Morsiani E, Baccarini M, Cavallesco N G, Carpanelli C, Bottoni L, Franchella A, Santini A
Minerva Med. 1981 May 7;72(18):1115-24.
Resection of about 50% of the small intestine was performed in rats diabetised with streptozotocin. The first results show that this operation leads to normalisation of sugar metabolism that is partly referable to partial malabsorption, but above all to loss of weight. Current knowledge with regard to the relation between diabetes and obesity is discussed and an account is given of the modern surgical approaches to the treatment of major obesity. Lastly, the suggestion is made that limited digestive bypass may be indicated in cases of insulin-independent diabetes where weight loss and control of blood sugar cannot readily be achieved by conventional medical management.
对用链脲佐菌素诱导糖尿病的大鼠进行约50%的小肠切除术。初步结果表明,该手术可使糖代谢恢复正常,部分原因是部分吸收不良,但最重要的是体重减轻。文中讨论了关于糖尿病与肥胖症之间关系的现有知识,并介绍了现代治疗重度肥胖症的手术方法。最后提出,对于非胰岛素依赖型糖尿病患者,若常规药物治疗难以实现体重减轻和血糖控制,有限的消化旁路手术可能是一种选择。