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Laparoscopic Roux-en-Y gastric bypass with ileal transposition – an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux

Currently, type 2 diabetes mellitus (T2DM) is considered as a gastrointestinal disease. Numerous studies have demonstrated that bariatric operations ameliorate T2DM significantly. The laparoscopic Roux-en-Y gastric bypass (L-RYGB) is considered as the gold standard procedure. We aimed to evaluate th...

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Autores principales: Ersoz, Feyzullah, Duzkoylu, Yigit, Deniz, Mehmet Mehdi, Boz, Mustafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4653271/
https://www.ncbi.nlm.nih.gov/pubmed/26649100
http://dx.doi.org/10.5114/wiitm.2015.54224
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author Ersoz, Feyzullah
Duzkoylu, Yigit
Deniz, Mehmet Mehdi
Boz, Mustafa
author_facet Ersoz, Feyzullah
Duzkoylu, Yigit
Deniz, Mehmet Mehdi
Boz, Mustafa
author_sort Ersoz, Feyzullah
collection PubMed
description Currently, type 2 diabetes mellitus (T2DM) is considered as a gastrointestinal disease. Numerous studies have demonstrated that bariatric operations ameliorate T2DM significantly. The laparoscopic Roux-en-Y gastric bypass (L-RYGB) is considered as the gold standard procedure. We aimed to evaluate the feasibility and impact of L-RYGB with ileal transposition (or interposition) on diabetes resolution in a patient who has not benefited from any medical therapy, with its additional effect on the amelioration of gastroesophageal reflux disease. The patient was a 38-year-old diabetic woman with uncontrolled blood glucose despite medical treatment, with additional gastroesophageal reflux disease. Following the procedure, her biochemical parameters and reflux symptoms improved significantly within 10 months. We think that L-RYGB with ileal transposition may be easily employed to gain a maximum effect in diabetics with adverse prognosis. This technique may be an alternative in the treatment of type 2 diabetic patients with gastroesophageal reflux.
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spelling pubmed-46532712015-12-08 Laparoscopic Roux-en-Y gastric bypass with ileal transposition – an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux Ersoz, Feyzullah Duzkoylu, Yigit Deniz, Mehmet Mehdi Boz, Mustafa Wideochir Inne Tech Maloinwazyjne Case Report Currently, type 2 diabetes mellitus (T2DM) is considered as a gastrointestinal disease. Numerous studies have demonstrated that bariatric operations ameliorate T2DM significantly. The laparoscopic Roux-en-Y gastric bypass (L-RYGB) is considered as the gold standard procedure. We aimed to evaluate the feasibility and impact of L-RYGB with ileal transposition (or interposition) on diabetes resolution in a patient who has not benefited from any medical therapy, with its additional effect on the amelioration of gastroesophageal reflux disease. The patient was a 38-year-old diabetic woman with uncontrolled blood glucose despite medical treatment, with additional gastroesophageal reflux disease. Following the procedure, her biochemical parameters and reflux symptoms improved significantly within 10 months. We think that L-RYGB with ileal transposition may be easily employed to gain a maximum effect in diabetics with adverse prognosis. This technique may be an alternative in the treatment of type 2 diabetic patients with gastroesophageal reflux. Termedia Publishing House 2015-09-16 2015-09 /pmc/articles/PMC4653271/ /pubmed/26649100 http://dx.doi.org/10.5114/wiitm.2015.54224 Text en Copyright © 2015 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ersoz, Feyzullah
Duzkoylu, Yigit
Deniz, Mehmet Mehdi
Boz, Mustafa
Laparoscopic Roux-en-Y gastric bypass with ileal transposition – an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux
title Laparoscopic Roux-en-Y gastric bypass with ileal transposition – an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux
title_full Laparoscopic Roux-en-Y gastric bypass with ileal transposition – an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux
title_fullStr Laparoscopic Roux-en-Y gastric bypass with ileal transposition – an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux
title_full_unstemmed Laparoscopic Roux-en-Y gastric bypass with ileal transposition – an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux
title_short Laparoscopic Roux-en-Y gastric bypass with ileal transposition – an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux
title_sort laparoscopic roux-en-y gastric bypass with ileal transposition – an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4653271/
https://www.ncbi.nlm.nih.gov/pubmed/26649100
http://dx.doi.org/10.5114/wiitm.2015.54224
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