Although many experts argue that diabetes cannot be treated with surgery, we would like to point out that very successful results have been obtained with transit bipartition surgery. Surgical treatment of morbid obesity today ‘Bariatric Surgery’ and it is called’ Metabolic Surgery’.
The term’ bariatric’, a method of treatment it comes to the fore when it primarily aims to make the patient lose weight. The word’ metabolic’, on the other hand, contributes to the treatment of the patient’s diabetes being found is more often preferred when it is the primary goal.
Actually both they are also intertwined concepts. Sugar in a person suffering from morbid obesity it is expected that he will have a disease or be prone to diabetes.
Obesity makes it easier to have diabetes, if you have diabetes it is also a disease that worsens its course. Effective weight loss in these patients in parallel with this, positive improvements in the course of diabetes it happens, while many patients completely get rid of diabetes, while some have the disease they reduce the amount of medication they use for it.
Recently, the patient surgery to treat diabetes only by ignoring his weight methods have been raised. These have short-term benefits but what do these methods look like to patients over a long period of time? It is not yet known if it can cause negativity.
Many of them are gastrointestinal diabetes because it leads to significant anatomical changes in his system it can lead to other metabolic problems while affecting positively. This for this reason, treatment options should be treated very sensitively when determining.
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What surgery is available for diabetes?
Diabetes surgery is also a method of treating the disease. This surgery, which is called metabolic surgery, is an operation performed on patients with Type 2 diabetes. Thus, the existing insulin begins to be used without problems. As a result, the blood sugar level ends.
In order to have diabetes surgery, absorption needs to be impaired and the amount of nutrients taken into the stomach needs to be restricted. The disease that causes the appearance of both applications is obesity.
However, it is also possible to intervene in diabetes mellitus, the so-called plague of today, by revising the relevant methods. Diabetes surgery begins as a reduction in the volume of the stomach. On average, the remaining seventy to eighty percent of the stomach is completely decanted.
Due to the fact that the mucosa of the dysfunctional stomach volume also secretes the appetite hormone, the amount of nutrients consumed is restricted bilaterally.
Because the patient cannot find space to store nutrients physically, he fills up by eating a very small amount of food. At the same time, the feeling of satiety persists for a very long time.
What is diabetes surgery?
The classic treatment for diabetes is about lowering blood sugar. Diabetes surgery is also a method of treating the disease. As a result, blood sugar levels end. The intended condition in diabetes surgery is the elimination of insulin resistance in the body.
In this way, the amount of hormones is increased. If type 1 is involved in diabetes treatment, the treatment is insulin. If type 2 is involved in lifestyle changes, diet, medication, and then organ damage has started, it is necessary to turn to surgery.
Diabetes surgery is performed for those with Type 2 diabetes, those in a state of obesity, those with high blood sugar, when blood sugar levels cannot be reached despite the medication and insulin used. Diabetes surgery is performed as a closed operation.
Surgery is performed in the form of incisions. 50% of the stomach is removed, the location of the small intestines changes. With this change, insulin secretion warning comes from the pancreas and activity increases. Thus, Type 2 diabetes passes completely.
And people also get rid of obesity after this operation. The advantage of this operation is that it is not as painful as open operations, it does not experience lung problems, the return to normal life is short, and there are no traces.
How Is Diabetes Surgery Performed?
Diabetes surgery can be performed by various methods that vary depending on the patient’s condition. The methods of both methods are similar, but the mechanisms of action are different. In transit bipartition surgery, the flow chart of the intestine is changed rather than the absorption of food.
Type 2 diabetes has a lot of metabolic problems. As a team, they are discussed with their risks and the operation is decided by making an evaluation according to them.
After the analysis and examination required by looking at the patient’s insulin reserves, we decide whether the patient is compatible with the operation or not.
It is of great importance that insulin reserves are preserved. If the patient is still high in sugar, even if he is taking medication, he cannot be controlled, and the patient is between the ages of 18 and 65, the doctor can decipher the operation.
References:
https://asmbs.org/patients/surgery-for-diabetes
https://care.diabetesjournals.org/content/32/suppl_2/S368
