腹腔镜Roux-en-Y胃肠旁路术治疗2型糖尿病  

Laparoscopic Roux-en-Y gastric bypass for the treatment of type 2 diabetes mellitus

作　　者：廉东波[1] 阿民布和[1] 朱斌[1] 宫轲[1] 李凯[1] 王桐生[1] 张东东[1] 张能维[1] 

机构地区：[1]北京世纪坛医院(北京大学第九临床医学院)腹腔镜外科中心,北京100038

出　　处：《中国内镜杂志》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)

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.

关 键 词：腹腔镜 Roux-en-Y胃肠旁路术 2型糖尿病 

分 类 号：R587.1[医药卫生—内分泌]