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| ID | Type | Description | Link |
|---|---|---|---|
| BPDLL vs LSG | Other Identifier | University Hospital of Patras |
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To evaluate and compare prospectively the effects of Biliopancreatic Diversion Long Limb (BPDLL) and Laparoscopic Sleeve Gastrectomy (LSG) on resolution of diabetes mellitus type 2.
Twelve patients with diabetes mellitus type 2 (DM 2) and body mass index (BMI)> 50kg/m2) will undergo BPDLL and 12 twelve patients with DM 2 and BMI 40-50 kg/m2 will undergo LSG. The patients will be evaluated before and 1, 3 and 12 months after surgery with an oral glucose tolerance test. The investigators aim to investigate the effects of surgery on diabetes resolution, hypertension, dyslipidemia, and also on fasting, and glucose-stimulated insulin, glucagon, ghrelin, peptide-YY and glucagon-like peptide-1 (GLP-1) responses during during an oral glucose tolerance test (OGTT). Resolution of diabetes mellitus will be evaluated according to the criteria of American Diabetes Association with an OGTT. The effects on appetite and satiety will be also evaluated with the use of visual analog scores.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BPDLL group | Patients subjected to the Biliopancreatic Diversion Long Limbs surgical operation will undergo an oral glucose tolerance preoperatively and 12 months after the operation | ||
| LSG group | Patients subjected to laparoscopic sleeve gastrectomy will undergo an oral glucose tolerance test preoperatively and 12 months postoperatively |
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| Measure | Description | Time Frame |
|---|---|---|
| Diabetes resolution at 12 months after surgery | 12 months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Weight loss at 12 months after surgery | 12 months after surgery | |
| Changes of GLP-1 response to glucose | 12 months after surgery | |
| Changes in ghrelin levels |
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Inclusion Criteria:
Exclusion Criteria:
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Twelve patients with diabetes mellitus type 2 and BMI> 50kg/m2 will undergo BPDLL and 12 patients with diabetes mellitus type 2 and BMI 40-50kg/m2 will undergo LSG
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| Name | Affiliation | Role |
|---|---|---|
| Theodore Alexandrides, Professor | University of Patras | Principal Investigator |
| Fotis Kalfarentzos, Professor | University of Patras | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital of Patras | Rio | Achaia | 26500 | Greece | ||
| University Hospital of Patras |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D015431 | Weight Loss |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| 12 months after surgery |
| Changes in PYY response to glucose | 12 months after surgery |
| Rio |
| Achaia |
| 26504 |
| Greece |
| D001836 | Body Weight Changes |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |