METABOLIC SURGERY FOR TYPE 2 DIABETES MELLITUS
Objective. To show the type 2 diabetes mellitus actual challenge and current strategies for the pathology surgical management. To demonstrate the long-term positive effects after metabolic surgeries of type 2 diabetes mellitus patients and to explain the major mechanisms of those effects. Materials and methods. Laparoscopic gastric bypass surgeries were performed in two patients: a 53 year old man, BMI 38.04 (height 182 cm, weight 126 kg) diagnosed type 2 diabetes mellitus, sick since 2009 (6 years); a 54 year old woman, BMI 43.7 (height 165 cm, weight 119 kg) diagnosed type 2 diabetes mellitus, sick since 2012 (3 years). The 2 months observation findings are presented. Results. The patients operated on could put aside antidiabetic drugs intake, the metabolic syndrome manifestations became less evident, their body mass reduced. Conclusion. Metabolic surgery is the preferable treatment tactics for patients suffering from the type 2 diabetes mellitus primary forms characterized by resistant glycemia and BMI increasing 30 kg/m<sup>2</sup>.