Metabolic Outcomes of Surgery for Non-Obese Type 2 DiabetesMetabolic Outcomes of Surgery for Non-Obese Type 2 Diabetes
- Other Titles
- Metabolic Outcomes of Surgery for Non-Obese Type 2 Diabetes
- Authors
- 허경열
- Issue Date
- 2020
- Publisher
- 대한내시경복강경외과학회
- Keywords
- Type 2 diabetes; metabolic surgery; physiologic adaptation; GIP
- Citation
- Journal of Minimally Invasive Surgery, v.23, no.2, pp.57 - 62
- Journal Title
- Journal of Minimally Invasive Surgery
- Volume
- 23
- Number
- 2
- Start Page
- 57
- End Page
- 62
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/19698
- DOI
- 10.7602/jmis.2020.23.2.57
- ISSN
- 2234-778X
- Abstract
- The most plausible contributing factor to non-obese type 2 diabetes may be imbalanced incretin release from the intestinal epithelium in response to nutrients. Rerouting intestinal continuity through bypass surgery to modulate incretin release is therefore a reasonable treatment. We believe that a major determinant of metabolic outcomes is entire duodenal exclusion without leaving any duodenal epithelium and exclusion of sufficient length of jejunum. More importantly, the procedure should be implemented with safety and without sequelae. To achieve this, we invented a novel procedure with acceptable surgical safety and excellent and durable metabolic outcomes. Post-surgical intestinal adaptation should be considered to achieve successful outcomes.
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Collections - College of Medicine > Department of General Surgery > 1. Journal Articles
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