To assess the efficacy of ileal transposition with sleeve gastrectomy (SGIT) surgery in remission of Type 2 Diabetes Mellitus (T2DM) in patients with 23-35 BMI. Diabetes is considered a life style disease. Despite medications and lifestyle changes, (HbA1c) -remains > 7 in 56 % of diabetics, predisposing them to high risk of diabetes related complications. Bariatric surgery results in remission of diabetes in over 84% patients with BMI>35 m2s/m 2 . Based on hindgut hypothesis suggesting role of incretins like GLP-1, early trials of ileal interposition surgery have displayed consistent HbA1c levels below 7 in over 80% patients with BMI>30 m2/m 2 . In developing countries majority of T2DM patients are not morbidly obese and surgical procedures are to be evaluated for their efficacy in this group. In this study we have assessed the efficacy of ileal transposition with sleeve gastrectomy (SGIT) in 23-35 BMI T2DM patients. Selected T2DM patients [HbA1c>7, C Peptide>-1 ng/ml] underwent Lap SGIT by a single surgeon. Data of first five patients with minimum 6 months follow up was analyzed for glycemic control and altered need for medications. Data were analyzed using SPSS (SPSS release 16; SPSS Inc. Chicago). The study target (HbA1c<7) was achieved in 60% of patients within 1 month and in 100% of patients within 6 months. Requirement of medications reduced significantly within 6 months and their HbA1c levels reduced from 9.65% to 6.22%. Laparoscopic SGIT may represent a new paradigm for the treatment of T2DM even in non morbidly obese patients.

SummaryWe report a series of 38

Our study reflects that there is no statistically significant difference between outcomes of sleeve gastrectomy and Roux-en-Y gastric bypass surgery in terms of weight loss and diabetes resolution at 3 years.

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Our study highlights the importance of postoperative nutritional interventions like portion-controlled eating for successful bariatric outcome.

Background: Complications after bariatric surgery are not uncommon occurrences that influence the choice of operations both by patients and by surgeons. Complications may be classified as intra-operative, early (<30 days post-operatively) or late (beyond 30 days). The prevalence of complications is influenced by the sample size, surgeon's experience and length and percentage of follow-up. There are no multicentric reports of post-bariatric complications from India. Objectives: To examine the various complications after different bariatric operations that currently performed in India. Materials and Methods: A scientific committee designed a questionnaire to examine the post-bariatric surgery complications during a fixed time period in India. Data requested included demographic data, co-morbidities, type of procedure, complications, investigations and management of complications. This questionnaire was sent to all centres where bariatric surgery is performed in India. Data collected were reviewed, were analysed and are presented. Results: Twenty-four centres responded with a report on 11,568 bariatric procedures. These included 4776 (41.3%) sleeve gastrectomy (SG), 3187 (27.5%) one anastomosis gastric bypass (OAGB), 2993 (25.9%) Roux-en-Y gastric bypass (RYGB) and 612 (5.3%) other procedures. Total reported complications were 363 (3.13%). Post-operative bleeding (0.75%) and nutritional deficiency (0.75%) were the two most common complications. Leaks ( P = 0.009) and gastro-oesophageal reflux disease ( P = 0.019) were significantly higher in SG, marginal ulcers in OAGB ( P = 0.000), intestinal obstruction in RYGB ( P = 0.001) and nutritional complications in other procedures ( P = 0.000). Overall, the percentage of complications was higher in 'other' procedures (6.05%, P = 0.000). There were 18 (0.16%) reported mortalities. Conclusions: The post-bariatric composite complication rate from the 24 participating centres in this study from India is at par with the published data. Aggressive post-bariatric follow-up is required to improve nutritional outcomes.

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In recent decades, every sector of this society has gone computerized. May it be a company, professional organization, institution, hospital, medical store, learning, banking and a large number of crucial sectors, which leads the society to advancement, are almost fully dependent on computers. Every computer or computer-like-device runs on a software system ranging from System software to Software utilities. There are two types of Software providers: Open Source software providers and Proprietary software providers. Majority of society depends on Proprietary category but, by one or the person, people are inspired to move to Open Source by highlighting some of its bigger advantages. But, before shifting entire network or individual system to a new technology, we must study whether the shifting is really worthwhile. In this paper, we will discuss these categories in detail, compare the categories by proposing some ideas and try to make the decision making easier. Light will be thrown on following crucial factors: