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Laparoscopic Ileal Interposition with Diverted Sleeve Gastrectomy Versus Laparoscopic Transit Bipartition with Sleeve Gastrectomy for Better Glycemic Outcomes in T2DM Patients



Background Metabolic procedures provide better outcomes
for obese patients with type 2 diabetes mellitus. Our aim
was to compare the glycemic regulation in patients that have
undergone the laparoscopic ileal interposition with diverted
sleeve gastrectomy (II-DSG), laparoscopic transit bipartition
with sleeve gastrectomy (TB-SG), and laparoscopic sleeve
gastrectomy (LSG) throughout a 12-month follow-up period
retrospectively.
Methods This study considered patients with T2DM who
underwent metabolic procedures. The postoperative changes
in the glucose, C-peptide, HbA1c, HOMA-IR, insulin, cholesterol, body mass index, and total weight loss (TWL) were
compared retrospectively. The intended outcome was to reach
a long lasting fasting blood glucose (FBG)


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