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, or bariatric, surgery is a procedure that aims to surgically help with weight loss or treat metabolic diseases.

· Sleeve gastrectomy

Sleeve gastrectomy is a surgical operation, in which the stomach is divided vertically to create a narrow tubular stomach.

· 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.

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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.

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Metabolic surgery

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

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