{"id":10114,"date":"2025-05-04T16:51:29","date_gmt":"2025-05-04T13:51:29","guid":{"rendered":"https:\/\/diabetes.surgery\/blog\/truncal-vagotomy-combined-with-gastric-bypass"},"modified":"2025-05-04T16:51:29","modified_gmt":"2025-05-04T13:51:29","slug":"truncal-vagotomy-combined-with-gastric-bypass","status":"publish","type":"post","link":"https:\/\/diabetes.surgery\/el\/blog\/truncal-vagotomy-combined-with-gastric-bypass","title":{"rendered":"\u039c\u03b9\u03b1 \u039d\u03ad\u03b1 \u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03a3\u03c4\u03c1\u03b1\u03c4\u03b7\u03b3\u03b9\u03ba\u03ae \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u0394\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2: \u03a3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1 \u0392\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae \u03a3\u03c5\u03bd \u0393\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03a0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #592742;color:#592742\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #592742;color:#592742\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" 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>\u0395\u03b9\u03c3\u03b1\u03b3\u03c9\u03b3\u03ae<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/diabetes.surgery\/el\/blog\/truncal-vagotomy-combined-with-gastric-bypass\/#%CE%A1%CF%8D%CE%B8%CE%BC%CE%B9%CF%83%CE%B7_%CF%84%CE%B7%CF%82_%CF%80%CE%B1%CE%B3%CE%BA%CF%81%CE%B5%CE%B1%CF%84%CE%BF%CF%87%CE%BF%CE%BB%CE%B9%CE%BA%CE%AE%CF%82_%CE%AD%CE%BA%CE%BA%CF%81%CE%B9%CF%83%CE%B7%CF%82\" >\u03a1\u03cd\u03b8\u03bc\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03bf\u03c7\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/diabetes.surgery\/el\/blog\/truncal-vagotomy-combined-with-gastric-bypass\/#%CE%A4%CE%B5%CE%BA%CE%BC%CE%AE%CF%81%CE%B9%CE%B1_%CE%9C%CE%B5%CE%B9%CF%89%CE%BC%CE%AD%CE%BD%CE%B7%CF%82_%CE%A0%CE%B1%CE%B3%CE%BA%CF%81%CE%B5%CE%B1%CF%84%CE%B9%CE%BA%CE%AE%CF%82_%CE%88%CE%BA%CE%BA%CF%81%CE%B9%CF%83%CE%B7%CF%82_%CE%9C%CE%B5%CF%84%CE%AC_%CE%B1%CF%80%CF%8C_%CE%92%CE%B1%CF%81%CE%B9%CE%B1%CF%84%CF%81%CE%B9%CE%BA%CE%AE_%CE%A7%CE%B5%CE%B9%CF%81%CE%BF%CF%85%CF%81%CE%B3%CE%B9%CE%BA%CE%AE\" >\u03a4\u03b5\u03ba\u03bc\u03ae\u03c1\u03b9\u03b1 \u039c\u03b5\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7\u03c2 \u03a0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u0388\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u039c\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u0392\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/diabetes.surgery\/el\/blog\/truncal-vagotomy-combined-with-gastric-bypass\/#%CE%97_%CE%95%CF%80%CE%AF%CE%B4%CF%81%CE%B1%CF%83%CE%B7_%CF%84%CE%B7%CF%82_%CE%91%CE%BD%CE%B1%CF%83%CF%84%CE%BF%CE%BB%CE%AE%CF%82_%CF%84%CE%B7%CF%82_%CE%A7%CE%BF%CE%BB%CE%BF%CF%80%CE%B1%CE%B3%CE%BA%CF%81%CE%B5%CE%B1%CF%84%CE%B9%CE%BA%CE%AE%CF%82_%CE%88%CE%BA%CE%BA%CF%81%CE%B9%CF%83%CE%B7%CF%82_%CF%83%CF%84%CE%B7%CE%BD_%CE%91%CF%80%CE%BF%CF%84%CE%B5%CE%BB%CE%B5%CF%83%CE%BC%CE%B1%CF%84%CE%B9%CE%BA%CF%8C%CF%84%CE%B7%CF%84%CE%B1_%CF%84%CE%B7%CF%82_%CE%92%CE%B1%CF%81%CE%B9%CE%B1%CF%84%CF%81%CE%B9%CE%BA%CE%AE%CF%82%E2%80%93%CE%9C%CE%B5%CF%84%CE%B1%CE%B2%CE%BF%CE%BB%CE%B9%CE%BA%CE%AE%CF%82_%CE%A7%CE%B5%CE%B9%CF%81%CE%BF%CF%85%CF%81%CE%B3%CE%B9%CE%BA%CE%AE%CF%82_%CF%83%CF%84%CE%B7_%CE%92%CE%B5%CE%BB%CF%84%CE%AF%CF%89%CF%83%CE%B7_%CF%84%CE%BF%CF%85_%CE%94%CE%B9%CE%B1%CE%B2%CE%AE%CF%84%CE%B7_%CE%A4%CF%8D%CF%80%CE%BF%CF%85_2\" >\u0397 \u0395\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 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href=\"https:\/\/diabetes.surgery\/el\/blog\/truncal-vagotomy-combined-with-gastric-bypass\/#%CE%A4%CE%BF_%CF%83%CE%BA%CE%B5%CF%80%CF%84%CE%B9%CE%BA%CF%8C_%CE%B3%CE%B9%CE%B1_%CF%84%CE%BF%CE%BD_%CF%83%CF%85%CE%BD%CE%B4%CF%85%CE%B1%CF%83%CE%BC%CF%8C_%CF%83%CF%84%CE%B5%CE%BB%CE%B5%CF%87%CE%B9%CE%B1%CE%AF%CE%B1%CF%82_%CE%B2%CE%B1%CE%B3%CE%BF%CF%84%CE%BF%CE%BC%CE%AE%CF%82_%CE%BC%CE%B5_%CE%B3%CE%B1%CF%83%CF%84%CF%81%CE%B9%CE%BA%CF%8C_bypass\" >\u03a4\u03bf \u03c3\u03ba\u03b5\u03c0\u03c4\u03b9\u03ba\u03cc \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1\u03c2 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae\u03c2 \u03bc\u03b5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" 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\u03b1\u03c5\u03c4\u03cc \u03c4\u03bf \u03c0\u03bb\u03b1\u03af\u03c3\u03b9\u03bf, \u03b7 \u00ab\u03b5\u03bd\u03b9\u03c3\u03c7\u03c5\u03bc\u03ad\u03bd\u03b7 \u03c0\u03ad\u03c8\u03b7\u00bb \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03ba\u03b5\u03bd\u03c4\u03c1\u03b9\u03ba\u03cc \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03c6\u03b1\u03cd\u03bb\u03bf\u03c5 \u03b4\u03c5\u03c3\u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03bf\u03cd \u03ba\u03cd\u03ba\u03bb\u03bf\u03c5 \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03c3\u03c4\u03b7\u03c1\u03af\u03b6\u03b5\u03b9 \u03c4\u03bf\u03bd \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2 \u03ba\u03b1\u03b9, \u03ba\u03b1\u03c4\u03ac \u03c3\u03c5\u03bd\u03ad\u03c0\u03b5\u03b9\u03b1, \u03b7 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ac \u03c0\u03c1\u03c9\u03c4\u03b1\u03c1\u03c7\u03b9\u03ba\u03cc \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03c3\u03c4\u03cc\u03c7\u03bf \u03c3\u03c4\u03b7 \u03b4\u03b9\u03b1\u03c7\u03b5\u03af\u03c1\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5.<\/p>\n<p>\u03a4\u03bf \u03c3\u03ba\u03b5\u03c0\u03c4\u03b9\u03ba\u03cc \u03b1\u03c5\u03c4\u03cc \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c4\u03b7 \u03b4\u03b9\u03ba\u03ae \u03bc\u03b1\u03c2 \u03c0\u03c1\u03c9\u03c4\u03cc\u03c4\u03c5\u03c0\u03b7 \u03b8\u03b5\u03c9\u03c1\u03af\u03b1 \u03c3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03c4\u03bf\u03bd \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc \u03ba\u03b1\u03b9 \u03c4\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03c4\u03bf\u03c5 \u03c3\u03b1\u03ba\u03c7\u03b1\u03c1\u03ce\u03b4\u03b7 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1, \u03bc\u03b5 \u03c4\u03af\u03c4\u03bb\u03bf <a href=\"https:\/\/www.metabolismjournal.com\/article\/S0026-0495(22)00141-X\/abstract\" target=\"_blank\" rel=\"noopener\">\u00abMetabolic effects of truncal vagotomy when combined with bariatric-metabolic surgery\u00bb<\/a>, \u03b4\u03b7\u03bc\u03bf\u03c3\u03b9\u03b5\u03cd\u03b8\u03b7\u03ba\u03b5 \u03b3\u03b9\u03b1 \u03c0\u03c1\u03ce\u03c4\u03b7 \u03c6\u03bf\u03c1\u03ac \u03c3\u03c4\u03bf \u03c5\u03c8\u03b7\u03bb\u03bf\u03cd \u03ba\u03cd\u03c1\u03bf\u03c5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bf\u03b4\u03b9\u03ba\u03cc Metabolism \u03c4\u03bf 2022 (1).<\/p>\n<p>\u0397 \u03b1\u03c0\u03bf\u03b4\u03bf\u03c7\u03ae \u03b1\u03c5\u03c4\u03ae\u03c2 \u03c4\u03b7\u03c2 \u03b8\u03b5\u03c9\u03c1\u03af\u03b1\u03c2 \u03bf\u03b4\u03b7\u03b3\u03b5\u03af \u03c3\u03c4\u03b1 \u03b1\u03ba\u03cc\u03bb\u03bf\u03c5\u03b8\u03b1 \u03c3\u03c5\u03bc\u03c0\u03b5\u03c1\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1:<\/p>\n<ol>\n<li>\u0394\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 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\u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03ce\u03bd \u03b2\u03b1\u03b8\u03bc\u03ce\u03bd \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03c4\u03b7\u03c2 \u03b5\u03bd\u03b9\u03c3\u03c7\u03c5\u03bc\u03ad\u03bd\u03b7\u03c2 \u03c0\u03ad\u03c8\u03b7\u03c2.<\/li>\n<li>\u0395\u03c6\u03cc\u03c3\u03bf\u03bd \u03b7 \u03c0\u03b5\u03c0\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1 \u03b4\u03b9\u03b1\u03bc\u03b5\u03c3\u03bf\u03bb\u03b1\u03b2\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03c7\u03bf\u03bb\u03b9\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7, \u03bf\u03b9 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ad\u03c2\u2013\u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ad\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c0\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c5\u03bd\u03b4\u03ad\u03bf\u03bd\u03c4\u03b1\u03b9, \u03c3\u03c5\u03bd\u03b5\u03c0\u03ce\u03c2, \u03bc\u03b5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b2\u03b1\u03b8\u03bc\u03bf\u03cd\u03c2 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03b1\u03c5\u03c4\u03ae\u03c2 \u03c4\u03b7\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 (2).<\/li>\n<li>\u038c\u03c3\u03bf \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af \u03bc\u03b9\u03b1 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u2013\u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae \u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7, \u03c4\u03cc\u03c3\u03bf \u03c0\u03b9\u03bf \u03ad\u03bd\u03c4\u03bf\u03bd\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03c3\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03ac \u03c4\u03b7\u03c2 \u03c3\u03c4\u03b7 \u03b2\u03b5\u03bb\u03c4\u03af\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2.<\/li>\n<\/ol>\n<ol start=\"4\">\n<li>\u039f \u03c3\u03c7\u03b5\u03b4\u03b9\u03b1\u03c3\u03bc\u03cc\u03c2 \u03bc\u03b9\u03b1\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03c0\u03b1\u03c1\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7\u03c2 \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c3\u03c4\u03bf\u03c7\u03b5\u03cd\u03b5\u03b9 \u03c3\u03c4\u03b7 \u03bc\u03ad\u03b3\u03b9\u03c3\u03c4\u03b7 \u03b4\u03c5\u03bd\u03b1\u03c4\u03ae \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2.