Going to metabolic surgery for the surgical treatment of diabetes

Written by: Dr. Jaume Tufet Opi
Published: | Updated: 23/02/2018
Edited by: Top Doctors®

That surgically manipulating the digestive tract with duodenal bypass - by removing a part of the small intestine - cures or improves diabetes, is not something new. Since the end of the 80s, research has begun.

It was then shown that patients with morbid obesity subjected to bariatric surgery (surgery for obesity) cured their diabetes by 76%, and that 85% improved significantly, this variability depended on the surgical technique. These healings or improvements appear before weight loss.

Metabolic surgery aims to cure or achieve a significant improvement of type 2 diabetes mellitus to a diabetic person who, although not suffering from morbid or severe obesity, has a body mass index (BMI) below 40. The BMI is the weight divided by the height squared.

Subsequently, it was observed that in operated patients and in experimental animals, metabolic surgery could be considered as an alternative to the failure of the dietary and pharmacological treatments for type 2 diabetes mellitus.

In addition, the treatment of diabetes (with diet, exercise and drugs) is not easy to fulfill, it is estimated that more than half do not.. With a surgical treatment, it is as if the person diets every day and also, in a correct way. And the best thing is that the cure or improvement of diabetes is maintained over time.

It is true, it is a surgical intervention and has its risks, currently it is done by laparoscopy, and performed by an expert surgical team, the risk of mortality is minimal, the same as in a hip prosthesis intervention, 0.3%. It is a completely reversible surgical treatment and, in investigations over 20 years, it has been observed that operated patients live an average of 15 years longer than those not operated.

Metabolic surgery also corrects hypertension, hyperlipidemia and sleep apnea or OSAS (Obstructive Sleep Apnea Syndrome)

surgery diabetes
Diabetes surgery achieves a remarkable improvement in the quality of life of the patient 

What people can benefit from surgical treatment?

-Persons with type 2 diabetes mellitus less than 10 years old and with preserved pancreatic function

-Person who need oral antidiabetics and / or insulin for not controlling their diabetes

-With an age between 20 and 60 years

-With a BMI of 35 or more

-When the BMI is less than 35, an individual assessment must be made.

 

The techniques that obtain a better result is the laparoscopic gastric bypass, makes a gastric reservoir of certain capacity and leads to the intestine to achieve a good digestive tolerability and not generate excessive nutrient deficiencies

*Translated with Google translator. We apologize for any imperfection

By Dr. Jaume Tufet Opi
Aesthetic Medicine

Doctor with comprehensive, award-winning academic curriculum his vast experience has led him to have his own clinic. He is a recognized expert in radio frequency body lift, facelift radiofrequency and focused ultrasound.

*Translated with Google translator. We apologize for any imperfection

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