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Volume 6, Issue 8(Suppl) J Gastrointest Dig Syst 2016
ISSN:2161-069X JGDS, an open access journal
Page 21
Notes:
Digestive Diseases 2016
December 08-09, 2016
conferenceseries.com
Digestive Diseases
December 08-09, 2016 Dubai, UAE
International Conference on
Duodenal diversion and surgical treatment of type 2 diabetes in mildly obese patients: What metabolic
surgery has to learn from general surgery?
R C Luciani and K Tardy
Groupement Hospitalier Les Portes du Sud, France
Many recent prospective studies have undoubtedly proven metabolic surgery to be the most effective treatment of T2DM
compared with medical management. Therefore bariatric surgeons have now to question the best surgical procedure to achieve
diabetes improvement or even resolution not only in severely obese patients but also in mildly obese ones without exposing them
to the risk of malnutrition. To achieve this goal, metabolic surgery can surely benefit from the previous results of general surgery in
regards to the very different effects of the various types of reconstruction after gastrectomy (Billroth I versus Billroth II and Roux en
Y) both in diabetic and non diabetic patients. This presentation reviews the results of general and oncological gastric surgery and their
implications in the field of diabetology. According to these data duodenal diversion reconstruction after gastrectomy significantly
improves T2DM in diabetic patients while it seems on the opposite to worthen glucose metabolism in non diabetic ones. These
conclusions should lead to exclude restrictive procedures without duodenal diversion in the surgical management of T2DM avoiding
much malabsorption and weight loss in thin diabetic patients
Biography
R C Luciani has completed PhD from the University Claude Bernard Lyon France in 1988. He has published papers in the field of Laparoscopy including colo-rectal surgery
nephrectomy and hepatectomy since 1991. He has been a Speaker at IRCAD WebSurg Stasbourg France and a Founding Member of MGB /OAGB club. He is at present
mostly involved in Bariatric Metabolic Surgery.
R C Luciani et al., J Gastrointest Dig Syst 2016, 6:8(Suppl)