<\/li>\n<li>\u0394\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03cc\u03c4\u03b9 \u03b7 \u03b5\u03bd\u03b9\u03c3\u03c7\u03c5\u03bc\u03ad\u03bd\u03b7 \u03c0\u03ad\u03c8\u03b7 \u03b1\u03c0\u03b1\u03b9\u03c4\u03b5\u03af \u03c4\u03cc\u03c3\u03bf \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03bf\u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03bf\u03c1\u03bc\u03bf\u03bd\u03b9\u03ba\u03ac \u03b4\u03b9\u03b1\u03bc\u03b5\u03c3\u03bf\u03bb\u03b1\u03b2\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03bc\u03ad\u03c3\u03c9 \u03c7\u03bf\u03bb\u03bf\u03ba\u03c5\u03c3\u03c4\u03bf\u03ba\u03b9\u03bd\u03af\u03bd\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03b5\u03ba\u03c1\u03b5\u03c4\u03af\u03bd\u03b7\u03c2, \u03bc\u03b9\u03b1 \u03b5\u03be\u03b5\u03b9\u03b4\u03b9\u03ba\u03b5\u03c5\u03bc\u03ad\u03bd\u03b7 \u03b1\u03bd\u03c4\u03b9\u03b4\u03b9\u03b1\u03b2\u03b7\u03c4\u03b9\u03ba\u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03c3\u03ad\u03b3\u03b3\u03b9\u03c3\u03b7 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03c4\u03b1 \u03b5\u03be\u03ae\u03c2 (1):<br \/>\n\u03b1) \u03a3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae, \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b1\u03bd\u03b1\u03c3\u03c4\u03c1\u03bf\u03c6\u03ae \u03c4\u03b7\u03c2 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7\u03c2 \u03c0\u03b1\u03c1\u03b1\u03c3\u03c5\u03bc\u03c0\u03b1\u03b8\u03b7\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03c4\u03bf\u03c5 \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03bf\u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03bf\u03cd \u03bd\u03b5\u03cd\u03c1\u03bf\u03c5, \u03ba\u03b1\u03b9<br \/>\n\u03b2) \u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7 \u03c4\u03bf\u03c5 \u03b5\u03b3\u03b3\u03cd\u03c2 \u03b5\u03bd\u03c4\u03ad\u03c1\u03bf\u03c5, \u03ce\u03c3\u03c4\u03b5 \u03bd\u03b1 \u03b1\u03c0\u03bf\u03c4\u03c1\u03b1\u03c0\u03b5\u03af \u03b7 \u03c5\u03c0\u03b5\u03c1\u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03c4\u03c9\u03bd \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd \u03c0\u03bf\u03c5 \u03b5\u03ba\u03ba\u03c1\u03af\u03bd\u03bf\u03c5\u03bd \u03c7\u03bf\u03bb\u03bf\u03ba\u03c5\u03c3\u03c4\u03bf\u03ba\u03b9\u03bd\u03af\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03c3\u03b5\u03ba\u03c1\u03b5\u03c4\u03af\u03bd\u03b7, \u03c4\u03b1 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b5\u03bd\u03c4\u03bf\u03c0\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03bc\u03b5\u03b3\u03ac\u03bb\u03b7 \u03c0\u03c5\u03ba\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c3\u03b5 \u03b1\u03c5\u03c4\u03cc \u03c4\u03bf \u03c4\u03bc\u03ae\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03bd\u03c4\u03ad\u03c1\u03bf\u03c5.<\/li>\n<\/ol>\n<h3><span class=\"ez-toc-section\" id=\"%CE%A1%CF%8D%CE%B8%CE%BC%CE%B9%CF%83%CE%B7_%CF%84%CE%B7%CF%82_%CF%80%CE%B1%CE%B3%CE%BA%CF%81%CE%B5%CE%B1%CF%84%CE%BF%CF%87%CE%BF%CE%BB%CE%B9%CE%BA%CE%AE%CF%82_%CE%AD%CE%BA%CE%BA%CF%81%CE%B9%CF%83%CE%B7%CF%82\"><\/span><span id=\"Regulation_of_pancreaticobiliary_secretion\" class=\"ez-toc-section\"><\/span>\u03a1\u03cd\u03b8\u03bc\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03bf\u03c7\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u0397 \u03b5\u03ba\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03b1\u03c0\u03cc\u03ba\u03c1\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c0\u03b1\u03b3\u03ba\u03c1\u03ad\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03c7\u03bf\u03bb\u03b7\u03c6\u03cc\u03c1\u03bf\u03c5 \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c3\u03b5 \u03ad\u03bd\u03b1 \u03b3\u03b5\u03cd\u03bc\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03b5\u03af \u03c3\u03c4\u03bf \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03bf \u03ac\u03c1\u03b8\u03c1\u03bf \u03bc\u03b1\u03c2, \u03bc\u03b5 \u03c4\u03af\u03c4\u03bb\u03bf \u00abThe vicious dysmetabolic cycle of type 2 diabetes mellitus\u00bb. \u0397 \u03b1\u03c0\u03cc\u03ba\u03c1\u03b9\u03c3\u03b7 \u03b1\u03c5\u03c4\u03ae \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03c4\u03c1\u03b5\u03b9\u03c2 \u03c6\u03ac\u03c3\u03b5\u03b9\u03c2\u2014\u03c4\u03b7\u03bd \u03ba\u03b5\u03c6\u03b1\u03bb\u03b9\u03ba\u03ae, \u03c4\u03b7 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae\u2014\u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03b1\u03bd\u03c4\u03b9\u03c0\u03c1\u03bf\u03c3\u03c9\u03c0\u03b5\u03cd\u03bf\u03c5\u03bd \u03bc\u03b9\u03b1 \u03bd\u03b5\u03c5\u03c1\u03bf\u03bf\u03c1\u03bc\u03bf\u03bd\u03b9\u03ba\u03ae \u03b1\u03bb\u03bb\u03b7\u03bb\u03bf\u03c5\u03c7\u03af\u03b1 \u03c0\u03bf\u03c5 \u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03b4\u03b9\u03ad\u03bb\u03b5\u03c5\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c4\u03c1\u03bf\u03c6\u03ae\u03c2 \u03bc\u03ad\u03c3\u03c9 \u03c4\u03bf\u03c5 \u03c3\u03c4\u03cc\u03bc\u03b1\u03c4\u03bf\u03c2, \u03c4\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bc\u03ac\u03c7\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03b5\u03b3\u03b3\u03cd\u03c2 \u03b5\u03bd\u03c4\u03ad\u03c1\u03bf\u03c5, \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1 (2).<\/p>\n<p>\u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03cc\u03c4\u03b1\u03bd \u03b7 \u03c4\u03c1\u03bf\u03c6\u03ae \u03c6\u03c4\u03ac\u03c3\u03b5\u03b9 \u03c3\u03c4\u03bf \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03cc \u03ad\u03bd\u03c4\u03b5\u03c1\u03bf, \u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03ad\u03bd\u03b1\u03c2 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc\u03c2 \u03bd\u03b5\u03c5\u03c1\u03bf\u03bf\u03c1\u03bc\u03bf\u03bd\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03b1\u03bd\u03b1\u03c4\u03c1\u03bf\u03c6\u03bf\u03b4\u03cc\u03c4\u03b7\u03c3\u03b7\u03c2, \u03bf \u03bf\u03c0\u03bf\u03af\u03bf\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03ae \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u2014\u03ad\u03bd\u03b1 \u03c6\u03b1\u03b9\u03bd\u03cc\u03bc\u03b5\u03bd\u03bf \u03b3\u03bd\u03c9\u03c3\u03c4\u03cc \u03c9\u03c2 \u00ab\u03b1\u03bd\u03b1\u03c3\u03c4\u03b1\u03bb\u03c4\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03bf\u03c5 \u03b5\u03b9\u03bb\u03b5\u03bf\u03cd\u00bb (ileal brake). \u039f \u00ab\u03b1\u03bd\u03b1\u03c3\u03c4\u03b1\u03bb\u03c4\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03bf\u03c5 \u03b5\u03b9\u03bb\u03b5\u03bf\u03cd\u00bb \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b1\u03c0\u03cc\u03ba\u03c1\u03b9\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03c0\u03c1\u03bf\u03ba\u03cd\u03c0\u03c4\u03b5\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03c4\u03c9\u03bd L-\u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd \u03c4\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03bf\u03cd \u03b5\u03bd\u03c4\u03ad\u03c1\u03bf\u03c5 \u03b1\u03c0\u03cc \u03c4\u03b1 \u03b8\u03c1\u03b5\u03c0\u03c4\u03b9\u03ba\u03ac \u03c3\u03c5\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac (\u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 1).<\/p>\n<p><a href=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-11.49.28-AM-scaled-clean.jpg\" data-slb-active=\"1\" data-slb-asset=\"301872514\" data-slb-group=\"9378\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-9450 size-1536x1536\" title=\"\u03a1\u03cd\u03b8\u03bc\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2\" src=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-11.49.28-AM-scaled-clean-1536x759.jpg\" sizes=\"auto, (max-width: 1536px) 100vw, 1536px\" srcset=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-11.49.28-AM-scaled-clean-1536x759.jpg 1536w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-11.49.28-AM-scaled-clean-300x148.jpg 300w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-11.49.28-AM-scaled-clean-1024x506.jpg 1024w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-11.49.28-AM-scaled-clean-768x380.jpg 768w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-11.49.28-AM-scaled-clean-2048x1012.jpg 2048w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-11.49.28-AM-scaled-clean-18x9.jpg 18w\" alt=\"\u03a1\u03cd\u03b8\u03bc\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2\" width=\"1536\" height=\"759\" \/><\/a><\/p>\n<p><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 1. \u03a1\u03cd\u03b8\u03bc\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2:<\/strong><br \/>\n\u0397 \u03c7\u03bf\u03bb\u03b9\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7, \u03b1\u03c0\u03b1\u03c1\u03b1\u03af\u03c4\u03b7\u03c4\u03b7 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c0\u03ad\u03c8\u03b7, \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c4\u03c1\u03b5\u03b9\u03c2 \u03c3\u03c5\u03bd\u03c4\u03bf\u03bd\u03b9\u03c3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c6\u03ac\u03c3\u03b5\u03b9\u03c2\u2014\u03ba\u03b5\u03c6\u03b1\u03bb\u03b9\u03ba\u03ae, \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae\u2014\u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03c1\u03c5\u03b8\u03bc\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03bd\u03b5\u03c5\u03c1\u03bf\u03bf\u03c1\u03bc\u03bf\u03bd\u03b9\u03ba\u03ac \u03c3\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c3\u03b5 \u03b1\u03c0\u03cc\u03ba\u03c1\u03b9\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7 \u03c4\u03c1\u03bf\u03c6\u03ae\u03c2.<\/p>\n<p><strong>A. \u039a\u03b5\u03c6\u03b1\u03bb\u03b9\u03ba\u03ae \u03c6\u03ac\u03c3\u03b7:<\/strong><br \/>\n\u03a0\u03c5\u03c1\u03bf\u03b4\u03bf\u03c4\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03cc\u03c1\u03b1\u03c3\u03b7, \u03c4\u03b7\u03bd \u03bf\u03c3\u03bc\u03ae, \u03c4\u03b7 \u03b3\u03b5\u03cd\u03c3\u03b7 \u03ae \u03b1\u03ba\u03cc\u03bc\u03b7 \u03ba\u03b1\u03b9 \u03c4\u03b7 \u03c3\u03ba\u03ad\u03c8\u03b7 \u03c4\u03b7\u03c2 \u03c4\u03c1\u03bf\u03c6\u03ae\u03c2, \u03b7 \u03c6\u03ac\u03c3\u03b7 \u03b1\u03c5\u03c4\u03ae \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03c0\u03b1\u03c1\u03b1\u03c3\u03c5\u03bc\u03c0\u03b1\u03b8\u03b7\u03c4\u03b9\u03ba\u03ae (\u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03bf\u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae) \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c0\u03c1\u03bf\u03b5\u03c4\u03bf\u03b9\u03bc\u03ac\u03b6\u03b5\u03b9 \u03c4\u03bf \u03c0\u03ac\u03b3\u03ba\u03c1\u03b5\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03c7\u03bf\u03bb\u03b7\u03c6\u03cc\u03c1\u03bf \u03c3\u03cd\u03c3\u03c4\u03b7\u03bc\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c0\u03ad\u03c8\u03b7 \u03c0\u03c1\u03b9\u03bd \u03b1\u03ba\u03cc\u03bc\u03b7 \u03b7 \u03c4\u03c1\u03bf\u03c6\u03ae \u03b5\u03b9\u03c3\u03ad\u03bb\u03b8\u03b5\u03b9 \u03c3\u03c4\u03bf \u03c3\u03c4\u03bf\u03bc\u03ac\u03c7\u03b9.<\/p>\n<p><strong>B. \u0393\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03c6\u03ac\u03c3\u03b7:<\/strong><br \/>\n\u0391\u03c1\u03c7\u03af\u03b6\u03b5\u03b9 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b5\u03af\u03c3\u03bf\u03b4\u03bf \u03c4\u03b7\u03c2 \u03c4\u03c1\u03bf\u03c6\u03ae\u03c2 \u03c3\u03c4\u03bf \u03c3\u03c4\u03bf\u03bc\u03ac\u03c7\u03b9. \u0397 \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03bf\u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03b7 \u03b4\u03c1\u03ac\u03c3\u03b7 \u03c4\u03bf\u03c0\u03b9\u03ba\u03ce\u03bd \u03bf\u03c1\u03bc\u03bf\u03bd\u03ce\u03bd \u03b5\u03bd\u03b9\u03c3\u03c7\u03cd\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03c7\u03bf\u03bb\u03b7\u03c6\u03cc\u03c1\u03bf \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 \u03ce\u03c3\u03c4\u03b5 \u03bd\u03b1 \u03c5\u03c0\u03bf\u03c3\u03c4\u03b7\u03c1\u03b9\u03c7\u03b8\u03b5\u03af \u03b7 \u03c3\u03c5\u03bd\u03b5\u03c7\u03b9\u03b6\u03cc\u03bc\u03b5\u03bd\u03b7 \u03c0\u03ad\u03c8\u03b7.