[Surgical treatment [corrected] of type 2 diabetes. Neuroendocrine basis in relation to three operated cases in Rebagliati Hospital].
OBJECTIVE
To report on a new surgical technique to treat type 2 diabetes, based on neuroendocrine physiology and bariatric surgery data to carry out in patient with morbid obesity associate to type 2 diabetes.


METHODS
The technique included jejunal exclusion or entero-omentectomy. To report three cases operated at the Rebagliati Hospital.


RESULTS
Two patients type 2 diabetic to carry out to bile digestive diversion with jejunal exclusion for hepatic duct stenosis and cephalic cancer of the pancreas do not need to take antidiabetic same one patient diabetic type 2 with morbid obesity to carry out to entero-omentectomy plus sleeve gastrectomy.


CONCLUSIONS
This is the preliminary report of a surgical technique designed to remission type 2 diabetes. It is based on leaving the bowel in the lower limit of normal range (enterectomy), diminishing the highly permeable portions and taking more nutrients to the distal bowel to enhance the secretion of the GLP-1, PYY, so the jejunal exclusion taking more nutrients to the distal bowel to enhance the secretion of this incretins.
Ríos Canturín
Pedro J
PJ
Cirujano, Departamento de Cirugía, Hospital Rebagliati. prioscanturin@yahoo.com
Pérez Fernández
Helmer
H
Ríos Torres
Pedro
P
D000328:Adult; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000601:surgery*; D005260:Female; D006761:Hospitals; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D009490:Neurosecretory Systems; D009852:Omentum / Q000601:surgery*