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The foregut theory as a possible mechanism of action for the remission of type 2 diabetes in low body mass index patients undergoing subtotal gastrectomy for gastric cancer
The question of whether pure metabolic surgery could be used in nonobese patients with type 2 diabetes has been considered. The objective of this study was to assess the comparative effects of the Billroth I (BI) and Billroth II (BII) reconstruction methods on remission of type 2 diabetes in nonobese patients undergoing subtotal gastrectomy for cancer.Laparoscopic conversion of laparoscopic sleeve gastrectomy to gastric bypass for intractable gastroesophageal reflux disease
Laparoscopic sleeve gastrectomy (LSG) has proved to be a safe and efficacious step or stand-alone surgical procedure for the treatment of morbid obesity. An increase in the body mass index and the accumulation of visceral fat are associated with a two- to threefold increased risk of developing reflux symptoms [1]. Long-term complications appear to have a low incidence; however, in recent publications, gastroesophageal reflux disease (GERD) has been reported to occur in ≤27% of patients 6 years after the procedure.