<\/p>\n<p><strong>C. \u0395\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae \u03c6\u03ac\u03c3\u03b7:<\/strong><br \/>\n\u038c\u03c4\u03b1\u03bd \u03b7 \u03c4\u03c1\u03bf\u03c6\u03ae \u03c6\u03c4\u03ac\u03c3\u03b5\u03b9 \u03c3\u03c4\u03bf \u03b4\u03c9\u03b4\u03b5\u03ba\u03b1\u03b4\u03ac\u03ba\u03c4\u03c5\u03bb\u03bf, \u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03b8\u03c1\u03b5\u03c0\u03c4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c5\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd\u2014\u03b9\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b1 \u03bb\u03b9\u03c0\u03ce\u03bd \u03ba\u03b1\u03b9 \u03c0\u03c1\u03c9\u03c4\u03b5\u03ca\u03bd\u03ce\u03bd\u2014\u03b4\u03b9\u03b5\u03b3\u03b5\u03af\u03c1\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bf\u03c1\u03bc\u03bf\u03bd\u03ce\u03bd \u03cc\u03c0\u03c9\u03c2 \u03b7 \u03c7\u03bf\u03bb\u03bf\u03ba\u03c5\u03c3\u03c4\u03bf\u03ba\u03b9\u03bd\u03af\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03b7 \u03c3\u03b5\u03ba\u03c1\u03b5\u03c4\u03af\u03bd\u03b7. \u039f\u03b9 \u03bf\u03c1\u03bc\u03cc\u03bd\u03b5\u03c2 \u03b1\u03c5\u03c4\u03ad\u03c2 \u03b5\u03bd\u03b9\u03c3\u03c7\u03cd\u03bf\u03c5\u03bd \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03c4\u03b7\u03bd \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03b5\u03bd\u03b6\u03cd\u03bc\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c7\u03bf\u03bb\u03ae\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1 \u03c4\u03b7\u03c2 \u03c0\u03ad\u03c8\u03b7\u03c2 \u03c3\u03c4\u03bf \u03bb\u03b5\u03c0\u03c4\u03cc \u03ad\u03bd\u03c4\u03b5\u03c1\u03bf.<\/p>\n<p><strong>D. \u039c\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b1\u03bd\u03b1\u03c4\u03c1\u03bf\u03c6\u03bf\u03b4\u03cc\u03c4\u03b7\u03c3\u03b7\u03c2 \u2013 \u039f \u03b1\u03bd\u03b1\u03c3\u03c4\u03b1\u03bb\u03c4\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03bf\u03c5 \u03b5\u03b9\u03bb\u03b5\u03bf\u03cd (ileal brake):<\/strong><br \/>\n\u038c\u03c4\u03b1\u03bd \u03c4\u03b1 \u03b8\u03c1\u03b5\u03c0\u03c4\u03b9\u03ba\u03ac \u03c3\u03c5\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03c6\u03c4\u03ac\u03bd\u03bf\u03c5\u03bd \u03c3\u03c4\u03bf \u03ac\u03c0\u03c9 \u03ad\u03bd\u03c4\u03b5\u03c1\u03bf (\u03b5\u03b9\u03bb\u03b5\u03cc\u03c2), \u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03c4\u03b1 L-\u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1, \u03c4\u03b1 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b1\u03c0\u03b5\u03bb\u03b5\u03c5\u03b8\u03b5\u03c1\u03ce\u03bd\u03bf\u03c5\u03bd \u03bf\u03c1\u03bc\u03cc\u03bd\u03b5\u03c2 \u03cc\u03c0\u03c9\u03c2 GLP-1, PYY, GLP-2 \u03ba\u03b1\u03b9 oxyntomodulin. \u039f\u03b9 \u03bf\u03c1\u03bc\u03cc\u03bd\u03b5\u03c2 \u03b1\u03c5\u03c4\u03ad\u03c2 \u03c3\u03b7\u03bc\u03b1\u03c4\u03bf\u03b4\u03bf\u03c4\u03bf\u03cd\u03bd \u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03bf\u03cd\u03c2 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03b2\u03c1\u03b1\u03b4\u03cd\u03bd\u03bf\u03c5\u03bd \u03c4\u03b7 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae \u03ba\u03b9\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1. \u0397 \u03b1\u03c0\u03cc\u03ba\u03c1\u03b9\u03c3\u03b7 \u03b1\u03c5\u03c4\u03ae\u2014\u03b3\u03bd\u03c9\u03c3\u03c4\u03ae \u03c9\u03c2 <em>ileal brake<\/em>\u2014\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b5\u03af \u03c9\u03c2 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03b1\u03bd\u03b1\u03c4\u03c1\u03bf\u03c6\u03bf\u03b4\u03cc\u03c4\u03b7\u03c3\u03b7\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03af\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c5\u03c0\u03b5\u03c1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae \u03c0\u03ad\u03c8\u03b7, \u03c1\u03c5\u03b8\u03bc\u03af\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd 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\u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u2013\u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae<\/strong><\/p>\n<p>\u0397 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b5\u03bd\u03b9\u03c3\u03c7\u03c5\u03bc\u03ad\u03bd\u03b7\u2014\u03ba\u03b1\u03b9 \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2\u2014\u03c0\u03ad\u03c8\u03b7 \u03c5\u03b4\u03b1\u03c4\u03b1\u03bd\u03b8\u03c1\u03ac\u03ba\u03c9\u03bd, \u03bb\u03b9\u03c0\u03ce\u03bd \u03ba\u03b1\u03b9 \u03c0\u03c1\u03c9\u03c4\u03b5\u03ca\u03bd\u03ce\u03bd \u03c3\u03c4\u03bf \u03b5\u03b3\u03b3\u03cd\u03c2 \u03ad\u03bd\u03c4\u03b5\u03c1\u03bf, \u03bc\u03b5\u03b9\u03ce\u03bd\u03bf\u03bd\u03c4\u03b1\u03c2 \u03ad\u03c4\u03c3\u03b9 \u03c4\u03b7\u03bd \u03b1\u03c0\u03bf\u03c1\u03c1\u03cc\u03c6\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c0\u03c1\u03bf\u03ca\u03cc\u03bd\u03c4\u03c9\u03bd \u03b4\u03b9\u03ac\u03c3\u03c0\u03b1\u03c3\u03ae\u03c2 \u03c4\u03bf\u03c5\u03c2 (3,4). \u0397 \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b1\u03c0\u03bf\u03c1\u03c1\u03cc\u03c6\u03b7\u03c3\u03b7\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2, \u03c3\u03b5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b5\u03c0\u03b1\u03ba\u03cc\u03bb\u03bf\u03c5\u03b8\u03b7 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\u03bd\u03b7\u03c3\u03b9\u03b4\u03af\u03c9\u03bd, \u03bf\u03b4\u03b7\u03b3\u03ce\u03bd\u03c4\u03b1\u03c2 \u03ad\u03c4\u03c3\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03b9\u03bd\u03c3\u03bf\u03c5\u03bb\u03af\u03bd\u03b7\u03c2 (\u0395\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 2, 3).<\/p>\n<p>\u0397 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03bd\u03b9\u03c3\u03c7\u03c5\u03bc\u03ad\u03bd\u03b7\u03c2 \u03c0\u03ad\u03c8\u03b7\u03c2, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c7\u03b1\u03c1\u03b1\u03ba\u03c4\u03b7\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2, \u03bf\u03b4\u03b7\u03b3\u03b5\u03af \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c3\u03b5 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ac \u03ac\u03c0\u03b5\u03c0\u03c4\u03c9\u03bd \u03c3\u03c5\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03c4\u03c1\u03bf\u03c6\u03ae\u03c2 \u03ba\u03b1\u03b9 \u03c7\u03bf\u03bb\u03ae\u03c2 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03b1 \u03ac\u03c0\u03c9 \u03c4\u03bc\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03bf\u03cd \u03c3\u03c9\u03bb\u03ae\u03bd\u03b1, \u03c5\u03c0\u03b5\u03c1\u03b4\u03b9\u03b5\u03b3\u03b5\u03af\u03c1\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b1 L-\u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03c4\u03bf\u03c5 \u03ac\u03c0\u03c9 \u03b5\u03bd\u03c4\u03ad\u03c1\u03bf\u03c5. \u0397 \u03c5\u03c0\u03b5\u03c1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03c4\u03c9\u03bd L-\u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd \u03ad\u03c7\u03b5\u03b9 \u03c4\u03b1 \u03b1\u03ba\u03cc\u03bb\u03bf\u03c5\u03b8\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1:<\/p>\n<ol>\n<li>\u0397 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ac \u03b1\u03c7\u03ce\u03bd\u03b5\u03c5\u03c4\u03bf\u03c5 \u03c7\u03c5\u03bc\u03bf\u03cd \u03c3\u03c4\u03bf \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03cc \u03ad\u03bd\u03c4\u03b5\u03c1\u03bf <strong>\u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ce\u03bd \u03bf\u03c1\u03bc\u03bf\u03bd\u03ce\u03bd<\/strong> Glucagon-like Peptide-1 (GLP-1), Glucagon-like Peptide-2 (GLP-2), Peptide YY (PYY) \u03ba\u03b1\u03b9 oxyntomodulin (9,10). \u03a4\u03b1 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03ac \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c5\u03bc\u03b2\u03ac\u03bb\u03bb\u03bf\u03c5\u03bd \u03c3\u03c4\u03b7\u03bd <strong>\u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03cc\u03c1\u03b5\u03be\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b5\u03bd\u03af\u03c3\u03c7\u03c5\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03b9\u03c3\u03b8\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ba\u03bf\u03c1\u03b5\u03c3\u03bc\u03bf\u03cd<\/strong>, \u03c0\u03c1\u03bf\u03ac\u03b3\u03bf\u03bd\u03c4\u03b1\u03c2 \u03ad\u03c4\u03c3\u03b9 \u03c4\u03b7\u03bd \u03b1\u03c0\u03ce\u03bb\u03b5\u03b9\u03b1 \u03c3\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03bf\u03cd \u03b2\u03ac\u03c1\u03bf\u03c5\u03c2 (11). \u0395\u03c0\u03b9\u03c0\u03bb\u03ad\u03bf\u03bd, \u03c4\u03bf GLP-1, \u03c9\u03c2 \u03b9\u03bd\u03ba\u03c1\u03b5\u03c4\u03af\u03bd\u03b7, <strong>\u03b2\u03b5\u03bb\u03c4\u03b9\u03ce\u03bd\u03b5\u03b9 \u03c4\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 \u03c4\u03c9\u03bd \u03b2-\u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd<\/strong> \u03bc\u03ad\u03c3\u03c9 \u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03ce\u03bd \u03ba\u03b1\u03b9 \u03b1\u03bd\u03c4\u03b9\u03b1\u03c0\u03bf\u03c0\u03c4\u03c9\u03c4\u03b9\u03ba\u03ce\u03bd \u03b4\u03c1\u03ac\u03c3\u03b5\u03c9\u03bd, \u03b5\u03bd\u03ce \u03c4\u03b1\u03c5\u03c4\u03cc\u03c7\u03c1\u03bf\u03bd\u03b1 <strong>\u03b5\u03bd\u03b9\u03c3\u03c7\u03cd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 \u03b9\u03bd\u03c3\u03bf\u03c5\u03bb\u03af\u03bd\u03b7\u03c2<\/strong> \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c4\u03c9\u03bd \u03b9\u03c3\u03c4\u03ce\u03bd \u03c3\u03c4\u03b7 \u03b4\u03c1\u03ac\u03c3\u03b7 \u03c4\u03b7\u03c2. \u0395\u03c0\u03b9\u03c0\u03bb\u03ad\u03bf\u03bd, \u03c4\u03bf GLP-1 <strong>\u03b1\u03bd\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03b5\u03b9 \u03c4\u03b7\u03bd \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 \u03b3\u03bb\u03c5\u03ba\u03b1\u03b3\u03cc\u03bd\u03b7\u03c2<\/strong>, \u03c3\u03c5\u03bc\u03b2\u03ac\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03c2 \u03ad\u03c4\u03c3\u03b9 \u03c3\u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03b7\u03c0\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c0\u03b1\u03c1\u03b1\u03b3\u03c9\u03b3\u03ae\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2 (12). \u03a0\u03b1\u03c1\u03ac\u03bb\u03bb\u03b7\u03bb\u03b1, \u03c4\u03b1 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 PYY, oxyntomodulin \u03ba\u03b1\u03b9 GLP-2 \u03b1\u03c3\u03ba\u03bf\u03cd\u03bd <strong>\u03b5\u03c5\u03b5\u03c1\u03b3\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2<\/strong> \u03ba\u03b1\u03b9 \u03b2\u03b5\u03bb\u03c4\u03b9\u03ce\u03bd\u03bf\u03c5\u03bd \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03c4\u03bf\u03bd \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03c3\u03bc\u03cc \u03c4\u03b7\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2 (13\u201315).