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Diabetes Resolution and Hormone Changes After BPDLL and LSG

Completed
Conditions
Diabetes Mellitus
Registration Number
NCT01481675
Lead Sponsor
University of Patras
Brief Summary

To evaluate and compare prospectively the effects of Biliopancreatic Diversion Long Limb (BPDLL) and Laparoscopic Sleeve Gastrectomy (LSG) on resolution of diabetes mellitus type 2.

Detailed Description

Twelve patients with diabetes mellitus type 2 (DM 2) and body mass index (BMI)\> 50kg/m2) will undergo BPDLL and 12 twelve patients with DM 2 and BMI 40-50 kg/m2 will undergo LSG. The patients will be evaluated before and 1, 3 and 12 months after surgery with an oral glucose tolerance test. The investigators aim to investigate the effects of surgery on diabetes resolution, hypertension, dyslipidemia, and also on fasting, and glucose-stimulated insulin, glucagon, ghrelin, peptide-YY and glucagon-like peptide-1 (GLP-1) responses during during an oral glucose tolerance test (OGTT). Resolution of diabetes mellitus will be evaluated according to the criteria of American Diabetes Association with an OGTT. The effects on appetite and satiety will be also evaluated with the use of visual analog scores.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  • BMI>50kg/m2 to undergo BPDLL
  • BMI 40-50kg/m2 to undergo LSG
  • Diabetes mellitus type 2
Exclusion Criteria
  • Chronic medical illness
  • Psychiatric illness
  • Substance abuse
  • Previous gastrointestinal surgery

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Diabetes resolution at 12 months after surgery12 months after surgery
Secondary Outcome Measures
NameTimeMethod
Changes in PYY response to glucose12 months after surgery
Weight loss at 12 months after surgery12 months after surgery
Changes of GLP-1 response to glucose12 months after surgery
Changes in ghrelin levels12 months after surgery

Trial Locations

Locations (1)

University Hospital of Patras

🇬🇷

Rion, Achaia, Greece

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