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um and duodenum proximal anastomosis. Postoperative and preoperative irregular use of insulin, after departing from the drugs, fasting glucose, postprandial 2h plasma glucose levels were significantly decreased [3].

The procedure is called laparoscopic treatment abroad diabetes "gold standard." First Affiliated Hospital of Jinan University, Gastrointestinal Surgery, first launched in June 2004, and is currently successfully completed surgery twelve cases. Surgical main steps: preparing routine laparoscopic surgery in the abdomen after an assistant into the left hepatic lobe separation clamp poke exposed cardia location in the cardia at close to 3 cm below the lesser curvature of the stomach with a knife to open hepatogastric ultrasound ligament, Avoid damage vagus nerve, lesser sac was observed after entering the stomach wall. The linear cutting stapler from the stomach into the small curvature of the gap, the small curved transverse cut, and then to the cardiac notch at amputation, 15 ~ 50ml into a small pouch. The greater omentum and transverse colon on the turn, looking ligaments, with 25cm of cloth tape measure ligament 100cm, cut with a cutter stapler jejunum, in order to facilitate the free distal jejunum small mesenteric begin a new line on the gastrojejunostomy. Before or after the colon in the colon distal jejunum mention on the proximal jejunum small stomach pouch and put on a traction suture lines, with scalpel in a small stomach pouch and jejunum each cut a small hole with a linear cutting stapler into the small stomach pouch and distal jejunum small mouth, OK gastrojejunostomy, anastomotic 1.0 ~ 1.5 cm. The tube into the jejunum, with absorbable interrupted suture cutter stapler inserted a small mouth, stomach into the blue without overflow, complete gastrojejunostomy. Down in the stomach jejunostomy volume 75cm, with silk marker. Distal jejunum with a scalpel will mark the cut ends of the proximal jejunum and a small mouth, with a linear cutting stapler do side to side anastomosis, anastomotic 2 ~ 3 cm, after removing the stapler was sutured with absorbable suture Close insert stapler intestine small mouth. With silk suture and close the small bowel mesentery hole, preventing the formation of internal hernia. In Gastrojejunostomy Parastomal indwelling drainage tubes, suture the puncture hole, the end of surgery.

Surgical main steps: 4-hole laparoscopic operations, the establishment and operation of space pneumoperitoneum after the greater curvature of the stomach at the bottom of the left edge of the left foot cut serosa diaphragm forming a small window; in the gastric cardia 2cm away from the lesser curvature at the superficial surface of the foot from the right diaphragmatic posterior to the stomach cardia notch direction separation, with gastric banding retractors build stomach after gastric band placed in the tunnel and the tunnel after the stomach, butt ends and fasten the strap gastric band around the stomach bottom line with 2-0 nonabsorbable suture the anterior wall of the stomach belted down 2-3 pin fixation band, gastric band formed above the 20-30ml gastric pouch; injection pump buried in the abdomen superficial rectus anterior sheath and sutured closed the puncture hole surgery.

Diabetes is a common and frequently occurring clinically, more common in the elderly, due to its complications, and the need