Surgical treatment of a non-obese patient with type 2 diabetes - Primary experience - A case report

Abstract

The idea of type 2 diabetes surgical treatment was established in the U.S. and was based on observation of patients after bariatric procedures. Exclusion of the duodenum and gastrointestinal anastomosis performed in cases of morbid obesity cause shortened absorption of nutrients, which obviously promotes weight loss. Results of surgical treatment showed a beneficial effect on weight loss, resolution of co-morbidities and the reduction of risk of developing cardiovascular diseases and cancer. Analysis of the results of surgical treatment of obese patients with type 2 diabetes confirmed the usefulness of surgical methods. Surgeons performing these procedures have noticed regression of type 2 diabetes within a few weeks and in some cases this phenomenon is even observed during hospitalization [1]. So rapid improvement is not only the result of the weight loss. Investigators of this phenomenon cannot precisely explain how a relatively simple procedure could cure diabetes. We present the first experience of our centre based on the operative treatment of type 2 diabetes in a non-obese patient.