Dear Editor,
I would like to comment on the objection of Dr. Dimitrios Tsamis to our study where we used mixed meal tolerance test.
The amount of liquid used during the test meal is 300 mL which was consumed in a time interval of 10 min. The test meal was well tolerated by patients even after laparoscopic great curvature plication. We used mixed meal tolerance test because it is more similar to usual conditions and better tolerated than oGTT.
Gastric bypass was not used in this group of patients. It was shown that sleeve gastrectomy is not so restrictive as bypass and we think that this is valid also for LGCP.
References
Camastra S, Muscelli E, Gastaldelli A, et al. Long-term effects of bariatric surgery on meal disposal and β-cell function in diabetic and nondiabetic patients. Diabetes. 2013;62(11):3709–17. doi:10.2337/db13-0321. Epub 2013 Jul 8. PubMed PMID: 23835342; PubMed Central PMCID: PMC3806605.
Khoo CM, Muehlbauer MJ, Stevens RD, et al. Postprandial metabolite profiles reveal differential nutrient handling after bariatric surgery compared with matched caloric restriction. Ann Surg. 2014;259(4):687–93. doi:10.1097/SLA.0b013e318296633f. PubMed PMID: 23787216; PubMed Central PMCID: PMC3901799.
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Bradnova, O. Reply to Letter to the Editor by Dr. Dimitrios Tsamis. OBES SURG 24, 1399 (2014). https://doi.org/10.1007/s11695-014-1296-9
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DOI: https://doi.org/10.1007/s11695-014-1296-9