Early Experience Of Metabolic Surgery In Iraq

Introduction: Laparoscopic sleeve gastrectomy LSG is known to be a highly effective treatment for morbid obesity and many related conditions including type 2 diabetes mellitus (T2DM) and the metabolic syndrome.Objectives: To assess the effectiveness of (LSG) on glucose homeostasis in morbidly obese diabetic patients and it shows early experience of metabolic surgery in Iraq.Methods: Prospective clinical case series study conducted in Al-Jumhoori Teaching Hospital and involved 20 patients (17 females and 3 males); their age (22-54 average 37 years) underwent LSG and the level of glucose evaluated at different times by measuring fasting blood glucose level, glycosylated hemoglobin (HbAlC).Results: The initial body weight 70-142(110Kg); BMI 31.8-53.9 (45.16Kg/m(2)); two patients with diabetes mellitus and BMI less than 35Kg/m(2) involved.The mean level of fasting blood glucose assessed and found to be (202,165,130,107,96 mg/dl) in preoperative, one-day postoperative, 10 days, three and six-months interval; while the level of HbAlC were(10.2,9,7.2,6.1) in the preoperative,10 days, 3 and 6 months interval respectively.Conclusion: LSG is an effective procedure to decrease weight for morbid obesity and it resolve T2DM in 90% while improvement of T2DM occurred in 10 % so LSG is an effective procedure to treat T2DM and the level of glucose declined significantly started from early postoperative and continued till 6 months.