2-year results of laparoscopic minigastric bypass in patients with diabetes mellitus type 2

Effect of remission of diabetes mellitus type 2 (SD) in patients with severe obesity often occurs after Bariatric operations. There are reports that patients who underwent gastric bypass surgery, after surgery, diabetes remission occurs quickly, and often ahead of weight loss. In recent years the literature discusses the use of these operations in patients with type 2 diabetes the body mass index (BMI) of 30 kg/m 2 ofor more, because there is an assumption that, in patients with type 2 diabetes, not suffering from severe obesity, you can achieve permanent reduction of glycemia by gastric bypass surgery. Methods.Since September, 2012 to September 2014 SOKB them in. M.I.Kalinin 26 patients performed laparoscopic intervention mini gastric bypass about diabetes type 2. Of these 11 patients, there are more than 1 year. The analysis of clinical and laboratory data of these patients, diabetes-related indicators were examined before and after 2 years after surgical treatment. The Results.The average BMI fell by 30 - 60% from the original in the first year after surgery and then remained at the same level. The average level of glycosylated hemoglobin in 96% of cases was less than 6 mmol/l, С-peptide-1.2 mmol/l plasma glucose level normalization Noted blood on an empty stomach and lower glucose levels less than 10 mmol/l at the sugar load. Conclusion.As a result of the application of mini gastric bypass in patients with severe obesity by means of suffering from type 2 diabetes, was able to get the effect of remission of the disease in 96% of cases, however, the need to further study the effect of the operation.