Wight Loss And Type II Diabetes Mellitus Control After Laparoscopic Sleeve Gastrectomy In An Early Post-Operative Period- A Prospective Cohort Study

Introduction: Obesity has reached epidemic proportions worldwide India rank 3 rd after USA and China. The health consequences range from increased risk of premature death due to serious chronic illness like Hypertension and DM which reduces the overall quality of life. LSG produces long lasting control of Obesity as well as DM Material and Methods: A prospective cohort study was conducted between the periods of January 2015 to March 2016. The criteria for selection were BMI ≥ 40 kg/m2 or BMI ≥ 35 kg/m2 with co-morbidities. All the patients were screened by a multidisciplinary team. All the patients were operated by the same surgeon to avoid any procedural biasness. At each follow-up visit, weight loss and glycemic control status were evaluated. Results: Out of 60 patients operated for morbid obesity, Our focus were on those 18 patients who were morbidly obese having Diabetes as the only co morbidity .Rest were having either no co-morbidity or multiples comorbidity. Post operatively all patients were followed up and were given same diet plan for the first three months of the follow up. Post-operatively on follow up, there was significant change in all the parameters like the weight reduction, BMI, Fasting Blood sugar level, Post prandial Sugar level. Conclusions: LSG is simple, effective and reproducible surgical method to treat obesity as well as DM2.