Sleeve Gastrectomy Induced Remission of Slowly Progressive Type 1 Diabetes in a Morbidly Obese Japanese Patient

被引：5

作者：

Hironaka, Un-ya ^{[1
]}

Kitahama, Seiichi ^{[2
]}

Sato, Hiroyuki ^{[1
]}

Inoue, Maki ^{[1
]}

Takahashi, Tetsuya ^{[1
]}

Tamori, Yoshikazu ^{[1
,3
]}

机构：

[1] Chibune Gen Hosp, Dept Internal Med, Div Diabet & Endocrinol, Osaka, Japan

[2] Chibune Gen Hosp, Dept Bariatr & Metab Surg, Osaka, Japan

[3] Kobe Univ, Grad Sch Med, Div Diabet & Endocrinol, Dept Internal Med, Kobe, Hyogo, Japan

来源：

INTERNAL MEDICINE | 2019年 / 58卷 / 05期

关键词：

type; 1; diabetes; morbid obesity; bariatric surgery; TUMOR-NECROSIS-FACTOR; BARIATRIC SURGERY; INTERFERON-GAMMA; DESTRUCTION; CYTOKINES;

D O I：

10.2169/internalmedicine.1217-18

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The effects of bariatric/metabolic surgery on glycemic control in obese type 1 diabetic patients are controversial. We herein report a case of a morbidly obese 35-year-old woman who completely recovered from slowly progressive type 1 diabetes (SPIDDM) following laparoscopic sleeve gastrectomy. Preoperatively, her body mass index (BMI) was 49.8 kg/m(2) and hemoglobin Ale was 5.7% with intensive insulin therapy. Six months after bariatric/metabolic surgery, her BMI decreased to 33.2 kg/m(2) and her glycemic control was normal despite the discontinuation of all diabetic medicine. This case demonstrates the usefulness of bariatric/metabolic surgery for achieving glycemic control in morbidly obese patients with SPIDDM in Japan.

引用

页码：675 / 678

页数：4

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