Guidelines and consensus: Jejunoileostomy for diabetes mellitus-surgical norms and expert consensus (2023 version).

Autor:	Shen JW; Department of General Surgery, Heilongjiang Provincial People's Hospital, Harbin 150036, Heilongjiang Province, China., Ji CY; Department of General Surgery, Zhengzhou Central Hospital, Zhengzhou 450007, Henan Province, China., Fang XD; Department of General Surgery, The Third Affiliated Hospital of Jilin University, Changchun 130033, Jilin Province, China., Yang B; Department of General Surgery, The Eighth Medical Center of the General Hospital of the People's Liberation Army, Beijing 100091, China., Zhang T; Department of General Surgery, 242 Affiliated Hospital of Shenyang Medical College, Shenyang 110034, Liaoning Province, China., Li ZC; Department of General Surgery, Jingmen Petrochemical General Hospital in Hubei Province, Jingmen 448001, Hubei Province, China., Li HZ; Department of General Surgery, Beijing Chuiyangliu Hospital Affiliated to Tsinghua University, Beijing 100022, China., Liu ZY; Department of General Surgery, The Fourth Hospital of Jilin University, Changchun 130011, Jilin Province, China., Tang J; Department of General Surgery, The First People's Hospital of Xiangtan, Xiangtan 411101, Hunan Province, China., Liao CW; Department of General Surgery, Jiangxi First People's Hospital, Nanchang 332000, Jiangxi Province, China., Lu JZ; Department of General Surgery, The Third People's Hospital of Gansu Province, Lanzhou 730020, Gansu Province, China., Yang X; Department of General Thoracic Surgery, Liaoning Electric Power Center Hospital, Shenyang 110403, Liaoning Province, China., Zhang XG; Department of General Surgery, The Third Medical Center of the General Hospital of the People's Liberation Army, Beijing 100039, China. 13520495188@139.com.
Jazyk:	angličtina
Zdroj:	World journal of diabetes [World J Diabetes] 2024 Nov 15; Vol. 15 (11), pp. 2182-2188.
DOI:	10.4239/wjd.v15.i11.2182
Abstrakt:	Diabetes mellitus (DM) is a group of diseases characterized by high blood glucose caused by insufficient absolute or relative secretion of insulin. Once diagnosed, patients need long-term treatment with hypoglycemic drugs. Currently, the existing first-line hypoglycemic drugs do not provide effective treatment for DM and its complications. In the past, the first generation and the second generation of weight loss surgery, such as gastric bypass and sleeve gastric surgery, had strict body mass index requirements. Moreover, post-surgery, patients are prone to fluctuating hypoglycemia, gastroesophageal reflux, and dumping syndrome. Hence, the curative effect of this type of surgery was compromised to a certain extent. Jejunoileostomy is a third-generation surgery for patients with DM, which has been shown to improve glucose and lipid metabolism, without changing the original gastrointestinal tract structure. Different from previous weight loss surgeries, jejunoileostomy has been clinically observed to delay the development of DM-related complications. Additionally, the postoperative complications are mild and do not affect the patient's quality of life. Based on our clinical observations from multi-center large samples, our team developed a consensus on the operative period and perioperative management of jejunoileostomy as a reference for clinical researchers. Competing Interests: Conflict-of-interest statement: No conflict of interest. (©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze:	MEDLINE
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