Introduction
obesity, diabetic, T2DM
OBESITY, REMISSION, COMPLICATION
GI hormones and their changes in the immediate postoperative state appear to have a pivotal role in T2DM remission, creating a fertile field for research [From the aforementioned hormones, GLP-1 through the incretin effect is perhaps the most potent factor in T2DM remission, through increased response of pancreatic b-cells and amplified insulin secretion [LRYGBP is considered one of the most effective bariatric procedures by balancing complication rate and metabolic benefit [In line with this notion, the modification of metabolic LRYGBP with fundus resection, in patients with obesity and T2DM, may appear as a metabolic weapon in the armamentarium of bariatric surgeon by ensuring optimized diabetic control through overwhelming activation of neuroendocrine mechanisms.