PMID- 26323659 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20181202 IS - 1708-0428 (Electronic) IS - 0960-8923 (Linking) VI - 26 IP - 5 DP - 2016 May TI - Is a Simple Food-Diverting Operation the Solution for Type 2 Diabetes Treatment? Experimental Study in a Non-Obese Rat Model. PG - 1010-5 LID - 10.1007/s11695-015-1871-8 [doi] AB - BACKGROUND: The feasibility of a side-to-side jejunoileal anastomosis (SJA) to control type 2 diabetes mellitus (T2DM) was studied in non-obese diabetic Goto-Kakizaki (GK) rats. METHODS: Seventeen 14-week-old male GK rats were divided into three groups: SJA bypassing 60% of the small bowel length, sham-operated jejunoileal bypass (Sham group), and control animals. Rats were observed for 10 weeks after surgery. Fasting blood glucose (FBG) levels and oral glucose tolerance test (OGTT) were measured before and after the procedure. RESULTS: Animals with SJA exhibited normalization of FBG levels from the 1st and up to the 10th postoperative week when the experiment terminated. OGTT compared with sham-operated and control groups was also significantly better at 3 and 8 weeks postoperatively. CONCLUSIONS: A simple SJA, diverting the food and biliopancreatic secretion to the distal small bowel, was able to normalize both FBG levels and OGTT in a non-obese diabetic rat model. FAU - Melissas, John AU - Melissas J AD - Bariatric Unit, Department of Surgical Oncology, University of Crete, 164 Erythreas str, Heraklion, 71409, Greece. melissas@med.uoc.gr. FAU - Peirasmakis, Drakos AU - Peirasmakis D AD - Bariatric Unit, Department of Surgical Oncology, University of Crete, 164 Erythreas str, Heraklion, 71409, Greece. FAU - Lamprou, Vasileios AU - Lamprou V AD - Bariatric Unit, Department of Surgical Oncology, University of Crete, 164 Erythreas str, Heraklion, 71409, Greece. FAU - Papadakis, John AU - Papadakis J AD - Department of Medicine, Heraklion University Hospital, Medical School, University of Crete, Heraklion, Greece. LA - eng PT - Journal Article PL - United States TA - Obes Surg JT - Obesity surgery JID - 9106714 RN - 0 (Blood Glucose) RN - 0 (Insulin) SB - IM MH - Animals MH - Blood Glucose/metabolism MH - Diabetes Mellitus, Experimental/metabolism/pathology/*surgery MH - Diabetes Mellitus, Type 2/metabolism/pathology/*surgery MH - Feasibility Studies MH - Glucose Tolerance Test MH - Insulin/blood MH - Intestine, Small/surgery MH - *Jejunoileal Bypass MH - Male MH - Rats MH - Treatment Outcome OTO - NOTNLM OT - Diabetes type 2 OT - Goto-Kakizaki rat OT - Jejunoileal anastomosis OT - Metabolic surgery EDAT- 2015/09/02 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/09/02 06:00 PHST- 2015/09/02 06:00 [entrez] PHST- 2015/09/02 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.1007/s11695-015-1871-8 [pii] AID - 10.1007/s11695-015-1871-8 [doi] PST - ppublish SO - Obes Surg. 2016 May;26(5):1010-5. doi: 10.1007/s11695-015-1871-8.