<\/li>\n<li>\u0395\u03c0\u03b9\u03c0\u03bb\u03ad\u03bf\u03bd, \u03b7 \u03ad\u03ba\u03b8\u03b5\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b5\u03b9\u03bb\u03b5\u03bf\u03cd \u03c3\u03b5 \u03ac\u03c0\u03b5\u03c0\u03c4\u03bf \u03c7\u03c5\u03bc\u03cc \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 \u03bc\u03b9\u03b1 \u03b5\u03cd\u03bb\u03bf\u03b3\u03b7 \u03b5\u03be\u03ae\u03b3\u03b7\u03c3\u03b7 \u03b3\u03b9\u03b1 \u03c4\u03b1 <strong>\u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b1 \u03ba\u03c5\u03ba\u03bb\u03bf\u03c6\u03bf\u03c1\u03bf\u03cd\u03bd\u03c4\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03c7\u03bf\u03bb\u03b9\u03ba\u03ce\u03bd \u03bf\u03be\u03ad\u03c9\u03bd<\/strong> \u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c0\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c3\u03c5\u03bc\u03b2\u03ac\u03bb\u03bb\u03bf\u03c5\u03bd \u03c3\u03c4\u03b7 \u03b2\u03b5\u03bb\u03c4\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03bf\u03bc\u03bf\u03b9\u03cc\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2 (16,17). \u0397 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1 \u03c7\u03bf\u03bb\u03b9\u03ba\u03ce\u03bd \u03bf\u03be\u03ad\u03c9\u03bd \u03c3\u03c4\u03bf\u03bd \u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03b1\u03c5\u03bb\u03cc \u03b5\u03bd\u03b9\u03c3\u03c7\u03cd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b1\u03c0\u03bf\u03c1\u03c1\u03cc\u03c6\u03b7\u03c3\u03ae \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c4\u03bf\u03bd \u03b5\u03b9\u03bb\u03b5\u03cc, \u03b1\u03c5\u03be\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03c2 \u03ad\u03c4\u03c3\u03b9 \u03c4\u03b1 \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03c7\u03bf\u03bb\u03b9\u03ba\u03ce\u03bd \u03bf\u03be\u03ad\u03c9\u03bd. \u03a4\u03bf \u03b3\u03b5\u03b3\u03bf\u03bd\u03cc\u03c2 \u03b1\u03c5\u03c4\u03cc \u03c5\u03c0\u03bf\u03c3\u03c4\u03b7\u03c1\u03af\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c5\u03c0\u03cc\u03b8\u03b5\u03c3\u03b7 \u03cc\u03c4\u03b9 \u03b7 <strong>\u03b2\u03b9\u03bf\u03b4\u03b9\u03b1\u03b8\u03b5\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03c9\u03bd \u03c7\u03bf\u03bb\u03b9\u03ba\u03ce\u03bd \u03bf\u03be\u03ad\u03c9\u03bd<\/strong> \u03b5\u03bd\u03b4\u03ad\u03c7\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b4\u03b9\u03b1\u03b4\u03c1\u03b1\u03bc\u03b1\u03c4\u03af\u03b6\u03b5\u03b9 \u03b1\u03b9\u03c4\u03b9\u03ce\u03b4\u03b7 \u03c1\u03cc\u03bb\u03bf \u03c3\u03c4\u03b9\u03c2 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ad\u03c2 \u03b2\u03b5\u03bb\u03c4\u03b9\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7.\n<p>\u03a3\u03b5 \u03b5\u03c0\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03b9\u03c2 \u03cc\u03c0\u03c9\u03c2 \u03c4\u03bf \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass \u03ba\u03b1\u03b9 \u03b7 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7, \u03b7 <strong>\u03b2\u03c1\u03b1\u03c7\u03c5\u03bd\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b4\u03b9\u03b1\u03b4\u03c1\u03bf\u03bc\u03ae \u03c4\u03b7\u03c2 \u03b5\u03bd\u03c4\u03b5\u03c1\u03bf\u03b7\u03c0\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ba\u03c5\u03ba\u03bb\u03bf\u03c6\u03bf\u03c1\u03af\u03b1\u03c2<\/strong>\u2014\u03b9\u03b4\u03af\u03c9\u03c2 \u03bc\u03ad\u03c3\u03c9 \u03c4\u03c9\u03bd biliopancreatic \u03ba\u03b1\u03b9 common limbs\u2014\u03b5\u03c0\u03b9\u03c4\u03b1\u03c7\u03cd\u03bd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b1\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c7\u03bf\u03bb\u03b9\u03ba\u03ce\u03bd \u03bf\u03be\u03ad\u03c9\u03bd \u03bc\u03b5 \u03c4\u03bf\u03bd \u03b5\u03b9\u03bb\u03b5\u03cc. \u03a9\u03c2 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1, \u03b7 \u03b1\u03c0\u03bf\u03c1\u03c1\u03cc\u03c6\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c7\u03bf\u03bb\u03b9\u03ba\u03ce\u03bd \u03bf\u03be\u03ad\u03c9\u03bd \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 <strong>\u03bd\u03c9\u03c1\u03af\u03c4\u03b5\u03c1\u03b1 \u03ba\u03b1\u03b9 \u03c0\u03b9\u03bf \u03b5\u03bd\u03b5\u03c1\u03b3\u03ac<\/strong>, \u03c3\u03c5\u03bc\u03b2\u03ac\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03c3\u03c4\u03b1 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03bf\u03cd\u03bc\u03b5\u03bd\u03b1 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ac \u03bf\u03c6\u03ad\u03bb\u03b7 \u03c4\u03c9\u03bd \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03c9\u03bd \u03b5\u03c0\u03b9\u03c0\u03ad\u03b4\u03c9\u03bd \u03c7\u03bf\u03bb\u03b9\u03ba\u03ce\u03bd \u03bf\u03be\u03ad\u03c9\u03bd.<\/li>\n<li>\u03a4\u03ad\u03bb\u03bf\u03c2, \u03b7 \u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u00ab\u03b1\u03bd\u03b1\u03c3\u03c4\u03b1\u03bb\u03c4\u03b9\u03ba\u03bf\u03cd \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03bf\u03cd \u03c4\u03bf\u03c5 \u03b5\u03b9\u03bb\u03b5\u03bf\u03cd\u00bb (<em>ileal brake<\/em>), \u03bf \u03bf\u03c0\u03bf\u03af\u03bf\u03c2 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03c4\u03bf\u03bd \u03ba\u03cd\u03c1\u03b9\u03bf \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b1\u03bd\u03b1\u03c4\u03c1\u03bf\u03c6\u03bf\u03b4\u03cc\u03c4\u03b7\u03c3\u03b7\u03c2 \u03c0\u03bf\u03c5 \u03c1\u03c5\u03b8\u03bc\u03af\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03ae \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7, <strong>\u03bf\u03bb\u03bf\u03ba\u03bb\u03b7\u03c1\u03ce\u03bd\u03b5\u03b9 \u03c4\u03bf\u03bd \u03ba\u03cd\u03ba\u03bb\u03bf \u03c4\u03b7\u03c2 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03b2\u03b5\u03bb\u03c4\u03af\u03c9\u03c3\u03b7\u03c2<\/strong>.<\/li>\n<\/ol>\n<h3><a href=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-1.25.16-PM-1024x789.png\" data-slb-active=\"1\" data-slb-asset=\"1398846637\" data-slb-group=\"9378\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-9404 size-large\" src=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-1.25.16-PM-1024x789.png\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-1.25.16-PM-1024x789.png 1024w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-1.25.16-PM-300x231.png 300w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-1.25.16-PM-768x592.png 768w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-1.25.16-PM-1536x1184.png 1536w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-1.25.16-PM-16x12.png 16w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-1.25.16-PM.png 1624w\" alt=\"\u039f \u03b1\u03bd\u03c4\u03b9\u03b4\u03b9\u03b1\u03b2\u03b7\u03c4\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2-\u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7\u03c2 \u03c3\u03c4\u03bf \u03c3\u03c4\u03ac\u03b4\u03b9\u03bf \u03c4\u03b7\u03c2 \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b9\u03bd\u03c3\u03bf\u03c5\u03bb\u03af\u03bd\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2\" width=\"1024\" height=\"789\" \/><\/a><\/h3>\n<p><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 2. \u039f \u03b1\u03bd\u03c4\u03b9\u03b4\u03b9\u03b1\u03b2\u03b7\u03c4\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2\u2013\u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c4\u03bf \u03c3\u03c4\u03ac\u03b4\u03b9\u03bf \u03c4\u03b7\u03c2 \u03b9\u03bd\u03c3\u03bf\u03c5\u03bb\u03b9\u03bd\u03bf\u03b1<\/strong><strong>\u03bd\u03c4\u03af\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2<\/strong><strong> \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2<\/strong><\/p>\n<p><a href=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-3.55.56-PM-1024x782.png\" data-slb-active=\"1\" data-slb-asset=\"234406917\" data-slb-group=\"9378\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-9414 size-large\" src=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-3.55.56-PM-1024x782.png\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-3.55.56-PM-1024x782.png 1024w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-3.55.56-PM-300x229.png 300w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-3.55.56-PM-768x587.png 768w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-3.55.56-PM-1536x1173.png 1536w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-3.55.56-PM-16x12.png 16w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-01-at-3.55.56-PM.png 2032w\" alt=\"\u0391\u03bd\u03c4\u03b9\u03b4\u03b9\u03b1\u03b2\u03b7\u03c4\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1\u03c2 \u03c3\u03c4\u03bf \u03c3\u03c4\u03ac\u03b4\u03b9\u03bf \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1\u03c2 \u03c4\u03c9\u03bd \u03b2-\u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7\" width=\"1024\" height=\"782\" \/><\/a><\/p>\n<p><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 3. \u039f \u03b1\u03bd\u03c4\u03b9\u03b4\u03b9\u03b1\u03b2\u03b7\u03c4\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2\u2013\u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c4\u03bf \u03c3\u03c4\u03ac\u03b4\u03b9\u03bf \u03c4\u03b7\u03c2 \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1\u03c2 \u03c4\u03c9\u03bd \u03b2-\u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd \u03c3\u03c4\u03bf\u03bd \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2<\/strong><\/p>\n<h3><span class=\"ez-toc-section\" id=\"%CE%A4%CE%B5%CE%BA%CE%BC%CE%AE%CF%81%CE%B9%CE%B1_%CE%9C%CE%B5%CE%B9%CF%89%CE%BC%CE%AD%CE%BD%CE%B7%CF%82_%CE%A0%CE%B1%CE%B3%CE%BA%CF%81%CE%B5%CE%B1%CF%84%CE%B9%CE%BA%CE%AE%CF%82_%CE%88%CE%BA%CE%BA%CF%81%CE%B9%CF%83%CE%B7%CF%82_%CE%9C%CE%B5%CF%84%CE%AC_%CE%B1%CF%80%CF%8C_%CE%92%CE%B1%CF%81%CE%B9%CE%B1%CF%84%CF%81%CE%B9%CE%BA%CE%AE_%CE%A7%CE%B5%CE%B9%CF%81%CE%BF%CF%85%CF%81%CE%B3%CE%B9%CE%BA%CE%AE\"><\/span><span id=\"Evidence_of_Decreased_Pancreatic_Secretion_After_Bariatric_Surgery\" class=\"ez-toc-section\"><\/span>\u03a4\u03b5\u03ba\u03bc\u03ae\u03c1\u03b9\u03b1 \u039c\u03b5\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7\u03c2 \u03a0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u0388\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u039c\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u0392\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u0397 