Partial magnetic jejunal diversion (PMJD) in severely obese patients
Authors:
M. Bužga 1,4; E. Machytka 2; P. Holéczy 3; J. Macháčková 1
Authors‘ workplace:
Výzkumné obezitologické centrum, Ústav fyziologie a patofyziologie, Lékařská fakulta Ostravské univerzity
1; Endoskopické centrum, Interní klinika, Fakultní nemocnice Ostrava
2; Chirurgické oddělení, Vítkovická nemocnice, a. s., Ostrava-Vítkovice
3; Ústav laboratorní diagnostiky, Fakultní nemocnice Ostrava
4
Published in:
Rozhl. Chir., 2019, roč. 98, č. 2, s. 71-76.
Category:
Case Report
Overview
Most patients with type 2 diabetes mellitus suffer from obesity. Studies show that surgical intervention is a suitable method for the improvement or remission of type 2 diabetes mellitus. However, a very small percentage of the total number of obese patients (diabetics in addition) undergo surgery. For this reason, less invasive endoscopic methods appear to be an appropriate alternative.
The primary aim of a pilot study of partial jejunal diversion using the SFM (Self-Forming Magnetic) device for the creation of jejuno-ileal anastomosis was to verify the technical feasibility and safety of the new procedure. Secondary goals included achieving weight reduction and improving metabolic parameters in patients with type II diabetes.
Key words:
Keywords:
obesity – type 2. diabetes mellitus – partial magnetic jejunal diversion – jejuno-ileal anastomosis
Sources
- Global Report on Diabetes. WHO 2017. Available from: http://apps.who.int/iris/bitstream/10665/204871/1/9789241565257_eng.pdf?ua=1.
- Diabetes country profiles 2016. WHO. Available from: http://www.who.int/diabetes/country-profiles/cze_en.pdf?ua=1.
- Ogurtsova K, da Rocha Fernandes JD, Huang Y, et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. 2017;128:40−50. doi: 10.1016/j.diabres.2017.03.024
- Fried M. Nové směřování chirurgické léčby obezity a některých metabolických onemocnění. Čas Lék čes 2017;156:314−8.
- Kanshin NN, Permiakov NK, Dzhalagoniia RA, et al. Sutureless anastomoses in gastrointestinal surgery with and without steady magnetic field (experimental study). Arkh Patol 1978;40:56−61.
- Ryou M, Cantillon-Murphy P, Azagury D, et al. Smart Self-Assembling MagnetS for ENdoscopy (SAMSEN) for transoral endoscopic creation of immediate gastrojejunostomy (with video). Gastrointest Endosc 2011;73:353−9.
- Machytka E, Bužga M, Zonča P, et al. Partial jejunal diversion using an incisionless magnetic anastomosis system: 1-year interim results in patients with obesity and diabetes. Gastrointest Endosc 2017;86:904−12.
- Fried M, Hainer V, Basdevant A, et al. Inter-disciplinary European guidelines on surgery of severe obesity. Int J Obes 2007;31:569–577.
- Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery and endoluminal procedures: IFSO Worldwide Survey 2014. Obes Surg 2017;27:2279−89. doi: 10.1007/s11695-017-2666-x.
- Dargent J. Novel endoscopic management of obesity. Clin Endosc 2016;49:30–6. doi: 10.5946/ce.2016.49.1.30
- Melissas J, Peppe A, Askoxilakis J, et al. Sleeve gastrectomy plus side-to-side jejunoileal anastomosis for the treatment of morbid obesity and metabolic diseases: A promising operation. Obes Surg 2012;22:1104−9. doi: 10.1007/s11695-012-0637-9.
- Melissas J, ErenTaskin H, Peirasmakis D, et al. A simple food-diverting operation for type 2 diabetes treatment. Preliminary results in humans with BMI 28–32 kg/m2. Obes Surg 2017;27:22−9.
- Fried, M, Dolezalova, K, Chambers, AP, et al. A novel approach to glycemic control in type 2 diabetes mellitus, partial jejunal diversion: pre-clinical to clinical pathway. BMJ Open Diabetes Res Care 2017. doi.org/10.1136/bmjdrc-2017–00043.
- Dixon JB, Zimmet P, Alberti KG, et al. Bariatric surgery: an IDF statement for obese Type 2 diabetes. Diabet Med 2011;28:628−42. doi: 10.1111/j.1464-5491.2011.03306.x.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2019 Issue 2
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