ArticleClinics (Sao Paulo, Brazil)2011
Metabolic effects of an entero-omentectomy in mildly obese type 2 diabetes mellitus patients after three years.
Article in Clinics (Sao Paulo, Brazil), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Navigating uncharted territory in surgical innovation: systematic review of non-standard metabolic bariatric surgery procedures.The British journal of surgery · 2026Pooled it
- A Prospective Randomized Controlled Trial of the Metabolic Effects of Sleeve Gastrectomy with Transit Bipartition.Obesity surgery · 2018Trial
- Selective reduction of visceral adipose tissue with injectable ice slurry.Scientific reports · 2023Article
- Is omentectomy necessary in the treatment of benign or malignant abdominal pathologies? A systematic review.World journal of gastrointestinal surgery · 2021Article
- Peritoneum and omentum are natural reservoirs for chondrocytes of osteochondral autografts: A comparative animal study.Acta orthopaedica et traumatologica turcica · 2016Article
- Side-to-side jejunoileal anastomosis plus proximal loop ligation: a novel intestinal bypass model for diabetic rats.Obesity surgery · 2014Article
- Metabolic alterations following visceral fat removal and expansion: Beyond anatomic location.Adipocyte · 2012Article
- Stomachs: does the size matter? Aspects of intestinal satiety, gastric satiety, hunger and gluttony.Clinics (Sao Paulo, Brazil) · 2012Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVarious digestive tract procedures effectively improve metabolic syndrome, especially the control of type 2 diabetes mellitus. Very good metabolic results have been shown with vertical gastrectomy and entero-omentectomy; however, the metabolic effects of an isolated entero-omentectomy have not been previously studied.
methodsNine patients with type 2 diabetes mellitus and a body mass index ranging from 29 to 34.8 kg/m² underwent an entero-omentectomy procedure that consisted of an enterectomy of the middle jejunum and exeresis of the major part of the omentum performed through a mini-laparotomy. Glucagon-like peptide-1 and peptide YY were measured preoperatively and three months following the operation. Fasting and postprandial variations in glycemia, insulinemia, triglyceridemia, hemoglobin A1c, and body mass index were determined in the preoperative period and 3, 18 and, 36 months after the operation.
resultsAll patients significantly improved the control of their type 2 diabetes mellitus. Postprandial secretion of peptide YY and Glucagon-like peptide-1 were enhanced, whereas hemoglobin A1c, fasting and postprandial glucose, insulin, and triglyceride levels were significantly reduced. Mean body mass index was reduced from 31.1 to 27.3 kg/m². No major surgical or nutritional complications occurred.
conclusionsEntero-omentectomy is easy and safe to perform. A simple reduction in jejunal extension and visceral fat causes important improvements in the metabolic profile.
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