mellitus (T2DM) and obesity is increasing rapidly worldwide, especially in developing countries [[1]]. The International Diabetes
obesity 2418 coronary heart diseases, stroke, sleep apnea and cancer [[4]–[6]]. It is well known that uncontrolled obesity can lead to significant health problems, decrease life expectancy, and influence quality of life. Obesity
obesity 3461 [[13]]. Evidence shows that bariatric surgery not only control a patient’s weight, but can also improve obesity -related complications, including hypertension, hyperlipidemia, snoring, sleep apnea syndrome, polycystic
obesity 4635 November, 2017. The following key search terms were used: “bariatric surgery OR metabolic surgery OR obesity surgery OR weight loss surgery” AND “diabetes mellitus” AND “names of Asian countries and regions:
obesity 5256 exclusion criteriaStudies describing laparoscopic metabolic surgery for T2DM, in patients with or without obesity were included. Studies were included if they were conducted in one of 49 Asian countries. We excluded
obesity 11740 [[26]]India30–356.5 ± 3.1MGB128 (46:82)41.6 ± 10.2MGB provides good, long-term control of T2DM in patients with class I obesity . Early intervention results in higher remission rates.Case SeriesLi 2016 [27]China24–309.2 ± 8.1LJISSA57
obesity 19627 studies reported that laparoscopic metabolic surgery was safe and effective for T2DM with or without obesity . There were 16 studies on T2DM with BMI of > 25 kg/m2 to < 35 kg/m2, mostly from China. 70.2% procedures
obesity 20236 et al. [[39]] reported that from 1980 to 2010, in most Asian countries and region, the incidence of obesity and overweight has increased in both children and adults. Obesity is highly prevalent in China and India,
obesity 20416 highly prevalent in China and India, representing a high proportion of the total number of people with obesity and diabetes globally [[40]]. The role of laparoscopic metabolic surgery for obesity with T2DM has been
obesity 20501 of people with obesity and diabetes globally [[40]]. The role of laparoscopic metabolic surgery for obesity with T2DM has been included in many national guidelines in Asia and other regions globally [[41]–[43]].
obesity 22347 [[51], [52]]. And both LSG and LRYGB have been suggested as safe and effective bariatric procedures for obesity [[53]]. Therefore, laparoscopic metabolic surgery has been widely recommended as the most effective
obesity 22549 effective treatment for T2DM patients with BMI ≥ 35 kg/m2 or in patients with one or more severe obesity -related co-morbidities (T2DM, hypertension, hyperlipidemia, obstructive sleep apnea, etc.) [[54]–[57]].
obesity 25627 demonstrated that SLG and LRYGBP are the two commonly used surgical procedures for T2DM patients with comorbid obesity in Asia. Laparoscopic metabolic surgery can be performed in T2DM patients with BMI of > 25 kg/m2 to
type 2 diabetes mellitus 1759 LSG is the most commonly performed surgical procedure for this in Asia.BackgroundThe prevalence of type 2 diabetes mellitus (T2DM) and obesity is increasing rapidly worldwide, especially in developing countries [[1]]. The International

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