Bariatric Surgery, Biliopancreatic Diversion, Gastric Bypass, Type 2 Diabetes Mellitus
Conditions
Brief summary
Thirty type 2 diabetic patients will be submitted to biliopancreatic diversion and 20 to gastric bypass. Subjects will be monitored during a 5 year period to assess the effects of the operations on diabetes control.
Interventions
biliopancreatic diversion consists of a distal gastrectomy with a long Roux-en-Y reconstruction, where the enteroenterostomy is placed 50 cm proximal to the ileocecal valve gastric bypass consists of creating a small proximal gastric pouch by division of the upper stomach, with reconstruction of the GI continuity by means of a Roux-en-Y loop
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 2 diabetes mellitus * Duration of diabetes ≥ 3 years * Poor glycemic control (i.e., HbA1c ≥ 7.5%) in spite of hypoglycemic therapy in accordance with good clinical practice (GCP)
Exclusion criteria
* Specific contraindication to obesity surgery or biliopancreatic diversion or gastric bypass * Pregnancy * Medical conditions requiring acute hospitalisation * Severe diabetes complications or associated medical conditions \[such as blindness, end-stage renal failure (i.e. serum creatinine \>2 mg/dl), liver cirrhosis, malignancy, chronic congestive heart failure (NYHA class III and IV)\] * Recent (within preceding 12 months) myocardial infarction, stroke or TIA * Unstable angina pectoris * Psychological conditions which may hamper patient's cooperation * Geographic inaccessibility * Any condition which, in the judgment of the Investigator, may make risky the participation in the study or bias the results
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diabetes control, define by FSG and HbA1c | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Diabetes control defined by FSG and HbA1c | 5 years |
Countries
Italy