[Late results of pancreatic blood outflow deportalization and its significance in the combined modality treatment of diabetes mellitus].

Present-day methods of treatment of insulin-dependent diabetes mellitus (IDD) fail to prevent the development of complications in the majority of patients in 5-10 years after the disease manifestation. There are no radical methods for the treatment of this condition, therefore any new treatment modality that may help delay the development of complications and deterioration of the quality of life should be used along with the traditional methods. Deportalization of the pancreatic blood outflow was carried out in 148 IDD patients and its remote (up to 5 years) results analyzed. The surgery was carried out in patients with medium-severe and grave conditions. Under study were carbohydrate and lipid metabolism, liver, kidney, and heart functions, retinal vessel status, and painful manifestations of distal polyneuropathy, as well as changes of the quantity of functioning capillaries and the rheovasographic index. Surgery resulted in reduced insulin requirement, disappearance of hypoglycemic comas, reduced peripheral resistance of the vessels, increased cardiac output index and a higher working capacity of the patients, disappearance of paroxysms and pains in the lower limbs, etc. The authors suppose that changed course of the disease is connected with recovery of the insulin-glucagon coefficient in the liver in glucagon-containing blood shunting into the total blood stream and with the pharmacologic effect of glucagon getting into the systemic blood stream.