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dc.contributor.author	M. Garciacaballero
dc.contributor.author	A. Reyes-Ortiz
dc.contributor.author	J.A. Toval
dc.contributor.author	J. M. Martínez-Moreno
dc.contributor.author	F. Miralles
dc.creator	M. Garciacaballero
dc.creator	A. Reyes-Ortiz
dc.creator	J.A. Toval
dc.creator	J. M. Martínez-Moreno
dc.creator	F. Miralles
dc.date	2014
dc.date.accessioned	2016-03-16T17:20:05Z
dc.date.available	2016-03-16T17:20:05Z
dc.identifier	http://www.redalyc.org/articulo.oa?id=309231672029
dc.identifier.uri	http://hdl.handle.net/20.500.11799/40262
dc.description	Introduction: Diabetes surgery in obese and slim patients seems to be a superior alternative to the current medical treatment. Gastric bypass is an alternative treat- ment for diabetes. Nevertheless, there are still doubts whether diabetes can recur if you gain weight or if the effects are maintained over time. Other questions refer to the type of surgery to make the bypass limb length or reservoir size for the resolution of the Diabetes Mellitus. Presentation of case: Male patient 69-year-old came to us in order to perform tailored One Anastomosis Gastric Bypass (BAGUA) to treat his type 2 diabetes mellitus and metabolic syndrome. He has a history of peptic ulcer treated with subtotal gastrectomy and Billroth II recons- truction 49 years ago. He currently is not obese and deve- loped diabetes 31 years after surgery. Discussion: Globally there are no reports of patients with normal BMI that after performing gastric bypass developed diabetes mellitus. There are cases where obese diabetic patients after gastric bypass improve or remits the T2DM, but it relapses due to insufficient weight loss or gain it. The patient with gastric bypass Billroth II type, should not developed diabetes. He is normal weight and not had weight gain that could be linked to the develop- ment of diabetes. Conclusions: The results generated by bariatric surgery are encouraging, but still do not clarify the precise way how surgery produces rapid improvement of systemic metabolism as in diabetes, but in our patient, the effect was quite different because the gastric bypass had no protective effect against diabetes.
dc.format	application/pdf
dc.language	eng
dc.publisher	Grupo Aula Médica
dc.relation	http://www.redalyc.org/revista.oa?id=3092
dc.rights	openAcess
dc.rights	Nutrición Hospitalaria
dc.source	Nutrición Hospitalaria (España) Num.1 Vol.30
dc.subject	Medicina
dc.subject	Diabetes mellitus Tailored BAGUA Gastric bypass Bariatric surgery Diabetes surgery
dc.title	Development of type 2 diabetes mellitus thirty-one years after Billroth II in a patient asking for diabetes surgery
dc.type	Artículo
dc.provenance	Científica
dc.road	Dorada

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