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03bf\u03cd\u03c2 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c3\u03b5 \u03b1\u03c0\u03cc\u03ba\u03c1\u03b9\u03c3\u03b7 \u03c3\u03c4\u03b7 \u03c3\u03af\u03c4\u03b9\u03c3\u03b7 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b5\u03c0\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03b9\u03c2 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03bf\u03cd bypass \u03ad\u03c7\u03b5\u03b9 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03b5\u03af \u03c3\u03b5 \u03c0\u03b5\u03b9\u03c1\u03b1\u03bc\u03b1\u03c4\u03cc\u03b6\u03c9\u03b1 \u03ae\u03b4\u03b7 \u03b1\u03c0\u03cc \u03c4\u03bf 1971 (18). \u03a4\u03b1 \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b1 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03ad\u03c7\u03b5\u03b9 \u03bc\u03b5\u03bb\u03b5\u03c4\u03b7\u03b8\u03b5\u03af \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03bd\u03b8\u03c1\u03ce\u03c0\u03bf\u03c5\u03c2, \u03bc\u03b5 \u03c4\u03b1 \u03b5\u03c5\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03bd\u03b1 \u03ba\u03c5\u03bc\u03b1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03bc\u03b5\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7 \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03ae \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 \u03ad\u03c9\u03c2 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ae \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03ae \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03b1\u03bd\u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 (19,20). \u039f O\u2019Keefe S. \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03c3\u03c5\u03bd\u03b5\u03c1\u03b3\u03ac\u03c4\u03b5\u03c2 \u03c4\u03bf\u03c5 \u03ba\u03b1\u03c4\u03ad\u03b4\u03b5\u03b9\u03be\u03b1\u03bd \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b1 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ac \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf\u03c5\u03c2 \u03c1\u03c5\u03b8\u03bc\u03bf\u03cd\u03c2 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c4\u03c1\u03c5\u03c8\u03af\u03bd\u03b7\u03c2, \u03b1\u03bc\u03c5\u03bb\u03ac\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03bb\u03b9\u03c0\u03ac\u03c3\u03b7\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03c1\u03bf\u03c6\u03ae \u03c3\u03b5 \u03ac\u03c4\u03bf\u03bc\u03b1 \u03bc\u03b5 \u03c0\u03b1\u03c7\u03c5\u03c3\u03b1\u03c1\u03ba\u03af\u03b1 \u03c0\u03bf\u03c5 \u03b5\u03af\u03c7\u03b1\u03bd \u03c5\u03c0\u03bf\u03b2\u03bb\u03b7\u03b8\u03b5\u03af \u03c3\u03b5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass, \u03c3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03c5\u03b3\u03b9\u03b5\u03af\u03c2 \u03bc\u03ac\u03c1\u03c4\u03c5\u03c1\u03b5\u03c2 (21). \u0397 \u03b4\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03b3\u03bc\u03ad\u03bd\u03b7 \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03ae\u03c2 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bf\u03b4\u03ae\u03b3\u03b7\u03c3\u03b5 \u03c3\u03b5 \u03ba\u03ac\u03c0\u03bf\u03b9\u03b1 \u03b4\u03c5\u03c3\u03b1\u03c0\u03bf\u03c1\u03c1\u03cc\u03c6\u03b7\u03c3\u03b7 \u03bb\u03af\u03c0\u03bf\u03c5\u03c2 \u03c3\u03b5 \u03cc\u03bb\u03bf\u03c5\u03c2 \u03c4\u03bf\u03c5\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b5\u03bc\u03c6\u03b1\u03bd\u03ae \u03c3\u03c4\u03b5\u03b1\u03c4\u03cc\u03c1\u03c1\u03bf\u03b9\u03b1 \u03c3\u03b5 \u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5\u03c2 \u03b5\u03be \u03b1\u03c5\u03c4\u03ce\u03bd. \u03a0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b1, \u03bf Ozmen M. \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03c3\u03c5\u03bd\u03b5\u03c1\u03b3\u03ac\u03c4\u03b5\u03c2 \u03c4\u03bf\u03c5 \u03ad\u03b4\u03b5\u03b9\u03be\u03b1\u03bd \u03cc\u03c4\u03b9 \u03b7 \u03b4\u03c5\u03c3\u03b1\u03c0\u03bf\u03c1\u03c1\u03cc\u03c6\u03b7\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c0\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03bf\u03cd \u03c3\u03c9\u03bb\u03ae\u03bd\u03b1 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b9\u03bf\u03c1\u03b8\u03c9\u03b8\u03b5\u03af \u03c0\u03bb\u03ae\u03c1\u03c9\u03c2 \u03bc\u03b5 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03c5\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03b5\u03bd\u03b6\u03cd\u03bc\u03c9\u03bd \u03c3\u03b5 \u03cc\u03bb\u03bf\u03c5\u03c2 \u03c4\u03bf\u03c5\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 (22).<\/p>\n<p>\u03a3\u03b5 \u03bc\u03b9\u03b1 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7\u03c2 52 \u03bc\u03b7\u03bd\u03ce\u03bd, \u03c4\u03bf 31% \u03b1\u03c0\u03cc 188 \u03b4\u03b9\u03b1\u03b4\u03bf\u03c7\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b2\u03bb\u03ae\u03b8\u03b7\u03ba\u03b1\u03bd \u03c3\u03b5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass \u03b4\u03b9\u03b1\u03b3\u03bd\u03ce\u03c3\u03c4\u03b7\u03ba\u03b1\u03bd \u03bc\u03b5 \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03ae \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03b1\u03bd\u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 (23). \u03a3\u03b5 \u03bc\u03b9\u03b1 \u03c0\u03c1\u03bf\u03bf\u03c0\u03c4\u03b9\u03ba\u03ae, \u03c3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 105 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd, \u03b7 \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03ae\u03c2 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03b1\u03bd\u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03ae\u03b8\u03b7\u03ba\u03b5 \u03c3\u03c4\u03bf 75% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7, \u03c3\u03c4\u03bf 8.3% \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass \u03ba\u03b1\u03b9 \u03c3\u03c4\u03bf 4.3% \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b5\u03c0\u03b9\u03bc\u03ae\u03ba\u03b7 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae (24). \u03a3\u03b5 \u03bc\u03b9\u03b1 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03bc\u03b5 22 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2, \u03c4\u03bf 9.1% \u03b1\u03c5\u03c4\u03ce\u03bd \u03b5\u03bc\u03c6\u03ac\u03bd\u03b9\u03c3\u03b5 \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03ae \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03b1\u03bd\u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03ad\u03bd\u03b1 \u03ad\u03c4\u03bf\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03bf \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass (25).<\/p>\n<h3><span class=\"ez-toc-section\" id=\"%CE%97_%CE%95%CF%80%CE%AF%CE%B4%CF%81%CE%B1%CF%83%CE%B7_%CF%84%CE%B7%CF%82_%CE%91%CE%BD%CE%B1%CF%83%CF%84%CE%BF%CE%BB%CE%AE%CF%82_%CF%84%CE%B7%CF%82_%CE%A7%CE%BF%CE%BB%CE%BF%CF%80%CE%B1%CE%B3%CE%BA%CF%81%CE%B5%CE%B1%CF%84%CE%B9%CE%BA%CE%AE%CF%82_%CE%88%CE%BA%CE%BA%CF%81%CE%B9%CF%83%CE%B7%CF%82_%CF%83%CF%84%CE%B7%CE%BD_%CE%91%CF%80%CE%BF%CF%84%CE%B5%CE%BB%CE%B5%CF%83%CE%BC%CE%B1%CF%84%CE%B9%CE%BA%CF%8C%CF%84%CE%B7%CF%84%CE%B1_%CF%84%CE%B7%CF%82_%CE%92%CE%B1%CF%81%CE%B9%CE%B1%CF%84%CF%81%CE%B9%CE%BA%CE%AE%CF%82%E2%80%93%CE%9C%CE%B5%CF%84%CE%B1%CE%B2%CE%BF%CE%BB%CE%B9%CE%BA%CE%AE%CF%82_%CE%A7%CE%B5%CE%B9%CF%81%CE%BF%CF%85%CF%81%CE%B3%CE%B9%CE%BA%CE%AE%CF%82_%CF%83%CF%84%CE%B7_%CE%92%CE%B5%CE%BB%CF%84%CE%AF%CF%89%CF%83%CE%B7_%CF%84%CE%BF%CF%85_%CE%94%CE%B9%CE%B1%CE%B2%CE%AE%CF%84%CE%B7_%CE%A4%CF%8D%CF%80%CE%BF%CF%85_2\"><\/span><span id=\"The_Impact_of_Biliopancreatic_Secretion_Inhibition_on_the_Effectiveness_of_Bariatric-Metabolic_Surgery_in_Improving_Type_2_Diabetes\" class=\"ez-toc-section\"><\/span>\u0397 \u0395\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 \u0391\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u03c4\u03b7\u03c2 \u03a7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u0388\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c3\u03c4\u03b7\u03bd \u0391\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03c3\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u0392\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2\u2013\u039c\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c4\u03b7 \u0392\u03b5\u03bb\u03c4\u03af\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u0394\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03a4\u03cd\u03c0\u03bf\u03c5 2<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u0392\u03ac\u03c3\u03b5\u03b9 \u03c4\u03b7\u03c2 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03af\u03b1\u03c2 \u03c4\u03b7\u03c2 \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03bf\u03cd\u03c2 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2, \u03c5\u03c0\u03bf\u03b8\u03ad\u03c4\u03bf\u03c5\u03bc\u03b5 \u03cc\u03c4\u03b9 \u03ba\u03ac\u03b8\u03b5 \u03c4\u03cd\u03c0\u03bf\u03c2 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2\u2013\u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7\u03c2 \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03b6\u03b5\u03b9 \u03bc\u03b5 \u03b4\u03b9\u03b1\u03c6\u03bf\u03c1\u03b5\u03c4\u03b9\u03ba\u03cc \u03c4\u03c1\u03cc\u03c0\u03bf \u03c4\u03b9\u03c2 \u03c6\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2. \u0393\u03b5\u03bd\u03b9\u03ba\u03ac, \u03cc\u03c3\u03bf \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2, \u03c4\u03cc\u03c3\u03bf \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf \u03c4\u03bf \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03cc \u03cd\u03c6\u03b5\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2 \u03ba\u03b1\u03b9 \u03c4\u03cc\u03c3\u03bf \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b7 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03ae\u03c2.