Metabolic surgery is the surgical treatment of metabolic syndrome with elevated diabetes mellitus, excess weight, elevated blood pressure and cholesterol levels. The metabolic syndrome is considered to be a cause of death because it can cause serious organ damage in the body, cause job loss, and at the same time cause heart and vascular diseases. As is the case in the world, morbid obesity and the metabolic syndrome are also increasingly seen in our country.
Diseases that accompany morbid obesity include metabolic disorders such as coronary artery disease, Type 2 diabetes, and high blood pressure. The cancer incidence seen in these patients is also high. Due to the increase of these diseases, health spending seems to increase. For this reason, it is preferable to treat patients with surgery.
Traditional Type 2 Diabetes treatment is not enough?
Diabetes needs to be treated in order to normalize sugar levels in the bloodstream and to prevent long-term complications, such as eye and kidney disease, from harming the nerves and blood vessels. Normalized blood sugar levels reduce the risk of death, stroke, heart failure and other complications. Tests designed to detect levels of cholestatic glycosylated hemoglobin (HbA1c) can determine the risk of long-term complications. This test measures the amount of glucose that binds to red blood cells and other cells. Decreasing the HbA1c level even by 1% reduces the risk of complications by 25%.
The first goal in the treatment of type 2 diabetes is to improve symptoms by normalizing blood glucose levels. Subsequent targets are preventing long-term complications, such as eye and kidney disease, from causing damage to the nerve and blood vessels. Recent studies have shown that tight control of blood sugar can reduce various long-term complications such as eye, kidney, and nerve damage.
The first step in the treatment of type 2 diabetes is diet and exercise. If they are not enough to maintain normal blood sugar levels, one may need to take medicines that trigger the pancreas to produce more insulin, help more with insulin, reduce the absorption of carbohydrates in the intestines, or reduce the production of sugar in the liver. If you have insufficient blood sugar control despite lifestyle changes and medications you will need to take insulin. Some people with Type 2 diabetes are able to release medications after the diet, but it is sometimes quite challenging to achieve and maintain a healthy weight. Metabolic surgery methods can be a permanent solution to Type 2 diabetes treatment if you have failed by trying diets!
Biliopancreatic Diversion, Duodenal Switch and Gastric Bypass procedures are proven methods with high metabolic efficiency.
Minimal Invasive Techniques
Minimally invasive surgery; faster operations contributing to a rapid healing process, less anesthesia, much smaller incisions and less scars.
What can you expect to gain or lose?
Most patients lose 50% to 85% of their excess weight within the following 18 to 24 months after surgery. You can only sustain weight loss with diet changes and regular exercise. The tendency to better control or decline diabetes is even mentioned before significant weight loss occurs.
The effects of the operation on blood sugar levels, blood pressure and cholestrol
Immediately after the operation, blood sugar levels improve rapidly, allowing the drug to be reduced or discontinued. Recent studies indicate that obesity surgery also plays a role in the recovery of insulin and insulin resistance.
Metabolic surgical methods are very effective in controlling diabetes. Approximately one third of the patients do not need a diabetes medication after surgery, and 85% of them have completely recovered their diabetes within two years after the operation. Patients with a milder form of diabetes (controlled by diet), those with less than five years of progressive diabetes, and more weight loss after surgery, are more likely to regress completely. Most diabetic patients have high blood pressure and cholesterol problems that significantly increase risk of heart attack and stroke. The operation reduces these risks by improving cholesterol with high blood pressure.
Healing and Post-Surgical Monitoring
Patients who are considering operation are most afraid of failing; they are afraid that they will not be able to depend on the lifestyle changes necessary for success. For this reason, these patients benefit from lifelong follow-up and a solid support network.
Early surgical surveillance visits after surgery will focus on dietary changes with potential complications. During physician consultation, the nutritional status progressively progresses from liquid to solid food during the first month. Psychological support, nutritional assessment, vitamin supplementation and exercise programs are focused on late visits.
Are you eligible for surgery?
Metabolic surgery is an important surgery and should be considered only if medical treatment and diabetes treatment fail. If you are considering weight loss surgery, you should seriously consider lifelong changes in your lifestyle and adherence to your visits with metabolic surgery team. If you can not reach normal fasting blood glucose (mean 125 mg / dL or HbA1C 7%) if you have a BMI greater than or equal to 35 kg / m2 with Type 2 diabetes or other diseases associated with excess weight, you are probably your diabetes surgery candidate. In some cases, such as inadequate control of diabetes, patients are eligible for metabolic surgery, even if the BMI is less than 35 kg / m2. Our center accepts candidates from 12 to 70 years with some exceptions.
Every surgery has risks
All of the surgical procedures have a number of risks to be weighed with their benefits. Your surgeon will discuss with you the potential risks of surgery in order to achieve a conscious decision.