Resumen

RIOS CANTURIN, Pedro J., PEREZ FERNANDEZ, Helmer y RIOS TORRES, Pedro O. Tratamiento quirúrgico de la Diabetes Tipo 2, Bases Neuroendocrinas: a propósito de tres casos operados en el Hospital Rebagliati. Rev. gastroenterol. Perú, abr./jun. 2008, vol.28, no.2, p.177-182. ISSN 1022-5129.

OBJETIVE. To report on a new surgical technique to treat type 2 diabetes, based on neuroendocrine physiology and bariatric surgery data to carry out in patient with morbid obesity associate to type 2 diabetes. METHOD. The technique included jejunal exclusión or entero-omentectomy. To report three cases operated at the Rebagliati Hospital . RESULTS. Two patients type 2 diabetic to carry out to bile digestive diversion with jejunal exclusion for hepatic duct stenosis and cephalic cancer of the pancreas do not need to take antidiabetic same one patient diabetic type 2 with morbid obesity to carry out to entero-omentectomy plus sleeve gastrectomy.CONCLUSION. This is the preliminary report of a surgical technique designed to remission type 2 diabetes . It is based on leaving the bowel in the lower limit of normal range(enterectomy), diminishing the highly permeable portions and taking more nutrients to the distal bowel to enhance the secretion of the GLP-1, PYY, so the jejunal exclusion taking more nutrients to the distal bowel to enhance the secretion of this incretins.

Palabras llave: Diabetes type 2; metabolic surgery; based on neuroendocrine physiology.