Diabetes is a disease that occurs due to unbalanced diet, sedentary life or genetic reasons. If diabetes is not treated, it can cause diseases such as heart diseases, vascular occlusion, kidney failure, visual impairment, blindness, non-healing wounds on the feet, neuropathy, or damage to the stomach and intestinal system. For this reason, diabetes surgical treatment should be performed by specialist physicians. Diabetes surgery, as it is known among the people, is widely practiced by specialist physicians today. In the continuation of the text, you can find answers to frequently asked questions such as what is diabetes surgery, how is diabetes surgery done, and prices for diabetes surgery.
What is Diabetes Surgery?
Nowadays, patients and their relatives often wonder what is diabetes surgery, how is diabetes surgery done, will diabetes come back after the surgery? The answers to such questions remain popular. The question of what is diabetes surgery performed under the name of diabetes surgical treatment can be defined as an operation performed only on patients with diabetes type 2 surgery. Diabetes surgery begins with the reduction of stomach volume. The surgery aims to interfere with the hormones by focusing on the stomach and small intestines. Conditions that cause diabetes are tried to be eliminated with hormonal changes. It is possible to eliminate all causes of diabetes with the surgical treatment of diabetes. In addition, diabetes surgery also provides a solution to obesity, one of today’s common diseases. As a result of medical data, type 2 diabetes surgery provides a high rate of improvement in the treatment of obesity.
Who Can Have Diabetes Surgery?
Although diabetes surgery is thought to be applicable to all diabetes patients, the surgery is only suitable for type 2 diabetes patients. Diabetes surgery is performed under the name of metabolic surgery or diabetes surgery. Type 2 diabetes patients who have tried all methods without medication and surgery but have not been successful can have diabetes type 2 surgery if they meet the conditions which are below.
What Are the Criteria for Diabetes Surgery?
- This surgery can also be performed for
- Those with a body mass index of 25 and above,
- The level of insulin production of the pancreas is at a sufficient level,
- Damage to tissues or organs due to diabetes,
- On patients who do not have a health problem that prevents them from receiving general anesthesia.
How is Diabetes Surgery Performed?
If we touch on the question of how diabetes surgery is performed, first of all, the patient must provide suitable conditions for surgery. During the completion of eligibility conditions and preparation for surgery, the patient should be kept under observation with dozens of different tests. In addition, the appropriate method should be determined by these tests. In patients who will have diabetes operation, ileal interposition or transit bipartition method is chosen. The nature of the operation performed according to the chosen method varies. If there is no emergency, the patient has to complete the preparation for the operation. After the preparation process is successfully completed, the operation stage should be started.
Diabetes Surgery Stage 1
There may be different steps in the planning stages of diabetes surgery because every diabetic is special. How the operation will be performed is determined by the specialist physician only after a detailed examination. As an answer to the question of how diabetes surgery is performed, the following stages are listed:
- Diabetes surgeries are performed with closed technique regardless of the method. This ensures that both the operation is more comfortable and the recovery process is more comfortable and shorter.
- In both methods, the stomach is primarily intervened. Most of the stomach is cut with special surgical instruments. There are also structures that secrete hormones that increase the feeling of hunger on the cut stomach structure.
- After removal of most of the stomach, the remainder should be tubed.
- In order to eliminate the leaks in the stomach, a stapler is applied to the area remaining after the cutting process.
Diabetes Surgery Stage 2
- In the second stage of the operation, the intervention to the intestines takes place. In this section, there are applications that vary according to the method.
- In transit bipartition surgery, the small intestine is divided into two and food is passed through two different ways.
- First of all, the small intestine is divided into two from a region (usually the middle part), which can vary from person to person. The upper end of the lower small intestine is connected to the stomach as a secondary route.
- The lower end of the inactive upper intestinal part should be connected to the newly formed intestinal tract in such a way that it remains one hundred centimeters below.
- In other word, the small intestine, which is the main part of the digestive system, should be designed as two different ways. The benefit of this setup is to speed up digestion and change the hormone balance.
- In the other method, ileal interposition, the hormone balance is intervened within a different method. Likewise, a small piece of the upper end is cut off completely. The piece cut from the top is transferred to the bottom and the piece cut from the bottom is transferred to the top. In addition, the duodenum is completely disconnected from the stomach. The reconstructed small intestine is connected to the stomach.
- After this application, the insulin hormone is secreted much earlier and in a much larger amount.
- After both operations, the operation is completed by closing the stomach with appropriate methods.
What are the Risks and Side Effects of Diabetes Surgery?
Diabetes surgical treatment carries as much risk as other gastrointestinal system surgeries. Complications such as reactions from anesthesia, infection, bleeding or clotting, although rare, can be seen. In order to minimize the risk, a comprehensive check-up procedure and a detailed examination should be performed before the surgery. Thanks to the developing medical technologies, considering that the risks in surgeries are decreasing day by day, possible risks can be minimized with pre- and post-operative precautions.
