Comparative Study between laparoscopic Sleeve Gastrectomy and laparoscopic Mini Gastric Bypass in Control of Type2 Diabetes Mellitus in obese patients

Abstract

The dramatic rise in the prevalence of obesity and diabetes has become a major global health issue. The problem is complex and will require strategies at many levels to prevent, control and manage. It is well known that obesity has profound effect on tissue sensitivity to insulin and so, leads to glucose intolerance. In addition to behavioral and medical approaches, various types of surgery on the gastrointestinal tract, originally developed to treat morbid obesity (bariatric surgery), constitute powerful options to ameliorate diabetes in severely obese patients, often normalizing blood glucose levels, reducing or avoiding the need for medications and providing a potentially cost-effective approach to treating the disease. It is proved that the bariatric surgery is considerd the most effective and long acting treatment modality for type 2 diabetes mellitus. It is difficult to identify the most effective operation