Ileal transposition in surgical treatment for type 2 diabetes mellitus

High prevalence and insufficient efficacy of medical treatment in type 2 diabetes mellitus (T2DM) poses a major challenge for medical care. Generally, only 30% of patients reach therapeutic goals, while remission occurs only in the minority of patients. In the obese (BMI>35 kg/m2), bariatric surg...

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Autores principales: Oleg Viktorovich Kornyushin, Mikhail Michailovich Galagudza, Alexander Evgen'evich Neymark, Alina Yur'evna Grineva, Elena Nikolaevna Babenko
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RU
Publicado: Endocrinology Research Centre 2015
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Acceso en línea:https://doaj.org/article/f2ec8cab73f34f0b943233c65732d453
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spelling oai:doaj.org-article:f2ec8cab73f34f0b943233c65732d4532021-11-14T09:00:19ZIleal transposition in surgical treatment for type 2 diabetes mellitus2072-03512072-037810.14341/DM2015158-64https://doaj.org/article/f2ec8cab73f34f0b943233c65732d4532015-03-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/6741https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378High prevalence and insufficient efficacy of medical treatment in type 2 diabetes mellitus (T2DM) poses a major challenge for medical care. Generally, only 30% of patients reach therapeutic goals, while remission occurs only in the minority of patients. In the obese (BMI>35 kg/m2), bariatric surgery provides an alternative to pharmacological treatment of T2DM, boosting remission/compensation rate up to 76.8%. A few recent clinical studies explored the anti-diabetic effect of ileal transposition (IT). This type of surgery targets restoration of incretin balance by proximal transposition of ileal segment. In this review, we discuss the salutary mechanisms of IT in T2DM based on the analysis of the pioneering clinical trials.Oleg Viktorovich KornyushinMikhail Michailovich GalagudzaAlexander Evgen'evich NeymarkAlina Yur'evna GrinevaElena Nikolaevna BabenkoEndocrinology Research Centrearticlediabetes mellitusincretinsileal transpositionbariatric surgeryNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 18, Iss 1, Pp 58-64 (2015)
institution DOAJ
collection DOAJ
language EN
RU
topic diabetes mellitus
incretins
ileal transposition
bariatric surgery
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle diabetes mellitus
incretins
ileal transposition
bariatric surgery
Nutritional diseases. Deficiency diseases
RC620-627
Oleg Viktorovich Kornyushin
Mikhail Michailovich Galagudza
Alexander Evgen'evich Neymark
Alina Yur'evna Grineva
Elena Nikolaevna Babenko
Ileal transposition in surgical treatment for type 2 diabetes mellitus
description High prevalence and insufficient efficacy of medical treatment in type 2 diabetes mellitus (T2DM) poses a major challenge for medical care. Generally, only 30% of patients reach therapeutic goals, while remission occurs only in the minority of patients. In the obese (BMI>35 kg/m2), bariatric surgery provides an alternative to pharmacological treatment of T2DM, boosting remission/compensation rate up to 76.8%. A few recent clinical studies explored the anti-diabetic effect of ileal transposition (IT). This type of surgery targets restoration of incretin balance by proximal transposition of ileal segment. In this review, we discuss the salutary mechanisms of IT in T2DM based on the analysis of the pioneering clinical trials.
format article
author Oleg Viktorovich Kornyushin
Mikhail Michailovich Galagudza
Alexander Evgen'evich Neymark
Alina Yur'evna Grineva
Elena Nikolaevna Babenko
author_facet Oleg Viktorovich Kornyushin
Mikhail Michailovich Galagudza
Alexander Evgen'evich Neymark
Alina Yur'evna Grineva
Elena Nikolaevna Babenko
author_sort Oleg Viktorovich Kornyushin
title Ileal transposition in surgical treatment for type 2 diabetes mellitus
title_short Ileal transposition in surgical treatment for type 2 diabetes mellitus
title_full Ileal transposition in surgical treatment for type 2 diabetes mellitus
title_fullStr Ileal transposition in surgical treatment for type 2 diabetes mellitus
title_full_unstemmed Ileal transposition in surgical treatment for type 2 diabetes mellitus
title_sort ileal transposition in surgical treatment for type 2 diabetes mellitus
publisher Endocrinology Research Centre
publishDate 2015
url https://doaj.org/article/f2ec8cab73f34f0b943233c65732d453
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AT mikhailmichailovichgalagudza ilealtranspositioninsurgicaltreatmentfortype2diabetesmellitus
AT alexanderevgenevichneymark ilealtranspositioninsurgicaltreatmentfortype2diabetesmellitus
AT alinayurevnagrineva ilealtranspositioninsurgicaltreatmentfortype2diabetesmellitus
AT elenanikolaevnababenko ilealtranspositioninsurgicaltreatmentfortype2diabetesmellitus
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