<\/p>\n<p>\u03a3\u03c4\u03bf \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc \u03b4\u03b1\u03ba\u03c4\u03cd\u03bb\u03b9\u03bf (adjustable gastric banding), \u03c4\u03bf \u03c3\u03c4\u03bf\u03bc\u03ac\u03c7\u03b9 \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b5\u03b3\u03b3\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03ac\u03c0\u03c9 \u03c4\u03bc\u03ae\u03bc\u03b1\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03bd\u03c4\u03ad\u03c1\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b1\u03bc\u03ad\u03bd\u03bf\u03c5\u03bd \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ac \u03ac\u03b8\u03b9\u03ba\u03c4\u03b1, \u03b4\u03b9\u03b1\u03c4\u03b7\u03c1\u03ce\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b4\u03af\u03bf\u03b4\u03bf \u03c4\u03c9\u03bd \u03b8\u03c1\u03b5\u03c0\u03c4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c5\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c3\u03c9\u03bb\u03ae\u03bd\u03b1 \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd\u03b5\u03c0\u03ce\u03c2 <strong>\u03b4\u03b5\u03bd <\/strong><strong>\u03b1\u03bd\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf<\/strong><strong>\u03c5\u03bd<\/strong> \u03c4\u03b7\u03bd \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03ae \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7. \u0393\u03b9\u03b1 \u03c4\u03bf\u03bd \u03bb\u03cc\u03b3\u03bf \u03b1\u03c5\u03c4\u03cc, \u03bf \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc\u03c2 \u03b4\u03b1\u03ba\u03c4\u03cd\u03bb\u03b9\u03bf\u03c2 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03b9 <strong>\u03c4\u03b7 \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03c3\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1<\/strong> \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03c9\u03bd \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ce\u03bd \u03b5\u03c0\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03c9\u03bd \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2. \u03a3\u03c4\u03b7\u03bd \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1, \u03b7 \u03b2\u03b5\u03bb\u03c4\u03af\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c0\u03bf\u03c5 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03ac\u03c4\u03bf\u03bc\u03b1 \u03bc\u03b5 \u03c0\u03b1\u03c7\u03c5\u03c3\u03b1\u03c1\u03ba\u03af\u03b1 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc \u03b4\u03b1\u03ba\u03c4\u03cd\u03bb\u03b9\u03bf \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c3\u03c4\u03b7\u03bd \u03b1\u03c0\u03ce\u03bb\u03b5\u03b9\u03b1 \u03c3\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03bf\u03cd \u03b2\u03ac\u03c1\u03bf\u03c5\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03cc \u03c4\u03b7\u03c2 \u03b8\u03b5\u03c1\u03bc\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03c0\u03c1\u03cc\u03c3\u03bb\u03b7\u03c8\u03b7\u03c2.<\/p>\n<p>\u0397 \u03b5\u03c0\u03b9\u03bc\u03ae\u03ba\u03b7\u03c2 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae (sleeve gastrectomy), \u03b1\u03bd \u03ba\u03b1\u03b9 \u03b4\u03b9\u03b1\u03c4\u03b7\u03c1\u03b5\u03af \u03c4\u03b7\u03bd \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03af\u03b1 \u03c4\u03bf\u03c5 \u03b5\u03bd\u03c4\u03ad\u03c1\u03bf\u03c5, <strong>\u03b1\u03bd\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03b5\u03b9 \u03c4\u03b7 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03c6\u03ac\u03c3\u03b7<\/strong> \u03c4\u03b7\u03c2 \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03bf\u03cd\u03c2 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ae\u03c2 \u03b5\u03ba\u03c4\u03bf\u03bc\u03ae\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bc\u03ac\u03c7\u03bf\u03c5. \u03a3\u03c5\u03bd\u03b5\u03c0\u03ce\u03c2, \u03b7 sleeve gastrectomy \u03b5\u03af\u03bd\u03b1\u03b9 <strong>\u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03c3\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc<\/strong><strong>\u03b4\u03b1\u03ba\u03c4\u03cd\u03bb\u03b9\u03bf<\/strong> \u03cc\u03c3\u03bf\u03bd \u03b1\u03c6\u03bf\u03c1\u03ac \u03c4\u03b7\u03bd \u03cd\u03c6\u03b5\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03bb\u03b7\u03c8\u03b7 \u03c4\u03b7\u03c2 \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03ae\u03c2.<\/p>\n<p>\u03a3\u03c4\u03bf \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass, \u03b7 \u03c0\u03c1\u03bf\u03c3\u03bb\u03b1\u03bc\u03b2\u03b1\u03bd\u03cc\u03bc\u03b5\u03bd\u03b7 \u03c4\u03c1\u03bf\u03c6\u03ae \u03c0\u03b1\u03c1\u03b1\u03ba\u03ac\u03bc\u03c0\u03c4\u03b5\u03b9 \u03c4\u03bf \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf \u03bc\u03ad\u03c1\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bc\u03ac\u03c7\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03b5\u03b3\u03b3\u03cd\u03c2 \u03b5\u03bd\u03c4\u03ad\u03c1\u03bf\u03c5, \u03b5\u03b9\u03c3\u03b5\u03c1\u03c7\u03cc\u03bc\u03b5\u03bd\u03b7 \u03b1\u03c0\u03b5\u03c5\u03b8\u03b5\u03af\u03b1\u03c2 \u03c3\u03c4\u03bf \u03ac\u03c0\u03c9 \u03ad\u03bd\u03c4\u03b5\u03c1\u03bf. \u039a\u03b1\u03c4\u03ac \u03c3\u03c5\u03bd\u03ad\u03c0\u03b5\u03b9\u03b1, \u03c4\u03bf \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass <strong>\u03b1\u03bd\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03b5\u03b9 \u03c4\u03b7 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7<\/strong> \u03bc\u03ad\u03c3\u03c9 \u03c4\u03b7\u03c2 \u03b5\u03be\u03b1\u03c3\u03b8\u03ad\u03bd\u03b7\u03c3\u03b7\u03c2 \u03c4\u03cc\u03c3\u03bf \u03c4\u03b7\u03c2 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 \u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae\u03c2 \u03c6\u03ac\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2. \u0397 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c5\u03c4\u03ae \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03bf\u03cd\u03c2 \u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2, \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b5\u03c0\u03b9\u03bc\u03ae\u03ba\u03b7 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae, \u03c3\u03c5\u03bc\u03b2\u03ac\u03bb\u03bb\u03b5\u03b9 \u03c3\u03c4\u03b7 <strong>\u03c3\u03b1\u03c6\u03ce\u03c2 \u03b1\u03bd\u03ce\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03c3\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03bf\u03cd bypass<\/strong> \u03c3\u03c4\u03b7\u03bd \u03b5\u03c0\u03af\u03c4\u03b5\u03c5\u03be\u03b7 \u03cd\u03c6\u03b5\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"%CE%A4%CE%BF_%CF%83%CE%BA%CE%B5%CF%80%CF%84%CE%B9%CE%BA%CF%8C_%CE%B3%CE%B9%CE%B1_%CF%84%CE%BF%CE%BD_%CF%83%CF%85%CE%BD%CE%B4%CF%85%CE%B1%CF%83%CE%BC%CF%8C_%CF%83%CF%84%CE%B5%CE%BB%CE%B5%CF%87%CE%B9%CE%B1%CE%AF%CE%B1%CF%82_%CE%B2%CE%B1%CE%B3%CE%BF%CF%84%CE%BF%CE%BC%CE%AE%CF%82_%CE%BC%CE%B5_%CE%B3%CE%B1%CF%83%CF%84%CF%81%CE%B9%CE%BA%CF%8C_bypass\"><\/span><span id=\"The_rationale_for_truncal_vagotomy_combined_with_gastric_bypass\" class=\"ez-toc-section\"><\/span>\u03a4\u03bf \u03c3\u03ba\u03b5\u03c0\u03c4\u03b9\u03ba\u03cc \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1\u03c2 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae\u03c2 \u03bc\u03b5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u0395\u03c3\u03c4\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c3\u03b5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03c1\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c0\u03bf\u03c5 \u03b8\u03b1 \u03bc\u03c0\u03bf\u03c1\u03bf\u03cd\u03c3\u03b1\u03bd \u03bd\u03b1 \u03bc\u03b5\u03b3\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03ae\u03c3\u03bf\u03c5\u03bd \u03c4\u03b7 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03af\u03c3\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c0\u03b1\u03b8\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03c5\u03c0\u03b5\u03c1\u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c3\u03c4\u03bf\u03bd \u03c3\u03b1\u03ba\u03c7\u03b1\u03c1\u03ce\u03b4\u03b7 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2, \u03c0\u03c1\u03bf\u03c4\u03b5\u03af\u03bd\u03bf\u03c5\u03bc\u03b5 \u03c4\u03b7 \u03b4\u03b9\u03b5\u03c1\u03b5\u03cd\u03bd\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03c1\u03bf\u03c3\u03b8\u03ae\u03ba\u03b7\u03c2 \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1\u03c2 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae\u03c2 \u03c3\u03b5 \u03b5\u03c0\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03b9\u03c2 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03bf\u03cd bypass \u03bc\u03ad\u03c3\u03c9 \u03ba\u03b1\u03bb\u03ac \u03c3\u03c7\u03b5\u03b4\u03b9\u03b1\u03c3\u03bc\u03ad\u03bd\u03c9\u03bd \u03c4\u03c5\u03c7\u03b1\u03b9\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03c9\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u03b4\u03bf\u03ba\u03b9\u03bc\u03ce\u03bd. \u039f \u03ba\u03cd\u03c1\u03b9\u03bf\u03c2 \u03c3\u03c4\u03cc\u03c7\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b5\u03c0\u03af\u03c4\u03b5\u03c5\u03be\u03b7 \u03b2\u03b1\u03b8\u03cd\u03c4\u03b5\u03c1\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03b9\u03bf \u03c0\u03b1\u03c1\u03b1\u03c4\u03b5\u03c4\u03b1\u03bc\u03ad\u03bd\u03b7\u03c2 \u03b2\u03b5\u03bb\u03c4\u03af\u03c9\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b3\u03bb\u03c5\u03ba\u03b1\u03b9\u03bc\u03b9\u03ba\u03bf\u03cd \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5, \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c4\u03c1\u03bf\u03c0\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03cc\u03c3\u03bf \u03c4\u03c9\u03bd \u03bd\u03b5\u03c5\u03c1\u03b9\u03ba\u03ce\u03bd \u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd \u03bf\u03c1\u03bc\u03bf\u03bd\u03b9\u03ba\u03ce\u03bd \u03bf\u03b4\u03ce\u03bd \u03c0\u03bf\u03c5 \u03b5\u03bc\u03c0\u03bb\u03ad\u03ba\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7\u03bd \u03b5\u03bd\u03b9\u03c3\u03c7\u03c5\u03bc\u03ad\u03bd\u03b7 \u03c0\u03ad\u03c8\u03b7.<\/p>\n<p>\u0395\u03bd\u03ce \u03c4\u03bf \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass \u03b1\u03c0\u03cc \u03bc\u03cc\u03bd\u03bf \u03c4\u03bf\u03c5 \u03b1\u03bd\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03b5\u03b9 \u03c4\u03b7 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 \u03b5\u03be\u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae \u03c6\u03ac\u03c3\u03b7, \u03b7 \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03b5\u03b9 <strong>\u03ba\u03b1\u03b9 \u03c4\u03b9\u03c2 \u03c4\u03c1\u03b5\u03b9\u03c2 \u03c6\u03ac\u03c3\u03b5\u03b9\u03c2<\/strong>\u2014\u03ba\u03b5\u03c6\u03b1\u03bb\u03b9\u03ba\u03ae, \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae\u2014\u03b5\u03be\u03b1\u03bb\u03b5\u03af\u03c6\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7\u03bd \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03bf\u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7. \u03a3\u03c5\u03bd\u03b5\u03c0\u03ce\u03c2, \u03bf \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc\u03c2 \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1\u03c2 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae\u03c2 \u03bc\u03b5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 \u03bc\u03b9\u03b1 <strong>\u03c3\u03c5\u03bd\u03b5\u03c1\u03b3\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03c3\u03ad\u03b3\u03b3\u03b9\u03c3\u03b7<\/strong>, \u03b5\u03bd\u03b9\u03c3\u03c7\u03cd\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7 \u03c3\u03c5\u03bd\u03bf\u03bb\u03b9\u03ba\u03ae \u03b1\u03bd\u03b1\u03c3\u03c4\u03b1\u03bb\u03c4\u03b9\u03ba\u03ae \u03b5\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7 \u03c3\u03c4\u03b7 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03bd \u03bf\u03b4\u03b7\u03b3\u03ce\u03bd\u03c4\u03b1\u03c2 \u03c3\u03b5 <strong>\u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b1<\/strong><strong> \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ac \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1<\/strong> \u03c3\u03c4\u03bf\u03bd \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass \u03bc\u03cc\u03bd\u03bf (\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4).