{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:25:25Z","timestamp":1792661125185,"version":"4.5.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,6,8]],"date-time":"2015-06-08T00:00:00Z","timestamp":1433721600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:p>\n                    Aim. To evaluate the effectiveness of minimally invasive hybrid surgery for ileal interposition (MIHSII), a novel procedure for type 2 diabetes (T2DM) in patients with a body mass index (BMI) &lt;30 kg\u2044m\n                    <jats:sup>2<\/jats:sup>\n                    . Materials and methods. MIHSII is an innovative technique in which sleeve gastrectomy is performed laparoscopically, followed by extracorporeal ileal interposition performed through a 5-cm midline incision. The procedure was performed on 31 T2DM patients, 17 males and 14 females. Their BMI values ranged from 21.8 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    to 29.8 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    , with a mean BMI of 26.61 \u00b1 2.61 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    . The average duration of diabetes 8.14 \u00b1 4.89 (range = 1-20) years. Most of the patients exhibited poorly controlled diabetes despite the use of oral hypoglycemic agents (OHAs) and\/or insulin. Results. The mean preoperative glycosylated hemoglobin (HbA1c) for the population was 8.86%. The mean HbA1c 1 year after surgery was 6.80%. The difference between the mean preoperative and 1-year postoperative HbA1c values was significant, at P &lt; .05 (group 1: BMI = 18.5-24.99 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    , t = 2.83, and P = .022; group 2: BMI = 25-29.99 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    , t = 4.23, and P = .001). The resolution rate of diabetes was 80.48%; 48.57% experienced complete resolution, and 31.91% experienced partial resolution. The remaining 19.52% of patients exhibited a significant reduction in HbA1c, although the HbA1c levels did not fall below 6.5%, even with medications. Conclusion. MIHSII is an innovative technique of metabolic surgery and is a cost-effective and minimal procedure for the resolution of T2DM in patients with BMI &lt;30 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    .\n                  <\/jats:p>","DOI":"10.1177\/1553350615589523","type":"journal-article","created":{"date-parts":[[2015,6,8]],"date-time":"2015-06-08T21:21:02Z","timestamp":1433798462000},"page":"42-51","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness of Minimally Invasive Hybrid Surgery for Ileal Interposition (MIHSII) for the Resolution of Type 2 Diabetes"],"prefix":"10.1177","volume":"23","author":[{"given":"Padmakumar","family":"Ramakrishnapillai","sequence":"first","affiliation":[{"name":"Sunrise Hospital, Kakkanad, Kochi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhukara","family":"Pai","sequence":"additional","affiliation":[{"name":"Sunrise Hospital, Kakkanad, Kochi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farish","family":"Shams","sequence":"additional","affiliation":[{"name":"Sunrise Hospital, Kakkanad, Kochi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Kumar","sequence":"additional","affiliation":[{"name":"Sunrise Hospital, Kakkanad, Kochi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaji","family":"P.G","sequence":"additional","affiliation":[{"name":"Sunrise Hospital, Kakkanad, Kochi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anithadevi","family":"T.S","sequence":"additional","affiliation":[{"name":"Sunrise Hospital, Kakkanad, Kochi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sulfia P.","family":"J","sequence":"additional","affiliation":[{"name":"Sunrise Hospital, Kakkanad, Kochi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vani","family":"Krishna","sequence":"additional","affiliation":[{"name":"Sunrise Hospital, Kakkanad, Kochi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,6,8]]},"reference":[{"key":"bibr1-1553350615589523","doi-asserted-by":"publisher","DOI":"10.1139\/H07-100"},{"key":"bibr2-1553350615589523","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2011.03306.x"},{"key":"bibr3-1553350615589523","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-0156-x"},{"key":"bibr4-1553350615589523","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-S014"},{"key":"bibr5-1553350615589523","unstructured":"Global Database on body mass index, an attractive scientific tool for monitoring nutrition transition. 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