Sleeve gastrectomy for the treatment of Asian type II diabetics: long term results

Shirley Yuk-Wah Liu, Simon Kin-Hung Wong


Laparoscopic sleeve gastrectomy (LSG) is a restrictive bariatric procedure that is gaining increasing favor among bariatric surgeons in Asia due to its lower technical complexity, limited complication profiles, and good efficacy on weight reduction. Type II diabetes mellitus (T2DM) is a global epidemic that is strongly linked with obesity. While the prevalence of T2DM and obesity has been rapidly cumulating in Asia, more and more research attentions are raised on the long-term metabolic impact of LSG on Asian T2DM patients. Although emerging systematic reviews on the long-term results of LSG have been recently published, most of these results were focusing on data from North America, Latin America and Europe. Specific attention on the long-term results of LSG on Asian T2DM patients was lacking in the literature. In this review, the current literature evidence about the long-term results of LSG on weight reduction and diabetic remission in Asian T2DM patients was analyzed.