<\/p>\n<p>\u0394\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03cc\u03c4\u03b9 \u03b7 \u03bc\u03b1\u03ba\u03c1\u03ac \u03b4\u03b9\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03bf \u03b1\u03bd\u03b5\u03c0\u03b1\u03c1\u03ba\u03ae\u03c2 \u03c0\u03c1\u03bf\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03cc\u03c2 \u03b3\u03bb\u03c5\u03ba\u03b1\u03b9\u03bc\u03b9\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b3\u03bd\u03c9\u03c3\u03c4\u03cc \u03cc\u03c4\u03b9 \u03bc\u03b5\u03b9\u03ce\u03bd\u03bf\u03c5\u03bd \u03c4\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03ac \u03cd\u03c6\u03b5\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b1\u03c5\u03be\u03ac\u03bd\u03bf\u03c5\u03bd \u03c4\u03bf\u03bd \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03cc\u03c8\u03b9\u03bc\u03b7\u03c2 \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03ae\u03c2, \u03c3\u03c5\u03bd\u03b9\u03c3\u03c4\u03bf\u03cd\u03bc\u03b5 \u03bd\u03b1 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u2013\u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u2014\u03b9\u03b4\u03af\u03c9\u03c2 \u03c3\u03c4\u03c1\u03b1\u03c4\u03b7\u03b3\u03b9\u03ba\u03ad\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae\u2014\u03c3\u03c4\u03b1 <strong>\u03c0\u03c1\u03ce\u03b9\u03bc\u03b1 \u03c3\u03c4\u03ac\u03b4\u03b9\u03b1 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2<\/strong>, \u03cc\u03c4\u03b1\u03bd \u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 \u03c4\u03c9\u03bd \u03b2-\u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd \u03c0\u03b1\u03c1\u03b1\u03bc\u03ad\u03bd\u03b5\u03b9 \u03b5\u03bd \u03bc\u03ad\u03c1\u03b5\u03b9 \u03b1\u03bd\u03b1\u03c3\u03c4\u03c1\u03ad\u03c8\u03b9\u03bc\u03b7 \u03ba\u03b1\u03b9 \u03b7 \u03b9\u03bd\u03c3\u03bf\u03c5\u03bb\u03b9\u03bd\u03bf\u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03b1\u03c3\u03b7 \u03b5\u03c0\u03b9\u03b4\u03ad\u03c7\u03b5\u03c4\u03b1\u03b9 \u03c0\u03b1\u03c1\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7\u03c2.<\/p>\n<p><a href=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-04-at-7.46.16-PM.png\" data-slb-active=\"1\" data-slb-asset=\"843529424\" data-slb-group=\"9378\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-9427\" src=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-04-at-7.46.16-PM.png\" sizes=\"auto, (max-width: 322px) 100vw, 322px\" srcset=\"https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-04-at-7.46.16-PM.png 690w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-04-at-7.46.16-PM-154x300.png 154w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-04-at-7.46.16-PM-525x1024.png 525w, https:\/\/diabetes.surgery\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-04-at-7.46.16-PM-6x12.png 6w\" alt=\"\u03a4\u03c1\u03b1\u03c7\u03b7\u03bb\u03b9\u03ba\u03ae \u03ba\u03bf\u03bb\u03c0\u03bf\u03c4\u03bf\u03bc\u03ae \u03c3\u03b5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03bc\u03b5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7\" width=\"322\" height=\"629\" \/><\/a><strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b1 4. \u03a3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae \u03c3\u03b5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03bc\u03b5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass.<\/strong><\/p>\n<p>\u2013 \u0397 \u03b3\u03ba\u03c1\u03b9\u03b6\u03c9\u03c0\u03ae \u03b1\u03c0\u03cc\u03c7\u03c1\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bc\u03ac\u03c7\u03bf\u03c5 \u03b1\u03c0\u03bf\u03c4\u03c5\u03c0\u03ce\u03bd\u03b5\u03b9 (\u03b1) \u03c4\u03b7\u03bd \u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1 \u03b4\u03b9\u03ad\u03bb\u03b5\u03c5\u03c3\u03b7\u03c2 \u03c4\u03c1\u03bf\u03c6\u03ae\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c3\u03c4\u03bf\u03bc\u03ac\u03c7\u03b9 \u03c9\u03c2 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03bf\u03cd bypass \u03ba\u03b1\u03b9 (\u03b2) \u03c4\u03b7\u03bd \u03b5\u03c0\u03b1\u03ba\u03cc\u03bb\u03bf\u03c5\u03b8\u03b7 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 \u03c6\u03ac\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2.<\/p>\n<p>\u2013 \u0397 \u03b3\u03ba\u03c1\u03b9\u03b6\u03c9\u03c0\u03ae \u03b1\u03c0\u03cc\u03c7\u03c1\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b5\u03b3\u03b3\u03cd\u03c2 \u03b5\u03bd\u03c4\u03ad\u03c1\u03bf\u03c5 (\u03b4\u03c9\u03b4\u03b5\u03ba\u03b1\u03b4\u03ac\u03ba\u03c4\u03c5\u03bb\u03bf \u03ba\u03b1\u03b9 \u03b5\u03b3\u03b3\u03cd\u03c2 \u03bd\u03ae\u03c3\u03c4\u03b9\u03b4\u03b1) \u03b1\u03c0\u03bf\u03c4\u03c5\u03c0\u03ce\u03bd\u03b5\u03b9 (\u03b1) \u03c4\u03b7\u03bd \u03b1\u03c0\u03bf\u03c5\u03c3\u03af\u03b1 \u03b4\u03b9\u03ad\u03bb\u03b5\u03c5\u03c3\u03b7\u03c2 \u03b8\u03c1\u03b5\u03c0\u03c4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c5\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03b9\u03bf\u03c7\u03ae \u03b1\u03c5\u03c4\u03ae \u03bb\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae\u03c2 \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7\u03c2 \u03ba\u03b1\u03b9 (\u03b2) \u03c4\u03b7\u03bd \u03b5\u03c0\u03b1\u03ba\u03cc\u03bb\u03bf\u03c5\u03b8\u03b7 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae\u03c2 \u03c6\u03ac\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2, \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03bb\u03cc\u03b3\u03c9 \u03bc\u03b5\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7\u03c2 \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03b5\u03bd\u03c4\u03b5\u03c1\u03bf\u03b5\u03bd\u03b4\u03bf\u03ba\u03c1\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd \u03c0\u03bf\u03c5 \u03b5\u03ba\u03ba\u03c1\u03af\u03bd\u03bf\u03c5\u03bd CCK \u03ba\u03b1\u03b9 \u03c3\u03b5\u03ba\u03c1\u03b5\u03c4\u03af\u03bd\u03b7.<\/p>\n<p>\u2013 \u0397 \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c3\u03c4\u03b7\u03bd \u03b5\u03b9\u03ba\u03cc\u03bd\u03b1 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03b4\u03b9\u03b1\u03ba\u03bf\u03c0\u03ae \u03c4\u03b7\u03c2 \u03c3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1\u03c2 \u03c4\u03bf\u03c5 \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03bf\u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03bf\u03cd \u03bd\u03b5\u03cd\u03c1\u03bf\u03c5, <strong>\u03b1\u03bd\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03b5\u03b9 \u03ba\u03b1\u03b9 \u03c4\u03b9\u03c2 \u03c4\u03c1\u03b5\u03b9\u03c2 \u03c6\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2<\/strong> (\u03ba\u03b5\u03c6\u03b1\u03bb\u03b9\u03ba\u03ae, \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae).<\/p>\n<p>\u2013 \u0397 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b3\u03ba\u03c1\u03b9 \u03c3\u03ba\u03af\u03b1\u03c3\u03b7\u0387 \u03b1\u03bd\u03c4\u03b9\u03c3\u03c4\u03bf\u03af\u03c7\u03c9\u03c2, \u03b7 \u03c7\u03bf\u03bb\u03b7\u03b4\u03cc\u03c7\u03bf\u03c2 \u03ba\u03cd\u03c3\u03c4\u03b7 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03b5\u03be\u03c9\u03ba\u03c1\u03b9\u03bd\u03ad\u03c2 \u03c0\u03ac\u03b3\u03ba\u03c1\u03b5\u03b1\u03c2 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b3\u03ba\u03c1\u03b9 \u03b1\u03c0\u03cc\u03c7\u03c1\u03c9\u03c3\u03b7 \u03ce\u03c3\u03c4\u03b5 \u03bd\u03b1 \u03b1\u03bd\u03c4\u03b1\u03bd\u03b1\u03ba\u03bb\u03bf\u03cd\u03bd \u03c4\u03b7 \u03bc\u03b5\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7 \u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03c4\u03bf\u03c5\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1.<\/p>\n<p>\u2013 \u0397 \u03ba\u03cc\u03ba\u03ba\u03b9\u03bd\u03b7 \u03b1\u03c0\u03cc\u03c7\u03c1\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ac\u03c0\u03c9 \u03b5\u03bd\u03c4\u03ad\u03c1\u03bf\u03c5 (\u03b5\u03b9\u03bb\u03b5\u03cc\u03c2) \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd <strong>\u03c5\u03c0\u03b5\u03c1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03c4\u03c9\u03bd L-\u03ba\u03c5\u03c4\u03c4\u03ac\u03c1\u03c9\u03bd<\/strong> \u03b1\u03c0\u03cc \u03c4\u03b1 \u03b1\u03c7\u03ce\u03bd\u03b5\u03c5\u03c4\u03b1 \u03b8\u03c1\u03b5\u03c0\u03c4\u03b9\u03ba\u03ac \u03c3\u03c5\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7 GLP-1, GLP-2, PYY \u03ba\u03b1\u03b9 oxyntomodulin.<\/p>\n<p>\u2013 \u039f\u03b9 \u03c5\u03c0\u03bf\u03ba\u03b5\u03af\u03bc\u03b5\u03bd\u03bf\u03b9 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03bf\u03af \u03b1\u03c5\u03c4\u03ce\u03bd \u03c4\u03c9\u03bd \u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03c9\u03bd \u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 <strong>\u0395\u03b9\u03ba\u03cc\u03bd\u03b5\u03c2 2 \u03ba\u03b1\u03b9 3<\/strong>.