Metabolic improvement effects of jejunoileal side-to-side anastomosis in patients with type 2 diabetes and the glucagon-like peptide-1 mechanism

Table 1 Multidisciplinary team management for metabolic surgery

Multidisciplinary team	Scope of work	Key collaboration points
Surgical specialist	Follow patient inclusion criteria; adhere to strict surgical indications and contraindications; ensure careful surgical candidate selection; manage postoperative complications; conduct rigorous postoperative follow-up	Division of roles and responsibilities; integration of multidisciplinary expertise; timely data sharing; regular discussions; patient-centered decision-making; digital process implementation; digital management integration
Medical specialist	Conduct laboratory tests (blood glucose, lipid profile, HbA1c, and hormone levels); monitor BMI; adjust antidiabetic medications pre-surgery and post-surgery; manage comorbidities (cardiometabolic disorders, retinal, and renal complications); ensure long-term postoperative monitoring
Exercise physiologist	Develop personalized exercise plans based on age, gender, and health status; provide cognitive-behavioral support for adherence to exercise routines
Registered dietitian	Design structured, personalized diets; recommend adaptive postoperative diets; perform dietary adjustments at 1, 3, 6, and 12 months post-surgery during the first year
Psychologist	Provide effective communication and encouragement; offer postoperative psychological support; address issues related to lifestyle and appearance changes; treat conditions such as depression

HbA1c: Glycated hemoglobin; BMI: Body mass index.