Surgical treatment of a non-obese patient with type 2 diabetes – primary experience – a case report

Abstract

The idea of type 2 diabetes surgical treatment was established in the U.S. and was based on observation of patientsafter bariatric procedures. Exclusion of the duodenum and gastrointestinal anastomosis performed in cases of morbidobesity cause shortened absorption of nutrients, which obviously promotes weight loss. Results of surgical treatmentshowed a beneficial effect on weight loss, resolution of co-morbidities and the reduction of risk of developingcardiovascular diseases and cancer. Analysis of the results of surgical treatment of obese patients with type 2 diabetesconfirmed the usefulness of surgical methods. Surgeons performing these procedures have noticed regression of type 2diabetes within a few weeks and in some cases this phenomenon is even observed during hospitalization [1]. So rapidimprovement is not only the result of the weight loss. Investigators of this phenomenon cannot precisely explainhow a relatively simple procedure could cure diabetes. We present the first experience of our centre based on the operativetreatment of type 2 diabetes in a non-obese patient.

Keywords

• type 2 diabetes
• non-obese patient
• gastric bypass
• glycated haemoglobin
• effect of incretins