REVERSE TYPE 2 DIABETES“NO MORE DRUGS, PILLS, OR INSULIN INJECTIONS”
LOOP DUODENOJEJUNAL BYPASS WITH SLEEVE GASTRECTOMY(LDJB-SG)
Loop duodenojejunal bypass with sleeve Gastrectomy (LDJB-SG) was started to achieve Type 2 diabetes remission and to avoid the drawbacks of RYGB. It is safe, feasible, and shows good efficacy in terms of glycemic control or long term remission of type 2 diabetes, due to several hormonal changes such as reduced ghrelin,increased GLPI and peptide YY. Adding intestinal diversion to sleeve increases its efficacy and reduces problem related with gastric bypass.Bilio-pancreatic diversion with duodenal switch is the most effective metabolic surgery since hormonal changes are maximum.