Improvement of Type 2 Diabetes after Bariatric Surgery in a Patient with Severe Obesity.

Shin,  Mi Seon; Kim,  Joo Hui; Hwang,  Jenie Yoonoo; Kim,  Eun Hee; Lee,  Woo Je; Choi,  Youn Baik; Kim,  Kab Choong; Park,  Joong Yeol

doi:2011.12.1.53

J Korean Diabetes > Volume 12(1); 2011 > Article

Case Report

The Journal of Korean Diabetes 2011;12(1):53-59.
DOI: https://doi.org/10.4093/kcd.2011.12.1.53 Published online March 1, 2011.

제2형 당뇨병을 동반한 고도 비만환자에게 베리아트릭 수술 시행 후 당뇨병이 호전된 1예

신미선, 김주희, 황윤우, 김은희, 이우제, 최윤백, 김갑중, 박중열

Improvement of Type 2 Diabetes after Bariatric Surgery in a Patient with Severe Obesity.

Mi Seon Shin, Joo Hui Kim, Jenie Yoonoo Hwang, Eun Hee Kim, Woo Je Lee, Youn Baik Choi, Kab Choong Kim, Joong Yeol Park

¹Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. jypark@amc.seoul.kr
²Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Abstract

The prevalence of obesity is steadily increasing worldwide and is commonly associated with metabolic diseases including hypertension, hyperlipidemia, and type 2 diabetes as well as increased mortality. Bariatric surgery is an effective treatment modality for patients with severe obesity and type 2 diabetes that are refractory to conventional treatments. We performed bariatric surgery (biliopancreatic diversion with duodenal switch) in a 23-year-old man with severe obesity and uncontrolled type 2 diabetes. Before surgery, the patient experienced continuous weight gain and aggravated glycemic control despite dietary restrictions, exercise, and medications including high dose insulin. After surgery, his weight was reduced by 17 kg and he was able to stop insulin treatment. This case suggests that bariatric surgery is an effective therapeutic option when severe obesity and type 2 diabetes are refractory to usual treatments.

Key Words: Bariatric surgery, Obesity, Type 2 Diabetes Mellitus