{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:53:57Z","timestamp":1740174837800,"version":"3.37.3"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T00:00:00Z","timestamp":1609891200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T00:00:00Z","timestamp":1609891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Bariatric surgery is effective for the treatment of patients with morbid obesity and type 2 diabetes mellitus (T2DM), for body weight loss and glycemic control. However, in Japan, there has been no previous report of the effectiveness bariatric surgery in a case of morbid obesity associated with acute onset type 1 diabetes mellitus (T1DM), in which pancreatic \u03b2-cells were destroyed and endogenous insulin was depleted.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 36-year-old woman with morbid obesity and T1DM, diagnosed when she was 6\u00a0years, was admitted for bariatric surgery. At her first consultation, she had a body weight of 106.7\u00a0kg and a body mass index of 42.2\u00a0kg\/m<jats:sup>2<\/jats:sup>. Her HbA1c level was 9.0%, with a required daily insulin dose of 75 units. She underwent laparoscopic sleeve gastrectomy. At 1\u00a0year after surgery, her body weight had decreased to 81.0\u00a0kg and her body mass index to 32.2\u00a0kg\/m<jats:sup>2<\/jats:sup>. In addition, her daily required dose of insulin had decreased to 24 units, with an improvement in her HbA1c level to 7.7%.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Although further evidence needs to be accumulated, including long-term outcomes, laparoscopic sleeve gastrectomy may provide an effective treatment for patients with morbid obesity and T1DM for body weight loss, improvement in HbA1c level, and insulin dose reduction.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-020-00989-5","type":"journal-article","created":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T18:03:54Z","timestamp":1609956234000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Efficacy of laparoscopic sleeve gastrectomy for patient with morbid obesity and type 1 diabetes mellitus: a case report"],"prefix":"10.1186","volume":"7","author":[{"given":"Hidetaka","family":"Ichikawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2037-4643","authenticated-orcid":false,"given":"Hirofumi","family":"Imoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Musha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shojiro","family":"Sawada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Naitoh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kamei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michiaki","family":"Unno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,1,6]]},"reference":[{"key":"989_CR1","doi-asserted-by":"publisher","first-page":"3783","DOI":"10.1007\/s11695-018-3450-2","volume":"28","author":"L Angrisani","year":"2018","unstructured":"Angrisani L, Santonicola A, Iovino P, Vitiello A, Higa K, Himpens J, et al. IFSO worldwide survey 2016: primary, endoluminal, and revisional procedures. Obes Surg. 2018;28:3783\u201394.","journal-title":"Obes Surg"},{"key":"989_CR2","doi-asserted-by":"publisher","first-page":"2002","DOI":"10.1056\/NEJMoa1401329","volume":"370","author":"PR Schauer","year":"2014","unstructured":"Schauer PR, Bhatt DL, Kirwan JP, Wolski K, Brethauer SA, Navaneethan SD, et al. Bariatric surgery versus intensive medical therapy for diabetes\u20143-year outcomes. N Engl J Med. 2014;370:2002\u2013133.","journal-title":"N Engl J Med."},{"key":"989_CR3","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1056\/NEJMoa1600869","volume":"376","author":"PR Schauer","year":"2017","unstructured":"Schauer PR, Bhatt DL, Kirwan JP, Wolski K, Brethauer SA, Navaneethan SD, et al. Bariatric surgery versus intensive medical therapy for diabetes\u20145-year outcomes. N Engl J Med. 2017;376:641\u201351.","journal-title":"N Engl J Med"},{"key":"989_CR4","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1016\/j.jdiacomp.2015.11.016","volume":"30","author":"JP Bae","year":"2016","unstructured":"Bae JP, Lage MJ, Mo D, Nelson DR, Hoogwerf BJ. Obesity and glycemic control in patients with diabetes mellitus: Analysis of physician electronic health records in the US from 2009\u20132011. J Diabetes Complications. 2016;30:212\u201320.","journal-title":"J Diabetes Complications"},{"key":"989_CR5","doi-asserted-by":"publisher","first-page":"6170719","DOI":"10.1155\/2016\/6170719","volume":"2016","author":"A Chow","year":"2016","unstructured":"Chow A, Switzer NJ, Dang J, Shi X, de Gara C, Birch DW, et al. A systematic review and meta-analysis of outcomes for type 1 diabetes after bariatric surgery. J Obes. 2016;2016:6170719.","journal-title":"J Obes"},{"key":"989_CR6","doi-asserted-by":"publisher","first-page":"856","DOI":"10.1007\/s11695-016-2390-y","volume":"27","author":"N Vilarrasa","year":"2017","unstructured":"Vilarrasa N, Rubio MA, Mi\u00f1ambres I, Flores L, Caix\u00e0s A, Ciudin A, et al. Long-term outcomes in patients with morbid obesity and type 1 diabetes undergoing bariatric surgery. Obes Surg. 2017;27:856\u201363.","journal-title":"Obes Surg"},{"key":"989_CR7","doi-asserted-by":"publisher","first-page":"1697","DOI":"10.1007\/s11695-015-1999-6","volume":"26","author":"H Ashrafian","year":"2016","unstructured":"Ashrafian