Gutener Business

shantiraj hospital logo
metabolic surgery help control diabetes

Can metabolic surgery help control diabetes in patients?

According to a doctor, metabolic/bariatric surgery includes operations like gastric bypass, sleeve gastrectomy, and sleeve-plus procedures-

What is Metabolic Surgery?

Metabolic surgery, also known as bariatric or weight loss surgery, is a medical procedure aimed at altering the body’s metabolic processes to promote significant and sustained weight loss in individuals with obesity. This surgical intervention involves various techniques, including gastric bypass, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch.

These procedures work by either restricting the amount of food intake or by modifying the way nutrients are absorbed in the gastrointestinal tract. Metabolic surgery not only helps patients achieve substantial weight reduction but also resolves or improves associated comorbidities like type 2 diabetes, hypertension, and obstructive sleep apnea.

The effectiveness of metabolic surgery is primarily attributed to hormonal changes induced by altering the gut anatomy. Additionally, this intervention promotes complex physiological changes that positively impact insulin sensitivity and appetite regulation. As with any surgical procedure, metabolic surgery carries risks and potential complications; therefore, careful patient selection and comprehensive postoperative care are essential for successful outcomes.

Sleeve gastrectomy

Sleeve gastrectomy, also known as gastric sleeve surgery, is a surgical procedure performed to assist in weight loss for individuals struggling with obesity. During the procedure, a large portion of the stomach is permanently removed, leaving behind a small “sleeve-like” tube-shaped stomach.

This leads to a significant reduction in the amount of food that can be consumed, resulting in reduced calorie intake and subsequent weight loss. The surgery is usually recommended for individuals with a body mass index (BMI) of over 40 or those with a BMI between 35 and 40 who have associated health conditions such as diabetes or high blood pressure. Sleeve gastrectomy has gained popularity due to its efficacy in achieving substantial and sustained weight loss results.

It not only helps patients lose excess weight but also improves obesity-related comorbidities such as type 2 diabetes and cardiovascular risk factors. However, like any surgical procedure, there are potential risks and complications involved that should be thoroughly discussed with a qualified healthcare professional before making a decision.

Gastric bypass 

It is where a pouch of the stomach is created and the small intestine is re-routed and joined to this pouch. The remaining stomach and the first part of the small intestine are bypassed.

Sleeve-plus procedures

It is when a sleeve gastrectomy is performed and different lengths of small intestines are bypassed and joined to the sleeved stomach.

It has been found to be effective in non-obese patients with diabetes as well as in obese patients with diabetes in several studies.

Who is eligible for metabolic surgery for diabetes?

“As per the guidelines of the obesity and metabolic surgery society of India (OSSI):

* Bariatric/metabolic surgery should be considered for patients with a BMI ≥ 35 kg/m2, with/without the presence of any obesity-related comorbidity.
* For patients with a BMI ≥ 30 kg/m2, in presence of two or more obesity-related comorbidities.
* As a non-primary treatment option for patients with a BMI ≥ 27.5 kg/m2, with uncontrolled type 2 diabetes despite optimum medical management.

“Any bariatric/metabolic surgery for a patient with BMI < 27.5 kg/m2 should be strictly performed under an experimental study protocol with prior ethics committee approval and informed consent. It should be considered as a treatment option for patients with central obesity with a waist circumference ≥ 80 cm. In females and ≥ 90 cm in males along with type two diabetes and other obesity-related comorbidities,” the expert stated.

Also, read –

Doctors at Shantiraj Hospital

Shantiraj Hospital was the first clinic in the area to house both primary care and specialist care under one roof.  If you are experiencing chronic or acute pain. Request an appointment with one of our doctors to discuss your treatment options. Our goal is to reduce the pain you are experiencing and restore your quality of life.

Contact us now –  +91 94 254 59066

Metabolic surgery

About the Author

9 thoughts on “Can metabolic surgery help control diabetes in patients?

  1. We’re a group of volunteers and opening a new scheme in our community. Your site provided us with valuable information to work on. You have done an impressive job and our whole community will be thankful to you.

  2. I needed to draft you a bit of observation to say thanks once again over the great pointers you’ve featured on this website. This is strangely generous of you in giving extensively what many people could have marketed for an e-book to end up making some dough for their own end, most importantly given that you might well have done it if you considered necessary. Those things likewise served to provide a fantastic way to know that someone else have the same dreams just like my own to grasp a lot more with regards to this issue. I’m sure there are some more pleasant opportunities in the future for those who browse through your blog post.

Leave a Reply

Your email address will not be published. Required fields are marked *

You may also like these

Open chat
Need Help?
Can We Help You?