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The Short-Term Effects of Transit Bipartition with Sleeve Gastrectomy and Distal-Roux-en-Y Gastric Bypass on Glycemic Control, Weight Loss, and Nutritional Status in Morbidly Obese and Type 2 Diabetes Mellitus Patients
Short-Term Effects of Two Weight-Loss Surgeries on Blood Sugar, Weight, and Nutrition in Severely Obese People with Type 2 Diabetes
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Abstract
Among 109 morbidly obese patients, transit bipartition with sleeve gastrectomy (TB-SG) was associated with significantly less deficiency of key vitamins and minerals compared to distal-Roux-en-Y gastric bypass (D-RYGB).
- D-RYGB resulted in higher weight loss rates in the first 3 months, but the percentage of excess weight loss was similar at 12 months.
- Early weight loss from D-RYGB led to faster glycemic control, yet no significant differences in metabolic outcomes were observed between the two groups.
- TB-SG had significantly lower rates of deficiency in vitamin D, vitamin B12, iron, and folic acid at the end of the follow-up period.
- Anastomosis leakage was reported more frequently with the D-RYGB technique, although overall complication rates were similar between both groups.
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