H, Harling L, Toma T, Athanasiou C, Nikiteas N, Efthimiou E, et al. Type 1 diabetes mellitus and bariatric surgery: a systematic review and meta-analysis. Obes Surg. 2016;26:1697\u2013704.","journal-title":"Obes Surg"},{"key":"989_CR8","doi-asserted-by":"publisher","first-page":"E51","DOI":"10.2337\/dc13-1736","volume":"37","author":"SA Brethauer","year":"2014","unstructured":"Brethauer SA, Aminian A, Rosenthal RJ, Kirwan JP, Kashyap SR, Schauer PR. Bariatric surgery improves the metabolic profile of morbidly obese patients with type 1 diabetes. Diabetes Care. 2014;37:E51\u2013E5252.","journal-title":"Diabetes Care"},{"key":"989_CR9","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1016\/j.soard.2014.12.016","volume":"11","author":"M Robert","year":"2015","unstructured":"Robert M, Belanger P, Hould FS, Marceau S, Tchernof A, Biertho L. Should metabolic surgery be offered in morbidly obese patients with type I diabetes? Surg Obes Relat Dis. 2015;11:798\u2013805.","journal-title":"Surg Obes Relat Dis"},{"key":"989_CR10","doi-asserted-by":"publisher","first-page":"675","DOI":"10.2169\/internalmedicine.1217-18","volume":"58","author":"JY Hironaka","year":"2019","unstructured":"Hironaka JY, Kitahama S, Sato H, Inoue M, Takahashi T, Tamori Y. Sleeve gastrectomy induced remission of slowly progressive type 1 diabetes in a morbidly obese Japanese patient. Intern Med. 2019;58:675\u20138.","journal-title":"Intern Med"},{"key":"989_CR11","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1111\/ases.12443","volume":"11","author":"K Uno","year":"2018","unstructured":"Uno K, Seki Y, Kasama K, Wakamatsu K, Hashimoto K, Umezawa A, et al. Mid-term results of bariatric surgery in morbidly obese Japanese patients with slow progressive autoimmune diabetes. Asian J Endosc Surg. 2018;11:238\u201343.","journal-title":"Asian J Endosc Surg"},{"key":"989_CR12","doi-asserted-by":"publisher","first-page":"962","DOI":"10.1007\/s11695-007-9151-x","volume":"17","author":"AA Gumbs","year":"2007","unstructured":"Gumbs AA, Gagner M, Dakin G, Pomp A. Sleeve gastrectomy for morbid obesity. Obes Surg. 2007;17:962\u20139.","journal-title":"Obes Surg"},{"key":"989_CR13","doi-asserted-by":"publisher","first-page":"2683","DOI":"10.1056\/NEJMoa035622","volume":"351","author":"L Sj\u00f6str\u00f6m","year":"2004","unstructured":"Sj\u00f6str\u00f6m L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351:2683\u201393.","journal-title":"N Engl J Med"},{"key":"989_CR14","doi-asserted-by":"publisher","first-page":"857","DOI":"10.1111\/j.1464-5491.2006.01925.x","volume":"23","author":"DIAMOND Project Group","year":"2006","unstructured":"DIAMOND Project Group. Incidence and trends of childhood type 1diabetes worldwide 1990\u20131999. Diabet Med. 2006;23:857\u201366.","journal-title":"Diabet Med"},{"key":"989_CR15","doi-asserted-by":"publisher","first-page":"909","DOI":"10.1111\/dme.13295","volume":"34","author":"Y Onda","year":"2017","unstructured":"Onda Y, Sugihara S, Ogata T, Yokoya S, Yokoyama T, Tajima N, et al. Incidence and prevalence of childhood-onset type 1 diabetes in Japan: the T1D study. Diabet Med. 2017;34:909\u201315.","journal-title":"Diabet Med"},{"key":"989_CR16","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1016\/j.tem.2006.12.003","volume":"18","author":"P Pozzilli","year":"2007","unstructured":"Pozzilli P, Buzzetti R. A new expression of diabetes: double diabetes. Trends Endocrinol Metab. 2007;18:52\u20137.","journal-title":"Trends Endocrinol Metab"},{"key":"989_CR17","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1034\/j.1399-5448.2003.00012.x","volume":"4","author":"IM Libman","year":"2003","unstructured":"Libman IM, Becker DJ. Coexistence of type 1 and type 2 diabetes mellitus: \u201cdouble\u201d diabetes? Pediatr Diabetes. 2003;4:110\u20133.","journal-title":"Pediatr Diabetes"},{"key":"989_CR18","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1038\/ijo.2011.143","volume":"35","author":"B Laferr\u00e8re","year":"2011","unstructured":"Laferr\u00e8re B. Diabetes remission after bariatric surgery: is it just the incretins? Int J Obes Suppl. 2011;35:22\u20135.","journal-title":"Int J Obes Suppl"},{"key":"989_CR19","doi-asserted-by":"publisher","first-page":"941","DOI":"10.2337\/dc15-2732","volume":"39","author":"JP Kirwan","year":"2016","unstructured":"Kirwan JP, Aminian A, Kashyap SR, Burguera B, Brethauer SA, Schauer PR, et al. Bariatric surgery in obese patients with type 1 diabetes. Diabetes Care. 2016;39:941\u20138.","journal-title":"Diabetes Care"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-00989-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40792-020-00989-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-00989-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T19:47:52Z","timestamp":1609962472000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-020-00989-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,6]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["989"],"URL":"https:\/\/doi.org\/10.1186\/s40792-020-00989-5","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2021,1,6]]},"assertion":[{"value":"11 June 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 September 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 January 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"7"}}