What Happens After Diabetes Surgery
The surgeries applied to treat diabetes are performed with the closed method. This is valid for both ileal interposition surgery and transit bipartition surgery. It is known that after the operations performed with the closed method, the recovery is more comfortable and takes a short time. This comfortable and short process is also valid in diabetes surgery. The recovery process after the operation continues until all weight is lost and diabetes disappears completely. however, it takes about three months for the problems related to the surgery to heal.
Recovery Process After Diabetes Surgery
- Since the patients who are operated on are generally advanced diabetes patients, there is a risk of complications after the operation. In order to instantly intervene in the risks that may arise, the patient is kept in the intensive care unit on the first day.
- During the intensive care process, blood and blood pressure values should be constantly controlled. While the patient is in the intensive care unit, he can move, provided that he does not get out of his bed. He can move his arms and legs and lie in a comfortable position.
- If there is no problem in the intensive care unit, the patient is taken to the normal room. Here, too, the patient’s values are kept under control. From the second day, it is okay for the patient to stand up and walk lightly.
- After four or five days of hospitalization, rarely one week, the patient is discharged on an outpatient basis.
- After the patient is discharged, he starts the diet written for him. also begins to use prescribed drugs.
- From the third week, he can return to a desk job.
- From the third month, he can return to his physical work that requires effort.
- He loses eighty percent of his excess weight by the end of the first year. In addition, diabetes is largely eliminated.
- It is weighed and recorded every day until the end of the first year. It also measures and records your blood pressure daily.
- It may take the tenth day to remove the stitches after the operation. From the fourth month, tissue damage begins to regress, and from the first year it begins to heal. The patient begins to perform physical activities that he could not do before the operation without any problems after the sixth month.
To put it in the most general sense, Although the recovery process may seem difficult after diabetes surgery, it essentially covers a very comfortable process. As long as attention is paid to what needs to be considered, there is no risk that could endanger the results of the operation.
Does Diabetes Come Back After Diabetes Surgery?
There are two different types of surgery performed for the surgical treatment of diabetes and the elimination of diabetes-related problems. Among these surgeries, ileal interposition surgeries have been performed for a longer time, and naturally, they contain longer-term data on their results. Transit bipartition surgeries, on the other hand, have been applied intensively since 2010. We have twelve years of data, including the experimental process.
During the treatment of diabetes with surgical methods, it is necessary to intervene both in the stomach and in the intestines. These interventions are not tolerated or reversible by the digestive system. that is, what is done after surgical intervention is permanent. Of course, on rare occasions there are cases where the intestinal ends start to act like a stomach. However, these are known as patients who do not pay attention to what needs attention.
After both transit bipartition and ileal interposition surgeries, if everything is done correctly, there is no possibility of recurrence of diabetes. The available data show that blood sugar is controlled without medication in patients undergoing related surgeries. In addition, tissue damage is largely healed. Today, the definitive solution to diabetes is surgical methods. The application of these methods does not mean that the patient can live as he wishes and consume as much sugar as he wants. If the things to be considered are neglected, the digestive system is in order to bring back the diabet that will gain weight. The reduced stomach volume changes and the intestinal entrance begins to act as a stomach.
Transit bipartition surgeries seem to give more successful results than ileal interposition surgeries, but it is still early to reach a definite conclusion. With the data to be published approximately three years later, it is possible to obtain long-term statistics. In the light of these data, it will most likely be seen that diabetes is treated permanently.
Diabetes Surgery Prices
Diabetes or the problems arising from diabetes constitute a serious social burden. The main goal in diabetes is to treat the disease with non-surgical methods, not with surgical methods. In addition, preventive treatment methods that will ensure that the disease does not appear at all are very popular. Despite all these, patients with diabetes who cannot get rid of diabetes with non-surgical methods should be treated with diabetes surgery.
Diabetes surgery price varies according to the type of surgery. Ileal Interposition surgeries are more expensive than transit bipartition surgeries. The main reason for this is that ileal interposition surgeries take longer than transit bipartition surgeries. Since the surgical treatment of diabetes has been applied for many years, the number of specialist metabolic surgeons is quite high. Transit bipartition is gaining popularity newly.
Apart from the type of surgery, there are dozens of different factors in determining surgery prices. Hospital conditions, date of surgery, density, patient’s condition, risks of intervention can be counted among the main factors. Since the prices may vary from patient to patient, it is not possible to say a clear price. After a detailed check, prices are determined and declared to the patient.
For the price of diabetes surgery, the other factor is the share covered by the Social Security Institution. The Social Security Institution participates in a certain amount for the patients who really need the surgical intervention, where the surgical intervention is not done as a luxury. Whether the institution that will perform the operation has an agreement with the Social Security Institution also affects the prices. As a result, you must have a physical examination to get a real price. Nowadays, people learn the news about their metabolic disorders through the news on youtube, internet, social media and TV.