Role of Laparoscopic Ileal Interposition Associated with Sleeve Gastrectomy in Management of Type 2 Diabetes Mellitus
Ahmed El Sayed Abdel Hamid El Kordy;
Abstract
T2DM has reached pandemic levels with associated many co-morbidities and decrease in life expectancy.
Bariatric surgery presented its value as a definitive solution for T2DM management especially with the laparoscopic surgery evolution which occurred since the 1990s.
Bariatric surgery has a significant role in remission or alleviation of T2DM, weight loss, remission of comorbidities, and the improvement in the quality of life.
The jejuno-ileal interposition associated with sleeve gastrectomy can be an effective method used for management of T2DM in patients with BMI less than 35 kg/m2.
The results of this procedure are promising regarding its outcome in remission of T2DM and remission of its co-morbidity diseases.
The operative time of the procedure along with its reasonable post-operative hospital stay and its results in T2DM remission may present the procedure as an alternative for other more complex bariatric procedures as RYGB and BPD&DS in management of T2DM.
The procedure is targeting the pathophysiology of T2DM through variable mechanisms including the weight loss, caloric restriction, anatomical and hormonal alterations causing improvement in insulin secretion, sensitivity and beta cells function.
Bariatric surgery presented its value as a definitive solution for T2DM management especially with the laparoscopic surgery evolution which occurred since the 1990s.
Bariatric surgery has a significant role in remission or alleviation of T2DM, weight loss, remission of comorbidities, and the improvement in the quality of life.
The jejuno-ileal interposition associated with sleeve gastrectomy can be an effective method used for management of T2DM in patients with BMI less than 35 kg/m2.
The results of this procedure are promising regarding its outcome in remission of T2DM and remission of its co-morbidity diseases.
The operative time of the procedure along with its reasonable post-operative hospital stay and its results in T2DM remission may present the procedure as an alternative for other more complex bariatric procedures as RYGB and BPD&DS in management of T2DM.
The procedure is targeting the pathophysiology of T2DM through variable mechanisms including the weight loss, caloric restriction, anatomical and hormonal alterations causing improvement in insulin secretion, sensitivity and beta cells function.
Other data
| Title | Role of Laparoscopic Ileal Interposition Associated with Sleeve Gastrectomy in Management of Type 2 Diabetes Mellitus | Other Titles | دور مداخلة اللفائفي المصاحبة لتكميم المعدة بالمنظار في علاج داء السكري من النوع الثاني | Authors | Ahmed El Sayed Abdel Hamid El Kordy | Issue Date | 2020 |
Recommend this item
Similar Items from Core Recommender Database
Items in Ain Shams Scholar are protected by copyright, with all rights reserved, unless otherwise indicated.