Loop Duodeno Jejunal Bypass with Sleeve Gastrectomy for Reversal of Type 2 Diabetes- Dr. Amit Garg | Codsils
This procedure is done laparoscopically and includes 5 ports. It includes laparoscopic sleeve gastrectomy, division of duodenum between D1 and D2, approx 250 cm of jejunal bypass and duodenojejunal anastomosis.
Recovery process after Diabetes Surgery
After undergoing diabetes surgery, patients experience a streamlined recovery process
- Patients are encouraged to walk on the same day as the surgery, promoting mobility and circulation.
- Within six hours post-surgery, patients begin a liquid diet to gradually reintroduce nourishment.
- Typically, patients are discharged from the hospital by the third day, indicating a smooth recovery.
- Following discharge, patients can gradually resume their normal routine activities, marking the transition to post-operative life.
Mechanism of Diabetes Reversal
The mechanism behind how gastric sleeve with intestinal bypass facilitates diabetes reversal is multifaceted
- Gastric sleeve surgery induces calorie restriction, which alleviates the burden on the pancreas. With a reduced load, the pancreas can more effectively match the amount of insulin produced.
- Calorie restriction resulting from the surgery also promotes weight loss, thereby reducing insulin resistance and improving insulin sensitivity.
- Intestinal bypass serves to enhance the incretin effect. By rerouting food to the terminal ileum at a faster pace, this stimulates the release of incretin hormones like GLP1 and PYY, which in turn trigger increased
insulin secretion from the pancreas.
The combined impact of gastric sleeve with intestinal bypass creates a potent synergy, making it a highly effective tool for reversing type 2 diabetes.