Efficiency of the new metabolic operation in treatment of type II diabetes mellitus

Aim. To establish the effectiveness of the surgical treatment of type II diabetes mellitus by performing tubular resection of the stomach with partial disabling of the duodenum (SG+TB). Material and Methods. In the period from 2014 to 2018, we performed 12 surgical interventions using a simplifie...

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Autores principales:	V.V. Grubnik, V.V. Ilyashenko, O.V. Medvedev, S.O. Usenok, M.R. Paranyak
Formato:	article
Lenguaje:	EN UK
Publicado:	Danylo Halytsky Lviv National Medical University 2018
Materias:	diabetes mellitus, bipartition, bmi Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a3c7dc852b304625a4666abdd4e98456
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spelling	oai:doaj.org-article:a3c7dc852b304625a4666abdd4e984562021-11-10T19:50:04ZEfficiency of the new metabolic operation in treatment of type II diabetes mellitus1029-42442415-330310.25040/aml2018.02.016https://doaj.org/article/a3c7dc852b304625a4666abdd4e984562018-06-01T00:00:00Zhttps://amljournal.com/index.php/journal/article/view/108https://doaj.org/toc/1029-4244https://doaj.org/toc/2415-3303Aim. To establish the effectiveness of the surgical treatment of type II diabetes mellitus by performing tubular resection of the stomach with partial disabling of the duodenum (SG+TB). Material and Methods. In the period from 2014 to 2018, we performed 12 surgical interventions using a simplified SG+TB procedure for patients with morbid obesity and type II diabetes mellitus. The new technique consisted primarily of tubular resection of the stomach and the imposition of one anastomosis between the stomach and the iliac intestine. Results and Discussion. There were no complications due to surgical interventions. During a one-year follow-up, in 4 patients, the body mass index decreased from 40-50 kg/m2 to 28-33 kg/m2, in 3 patients - from the level of 50 kg/m2 to 20.5-34.0 kg/m2 and in two -from the indicators of 35 kg/m2 before surgery, to 23.5 and 26.0 kg/m2 after one year. Almost all patients had partial or complete remission of type II diabetes mellitus. The level of glucose in the blood of patients decreased from the level of 13-23 mmol / l to 4.5-8 mmol / l, and glycosylated hemoglobin - to 5.4-6.8%. Conclusions. The modified technique of SG+TB with one gastrointestinal anastomosis is an effective surgical intervention in the treatment of type II diabetes mellitus. To confirm the feasibility of such operations, further research is required.V.V. GrubnikV.V. IlyashenkoO.V. MedvedevS.O. UsenokM.R. ParanyakV.V. GrubnikDanylo Halytsky Lviv National Medical Universityarticlediabetes mellitus, bipartition, bmiMedicine (General)R5-920ENUKActa Medica Leopoliensia, Vol 24, Iss 2, Pp 16-20 (2018)
institution	DOAJ
collection	DOAJ
language	EN UK
topic	diabetes mellitus, bipartition, bmi Medicine (General) R5-920
spellingShingle	diabetes mellitus, bipartition, bmi Medicine (General) R5-920 V.V. Grubnik V.V. Ilyashenko O.V. Medvedev S.O. Usenok M.R. Paranyak V.V. Grubnik Efficiency of the new metabolic operation in treatment of type II diabetes mellitus
description	Aim. To establish the effectiveness of the surgical treatment of type II diabetes mellitus by performing tubular resection of the stomach with partial disabling of the duodenum (SG+TB). Material and Methods. In the period from 2014 to 2018, we performed 12 surgical interventions using a simplified SG+TB procedure for patients with morbid obesity and type II diabetes mellitus. The new technique consisted primarily of tubular resection of the stomach and the imposition of one anastomosis between the stomach and the iliac intestine. Results and Discussion. There were no complications due to surgical interventions. During a one-year follow-up, in 4 patients, the body mass index decreased from 40-50 kg/m2 to 28-33 kg/m2, in 3 patients - from the level of 50 kg/m2 to 20.5-34.0 kg/m2 and in two -from the indicators of 35 kg/m2 before surgery, to 23.5 and 26.0 kg/m2 after one year. Almost all patients had partial or complete remission of type II diabetes mellitus. The level of glucose in the blood of patients decreased from the level of 13-23 mmol / l to 4.5-8 mmol / l, and glycosylated hemoglobin - to 5.4-6.8%. Conclusions. The modified technique of SG+TB with one gastrointestinal anastomosis is an effective surgical intervention in the treatment of type II diabetes mellitus. To confirm the feasibility of such operations, further research is required.
format	article
author	V.V. Grubnik V.V. Ilyashenko O.V. Medvedev S.O. Usenok M.R. Paranyak V.V. Grubnik
author_facet	V.V. Grubnik V.V. Ilyashenko O.V. Medvedev S.O. Usenok M.R. Paranyak V.V. Grubnik
author_sort	V.V. Grubnik
title	Efficiency of the new metabolic operation in treatment of type II diabetes mellitus
title_short	Efficiency of the new metabolic operation in treatment of type II diabetes mellitus
title_full	Efficiency of the new metabolic operation in treatment of type II diabetes mellitus
title_fullStr	Efficiency of the new metabolic operation in treatment of type II diabetes mellitus
title_full_unstemmed	Efficiency of the new metabolic operation in treatment of type II diabetes mellitus
title_sort	efficiency of the new metabolic operation in treatment of type ii diabetes mellitus
publisher	Danylo Halytsky Lviv National Medical University
publishDate	2018
url	https://doaj.org/article/a3c7dc852b304625a4666abdd4e98456
work_keys_str_mv	AT vvgrubnik efficiencyofthenewmetabolicoperationintreatmentoftypeiidiabetesmellitus AT vvilyashenko efficiencyofthenewmetabolicoperationintreatmentoftypeiidiabetesmellitus AT ovmedvedev efficiencyofthenewmetabolicoperationintreatmentoftypeiidiabetesmellitus AT sousenok efficiencyofthenewmetabolicoperationintreatmentoftypeiidiabetesmellitus AT mrparanyak efficiencyofthenewmetabolicoperationintreatmentoftypeiidiabetesmellitus AT vvgrubnik efficiencyofthenewmetabolicoperationintreatmentoftypeiidiabetesmellitus
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Efficiency of the new metabolic operation in treatment of type II diabetes mellitus

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