Obesity, Type 2 Diabetes
Conditions
Keywords
T2DM, RYGB, RCT
Brief summary
The purpose of this study is to investigate the curative effect of the length of the jejunum exclusion in gastric surgry for T2DM and metabolic syndrome,and to draft Scientific and reasonable operation parameters.
Detailed description
Currently, there is a growing evidence supports the efficacy of Roux-en-Y gastric bypass for the treatment of Type 2 diabetes mellitus. However,there still have a great controversy about the operation parameters. With randomized controlled trial, Patients of BMI\>21kg/m2 with type 2 diabetes were randomly divided into two groups: short biliarypancreatic limb:50cm;long biliarypancreatic limb :100cm. The investigators followed-up 3,6,12,24 months of the change of BMI,FBG,HbA1c,Blood pressure,Blood fat after surgery.
Interventions
biliarypancreatic limb:50cm;roux limb:150cm.
biliarypancreatic limb:100cm;roux limb:100cm.
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged 20-65 years old * History of diabetes is less than 15 years * Fasting c-peptide≥1.6 * BMI≥21kg/m2; * Ability to understand the nature of the procedure and willing to follow postoperative routine lifestyle and checkups
Exclusion criteria
* Psychological and mental disorders * Serious important organs such as heart and lung disease cannot be tolerated surgery * Complex history of abdominal surgery in the abdominal cavity adhesion * Pregnancy or lactation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| body mass idex | 24 months | Changesd of BMI |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| IFG | 24 months | Variations of IFG |
| HbA1c | 24 months | The changes of HbA1c |
| blood pressure | 24 months | Changes of blood pressure including both systolic and diastolic pressure. |
| blood fat | 24 months | Changes of blood fat including LDL, HDL, CHOL, TG |
Countries
China