Metabolic surgery for diabetes
Metabolic surgery for diabetes
The cells of the human body need glucose to function normally, as glucose is the essential source of energy, and glucose enters these cells with the help of a hormone called insulin.
In case there is an insufficient amount of insulin, or if a problem occurs in the cells responding to the insulin correctly, the process of entering the sugar into the cells from the blood stops, and thus the sugar accumulates in the blood which is expressed by the high level of sugar in the blood and this is what happens in patients with diabetes usually.
Types of diabetes
First type: the problem is the body cannot produce enough insulin, or insulin is not produced at all.
Second type: the problem lies in the absence of one or both of the following two factors:
- The body's response to insulin.
- Production of enough insulin by the pancreas.
What are the causes of type II diabetes?
The poor response of cells and tissues to insulin causes high blood sugar, due to the difficulty of sugar entering the cells.
In cases of high blood sugar, the pancreas responds and produces more insulin, contributing in the entrance of excess sugar into the cells.
In type 2 diabetes, and because of the chronic high level of sugar in the blood, the pancreas produces large amounts of insulin, but the cells do not respond to it as supposed, causing fatigue of the pancreas, thereby losing its ability to produce insulin in the long term, converting of type 2 diabetes into a condition similar to type 1, which obliges the patient to use insulin as a necessary treatment.
It is worth mentioning that there are several reasons for the poor response to insulin, the most common are:
- Obesity: where the subcutaneous fat cells secrete hormones that reduce response to insulin of the rest of the cells.
- Atrophy of the last part of the intestine: this part secretes hormones to improve the response of cells to insulin and the reason for this atrophy is the unhealthy modern food pattern and the spread of chemically treated foods as they are digested in the first part of the intestine while no undigested food reaches the last part of the intestine on long-term leads to intestine atrophy and less secretion of those substances that improve cell response to insulin.
What is metabolic surgery for diabetes?
Metabolic surgery to treat diabetes has two main parts:
- The surgeon cuts part of the stomach, which reduces the amount of food you can eat before feeling full, leading to a weight loss in record time, and thus the body gets rid of the substances that are produced from the accumulated fat tissue, which reduces the body's response to insulin.
- A link is made from the stomach to the last part of the intestine, which has atrophied, leading to the arrival of larger quantities of undigested food to this part, resulting in stimulation and regression of atrophy in it, and secreting the hormones that improve the body's response to insulin again.
In this way, the metabolic surgery for diabetes solves the problem of diabetes and obesity at the same time
When is the surgical operation for diabetes is used?
Metabolic surgery to treat diabetes is an option for treating type 2 diabetes only, and with the following conditions:
- Body mass index (BMI) over 40 kg / sq.m.
- The body mass index is more than 35 kg / sq.m if it is not possible to treat diabetes with a healthy lifestyle or with sugar-lowering medical treatments.
Recently, doctors and experts recommend performing the operation for type 2 diabetics with a body mass index of 30-35 kg / square meter, if the level of sugar cannot be controlled with the ideal treatment of sugar-lowering medications, especially in presence of obesity complications.
Who is the surgeon who will do the operation for you?
In Ilajak Medical, Metabolic Surgery is performed by professor Alper Çelik” one of the most experienced surgeons in the field of metabolic and bariatric surgery.
How many patients were treated surgically, and how were the results?
This type of operation was performed for more than 3000 people, from different nationalities around the world, with success rates of 92%, with complete control of the sugar level in the blood, without resorting to the use of insulin or any other medications.
Have these patients completely disposed of medications after the operation?
If the conditions for the success of the operation are met, the procedure results in total remission of 92% of cases, which means normal blood sugar levels without the need for diabetic medications.
Are there any adverse effects to this procedure?
Some complications may occur, such as stagnation in the contents of the gallbladder, which may cause the formation of gallstones, and this happens in 12%, and the occurrence rate can be reduced to 5% using some preventive treatments It’s also important to highlight that if the surgeon takes out the gallbladder if they notice any signs of swelling, adhesions, and/or inflammation.
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