PL-107: Should gastric bypass operation be done for type 2 diabetes in subjects with body mass index 20 - 34 kgs/m2?- an initial Indian experience

2009 ◽  
Vol 5 (3) ◽  
pp. S3
Author(s):  
Shashank S. Shah ◽  
Jayashree S. Todkar ◽  
Poonam S. Shah
Keyword(s):  
Type 2 Diabetes ◽  
Body Mass Index ◽  
Gastric Bypass ◽  
Body Mass ◽  
Bypass Operation ◽  
Indian Experience ◽  
Gastric Bypass Operation

Factors Mediating Durability of Type 2 Diabetes Remission and Relapse after Gastric Bypass Operation

2019 ◽  
Vol 229 (4) ◽  
pp. e2
Author(s):  
Bernardo M. Pessoa ◽  
Matthew G. Browning ◽  
Jad Khoraki ◽  
Guilherme Mazzini ◽  
Luke Wolfe ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Gastric Bypass ◽  
Diabetes Remission ◽  
Bypass Operation ◽  
Gastric Bypass Operation ◽  
Type 2 Diabetes Remission

scholarly journals Distal gastric bypass surgery for the treatment of hypothalamic obesity after childhood craniopharyngioma

2009 ◽  
Vol 161 (1) ◽  
pp. 201-206 ◽  
Author(s):  
Bernd Schultes ◽  
Barbara Ernst ◽  
Florian Schmid ◽  
Martin Thurnheer
Keyword(s):  
Type 2 Diabetes ◽  
Gastric Bypass ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Team Approach ◽  
Bypass Operation ◽  
Hypothalamic Obesity ◽  
Distal Gastric Bypass ◽  
Gastric Bypass Operation

ContextObesity resulting from damage to the hypothalamus, i.e. hypothalamic obesity, is a severe condition that currently lacks any effective evidence-based therapy.ObjectiveOur goal was to describe the course of hypothalamic obesity in a craniopharyngioma patient treated with distal gastric bypass surgery and to outline distinct aspects of multidisciplinary case management.Patient and methodsA 29-year-old man, who had undergone craniopharyngioma resection at the age of 8, was referred to our Interdisciplinary Obesity Centre with a body mass index (BMI) of 52.0 kg/m2, type 2 diabetes and obstructive sleep apnoea syndrome (OSAS). After careful preoperative preparation, including the adjustment of hormone substitution therapy for panhypopituitarism, nutritional counselling and a supervised exercise program, he underwent a distal gastric bypass operation.ResultsEighteen months after the operation the patient's BMI had decreased to 31.9 kg/m2, type 2 diabetes was in complete remission, and OSAS appeared to be improved. Also, feelings of hunger were markedly reduced after the operation. A standard regimen of supplements successfully prevented any severe nutritional deficiencies. After weight loss, the dose of hydrocortisone could be distinctly reduced without any signs of adrenal insufficiency while GH substitution had to be markedly increased to achieve normal IGF1 levels.ConclusionsOur case demonstrates that within a multidisciplinary team approach, a distal gastric bypass operation can be a safe and highly effective therapy for patients with hypothalamic obesity. Also, our findings hint at an effect of gastric bypass surgery on hunger and eating behaviour that may not essentially rely on hypothalamic mechanisms.

scholarly journals Biliopancreatic Diversion Versus Gastric Bypass in the Surgical Treatment of Type 2 Diabetes Mellitus in Patients with Body Mass Index Below 35

2018 ◽  
Vol 86 (March) ◽  
pp. 255-263
Author(s):  
MOHAMED SHETIWY, M.D. NASHAT ABD EL-RAZEK, M.D. ◽  
HOSAM EL-GHADBAN, M.D., M.R.Cs. ASHRAF ABBAS, M.D. ◽  
AHMED NEGM, M.D. MOHAMED SAMIR, M.D., M.R.Cs. ◽  
MAGDY BASHEER, M.D. ABD EL-RAHMAN EL-BAHY, M.D. ◽  
ASHRAF SHOMA, M.D., F.R.Cs.
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Body Mass Index ◽  
Gastric Bypass ◽  
Type 2 Diabetes Mellitus ◽  
Surgical Treatment ◽  
Biliopancreatic Diversion ◽  
Body Mass
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