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"%CE%A0%CE%B9%CE%B8%CE%B1%CE%BD%CE%AC_%CE%BC%CE%B5%CE%B9%CE%BF%CE%BD%CE%B5%CE%BA%CF%84%CE%AE%CE%BC%CE%B1%CF%84%CE%B1_%CE%BA%CE%B1%CE%B9_%CF%80%CE%B5%CF%81%CE%B9%CE%BF%CF%81%CE%B9%CF%83%CE%BC%CE%BF%CE%AF_%CF%84%CE%B7%CF%82_%CF%80%CF%81%CE%BF%CF%83%CE%B8%CE%AE%CE%BA%CE%B7%CF%82_%CF%83%CF%84%CE%B5%CE%BB%CE%B5%CF%87%CE%B9%CE%B1%CE%AF%CE%B1%CF%82_%CE%B2%CE%B1%CE%B3%CE%BF%CF%84%CE%BF%CE%BC%CE%AE%CF%82_%CF%83%CE%B5_%CE%B5%CF%80%CE%B5%CE%BC%CE%B2%CE%AC%CF%83%CE%B5%CE%B9%CF%82_%CE%B3%CE%B1%CF%83%CF%84%CF%81%CE%B9%CE%BA%CE%BF%CF%8D_bypass\"><\/span><span id=\"Potential_drawbacks_and_limitations_of_adding_truncal_vagotomy_in_gastric_bypass_procedures\" class=\"ez-toc-section\"><\/span>\u03a0\u03b9\u03b8\u03b1\u03bd\u03ac \u03bc\u03b5\u03b9\u03bf\u03bd\u03b5\u03ba\u03c4\u03ae\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03bf\u03af \u03c4\u03b7\u03c2 \u03c0\u03c1\u03bf\u03c3\u03b8\u03ae\u03ba\u03b7\u03c2 \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1\u03c2 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae\u03c2 \u03c3\u03b5 \u03b5\u03c0\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03b9\u03c2 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03bf\u03cd bypass<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u0397 \u03b5\u03c0\u03af\u03c4\u03b5\u03c5\u03be\u03b7 \u03c0\u03bb\u03ae\u03c1\u03bf\u03c5\u03c2 \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1\u03c2 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae\u03c2 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03bc\u03b9\u03b1 \u03c4\u03b5\u03c7\u03bd\u03b9\u03ba\u03ac \u03b1\u03c0\u03b1\u03b9\u03c4\u03b7\u03c4\u03b9\u03ba\u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b1\u03c0\u03b1\u03b9\u03c4\u03b5\u03af \u03b5\u03c0\u03b9\u03bc\u03b5\u03bb\u03ae \u03b1\u03c0\u03bf\u03ba\u03ac\u03bb\u03c5\u03c8\u03b7 \u03c4\u03c9\u03bd \u03c4\u03b5\u03bb\u03b9\u03ba\u03ce\u03bd 5 cm \u03c4\u03bf\u03c5 \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf\u03c5, \u03c3\u03c5\u03bc\u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03b1\u03bd\u03bf\u03bc\u03ad\u03bd\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03b5\u03ba\u03c4\u03bf\u03bc\u03ae\u03c2 \u03c4\u03c9\u03bd \u03b5\u03be\u03c9\u03bf\u03b9\u03c3\u03bf\u03c6\u03b1\u03b3\u03b9\u03ba\u03ce\u03bd \u03c0\u03c1\u03bf\u03b1\u03bf\u03c1\u03c4\u03b9\u03ba\u03ce\u03bd \u03ba\u03b1\u03b9 \u03b7\u03c0\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd \u03ba\u03bb\u03ac\u03b4\u03c9\u03bd (26). \u039b\u03cc\u03b3\u03c9 \u03c4\u03b7\u03c2 \u03b1\u03bd\u03b1\u03c4\u03bf\u03bc\u03b9\u03ba\u03ae\u03c2 \u03c4\u03b7\u03c2 \u03c0\u03bf\u03bb\u03c5\u03c0\u03bb\u03bf\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2, \u03b7 \u03b1\u03c4\u03b5\u03bb\u03ae\u03c2 \u03b4\u03b9\u03b1\u03c4\u03bf\u03bc\u03ae \u03c4\u03bf\u03c5 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\u03c4\u03bf\u03c5 \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf\u03c5 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7 \u03b4\u03b9\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03c4\u03b7\u03c2 \u03c0\u03b1\u03c1\u03b1\u03c3\u03ba\u03b5\u03c5\u03ae\u03c2, \u03bc\u03b9\u03b1 \u03b5\u03c0\u03b9\u03c0\u03bb\u03bf\u03ba\u03ae \u03c0\u03bf\u03c5, \u03b1\u03bd \u03ba\u03b1\u03b9 \u03b5\u03be\u03b1\u03b9\u03c1\u03b5\u03c4\u03b9\u03ba\u03ac \u03c3\u03c0\u03ac\u03bd\u03b9\u03b1, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03bf\u03b4\u03b7\u03b3\u03ae\u03c3\u03b5\u03b9 \u03c3\u03b5 \u03b1\u03c0\u03b5\u03b9\u03bb\u03b7\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b6\u03c9\u03ae \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 (27). \u0395\u03c0\u03b9\u03c0\u03bb\u03ad\u03bf\u03bd, \u03b7 \u03b5\u03bd\u03c3\u03c9\u03bc\u03ac\u03c4\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1\u03c2 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\u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf.<\/p>\n<p>\u0391\u03c0\u03cc \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ac\u03c0\u03bf\u03c8\u03b7\u03c2, \u03b7 \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae \u03b5\u03bd\u03ad\u03c7\u03b5\u03b9 \u03c4\u03bf \u03b4\u03b9\u03ba\u03cc \u03c4\u03b7\u03c2 \u03c6\u03ac\u03c3\u03bc\u03b1 \u03c0\u03b9\u03b8\u03b1\u03bd\u03ce\u03bd \u03b5\u03c0\u03b9\u03c0\u03bb\u03bf\u03ba\u03ce\u03bd. \u0388\u03bd\u03b1 \u03b1\u03be\u03b9\u03bf\u03c3\u03b7\u03bc\u03b5\u03af\u03c9\u03c4\u03bf \u03b6\u03ae\u03c4\u03b7\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b4\u03b9\u03ac\u03c1\u03c1\u03bf\u03b9\u03b1 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ac \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 \u03c3\u03c4\u03bf 5\u201310% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03ba\u03b1\u03b9 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03c3\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b6\u03c9\u03ae\u03c2. \u0395\u03c0\u03b9\u03c0\u03bb\u03ad\u03bf\u03bd, \u03cc\u03c4\u03b1\u03bd \u03b7 \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae \u03c3\u03c5\u03bd\u03b4\u03c5\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass, \u03b5\u03bd\u03b4\u03ad\u03c7\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b5\u03c0\u03b9\u03b4\u03b5\u03b9\u03bd\u03ce\u03c3\u03b5\u03b9 \u03b3\u03bd\u03c9\u03c3\u03c4\u03ad\u03c2 \u03b5\u03c0\u03b9\u03c0\u03bb\u03bf\u03ba\u03ad\u03c2 \u03c4\u03c9\u03bd \u03b5\u03c0\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03c9\u03bd \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7\u03c2, \u03cc\u03c0\u03c9\u03c2 \u03b7 \u03c3\u03c4\u03b5\u03b1\u03c4\u03cc\u03c1\u03c1\u03bf\u03b9\u03b1, \u03b7 \u03b1\u03bd\u03b1\u03b9\u03bc\u03af\u03b1 \u03ba\u03b1\u03b9 \u03b7 \u03bf\u03c3\u03c4\u03b5\u03bf\u03c0\u03cc\u03c1\u03c9\u03c3\u03b7, \u03bb\u03cc\u03b3\u03c9 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7\u03c2 \u03b4\u03c5\u03c3\u03b1\u03c0\u03bf\u03c1\u03c1\u03cc\u03c6\u03b7\u03c3\u03b7\u03c2. \u0395\u03bd\u03b4\u03b9\u03b1\u03c6\u03ad\u03c1\u03bf\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03b9 \u03b7 \u03c0\u03b1\u03c1\u03b1\u03c4\u03ae\u03c1\u03b7\u03c3\u03b7 \u03cc\u03c4\u03b9 \u03b7 \u03b5\u03c0\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03bf\u03c5 dumping \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c7\u03b1\u03bc\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b7 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae (20%) \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03bf \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc bypass \u03bc\u03cc\u03bd\u03bf (40%), \u03b3\u03b5\u03b3\u03bf\u03bd\u03cc\u03c2 \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b4\u03b7\u03bb\u03ce\u03bd\u03b5\u03b9 \u03cc\u03c4\u03b9 \u03b7 \u03b1\u03c0\u03bf\u03bd\u03b5\u03cd\u03c1\u03c9\u03c3\u03b7 \u03bc\u03ad\u03c3\u03c9 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae\u03c2 \u03b5\u03bd\u03b4\u03ad\u03c7\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 \u03ad\u03bd\u03b1\u03bd \u03b2\u03b1\u03b8\u03bc\u03cc \u03c0\u03c1\u03bf\u03c3\u03c4\u03b1\u03c3\u03af\u03b1\u03c2 \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u03c4\u03bf\u03c5 \u03c3\u03c5\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03bf\u03c5 (28).<\/p>\n<h3><span class=\"ez-toc-section\" id=\"%CE%A3%CF%85%CE%BC%CF%80%CE%B5%CF%81%CE%AC%CF%83%CE%BC%CE%B1%CF%84%CE%B1\"><\/span><span id=\"Conclusions\" class=\"ez-toc-section\"><\/span>\u03a3\u03c5\u03bc\u03c0\u03b5\u03c1\u03ac\u03c3\u03bc\u03b1\u03c4\u03b1<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u0394\u03b9\u03ac\u03c6\u03bf\u03c1\u03bf\u03b9 \u03c4\u03cd\u03c0\u03bf\u03b9 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2\u2013\u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03c3\u03b5 \u03ac\u03c4\u03bf\u03bc\u03b1 \u03bc\u03b5 \u03bd\u03bf\u03c3\u03bf\u03b3\u03cc\u03bd\u03bf \u03c0\u03b1\u03c7\u03c5\u03c3\u03b1\u03c1\u03ba\u03af\u03b1 \u03bf\u03b4\u03b7\u03b3\u03bf\u03cd\u03bd \u03c3\u03c5\u03c7\u03bd\u03ac \u03c3\u03b5 \u03cd\u03c6\u03b5\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c3\u03c5\u03bd\u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03bd\u03c4\u03bf\u03c2 \u03c3\u03b1\u03ba\u03c7\u03b1\u03c1\u03ce\u03b4\u03b7 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7, \u03c3\u03c5\u03c7\u03bd\u03ac \u03b1\u03ba\u03cc\u03bc\u03b7 \u03ba\u03b1\u03b9 \u03c0\u03c1\u03b9\u03bd \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b5\u03c0\u03af\u03c4\u03b5\u03c5\u03be\u03b7 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b1\u03c0\u03ce\u03bb\u03b5\u03b9\u03b1\u03c2 \u03c3\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03bf\u03cd \u03b2\u03ac\u03c1\u03bf\u03c5\u03c2. \u03a4\u03bf \u03c6\u03b1\u03b9\u03bd\u03cc\u03bc\u03b5\u03bd\u03bf \u03b1\u03c5\u03c4\u03cc \u03b5\u03bd\u03b4\u03ad\u03c7\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03b4\u03b9\u03cc\u03c1\u03b8\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03bd\u03b9\u03c3\u03c7\u03c5\u03bc\u03ad\u03bd\u03b7\u03c2 \u03c0\u03ad\u03c8\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03b1\u03ba\u03cc\u03bb\u03bf\u03c5\u03b8\u03b7 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c5\u03c0\u03b5\u03c1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03b1\u03c0\u03bf\u03c1\u03c1\u03cc\u03c6\u03b7\u03c3\u03b7\u03c2 \u03b8\u03c1\u03b5\u03c0\u03c4\u03b9\u03ba\u03ce\u03bd \u03c3\u03c5\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd, \u03cc\u03c0\u03c9\u03c2 \u03c0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03b5\u03af\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03c3\u03b1\u03ba\u03c7\u03b1\u03c1\u03ce\u03b4\u03b7 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2.<\/p>\n<p>\u0394\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03cc\u03c4\u03b9 \u03b7 \u03b5\u03bd\u03b9\u03c3\u03c7\u03c5\u03bc\u03ad\u03bd\u03b7 \u03c0\u03ad\u03c8\u03b7 \u03ba\u03b1\u03b8\u03bf\u03b4\u03b7\u03b3\u03b5\u03af\u03c4\u03b1\u03b9 \u03c4\u03cc\u03c3\u03bf \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7 \u03c0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03bf\u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03ad\u03b3\u03b5\u03c1\u03c3\u03b7 \u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03bf\u03c1\u03bc\u03bf\u03bd\u03b9\u03ba\u03ac \u03b4\u03b9\u03b1\u03bc\u03b5\u03c3\u03bf\u03bb\u03b1\u03b2\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b5\u03bd\u03b5\u03c1\u03b3\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03ad\u03ba\u03ba\u03c1\u03b9\u03c3\u03b7\u03c2 \u03bc\u03ad\u03c3\u03c9 \u03c7\u03bf\u03bb\u03bf\u03ba\u03c5\u03c3\u03c4\u03bf\u03ba\u03b9\u03bd\u03af\u03bd\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03b5\u03ba\u03c1\u03b5\u03c4\u03af\u03bd\u03b7\u03c2, \u03bc\u03b9\u03b1 \u03b5\u03be\u03b5\u03b9\u03b4\u03b9\u03ba\u03b5\u03c5\u03bc\u03ad\u03bd\u03b7 \u03b1\u03bd\u03c4\u03b9\u03b4\u03b9\u03b1\u03b2\u03b7\u03c4\u03b9\u03ba\u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03c3\u03ad\u03b3\u03b3\u03b9\u03c3\u03b7 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03b4\u03cd\u03bf \u03b2\u03b1\u03c3\u03b9\u03ba\u03ac \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03b1:<br \/>\n<strong>(\u03b1)<\/strong> \u03c3\u03c4\u03b5\u03bb\u03b5\u03c7\u03b9\u03b1\u03af\u03b1 \u03b2\u03b1\u03b3\u03bf\u03c4\u03bf\u03bc\u03ae, \u03bc\u03b5 \u03c3\u03c4\u03cc\u03c7\u03bf \u03c4\u03b7\u03bd \u03b1\u03bd\u03b1\u03c3\u03c4\u03c1\u03bf\u03c6\u03ae \u03c4\u03b7\u03c2 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b7\u03c2 \u03c0\u03b1\u03c1\u03b1\u03c3\u03c5\u03bc\u03c0\u03b1\u03b8\u03b7\u03c4\u03b9\u03ba\u03ae\u03c2 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