Metabolic surgery is a set of procedures that are known as diabetes and diabetes surgery in the community and are used to treat diseases such as hypertension, obesity, high cholesterol. Because these diseases are treated with surgical methods, the name of metabolic surgery is used. The treatment method is used in metabolic diseases, especially type 2 diabetes. Depending on the patient’s health condition and complaint, it is decided which method is appropriate. The purpose of metabolic surgery is to combine the consumed foods with pancreatic and bile secretions later. In this way, substances that trigger insulin production begin to be secreted and insulin level is increased. After this information, if you wish, let’s talk about how metabolic surgery is performed.
How is Metabolic Surgery Performed?
The surgery is performed closed, that is, laparoscopically. By entering the area to be intervened through 4 or 5 holes, the following methods are applied:
- Gastric Bypass
- Mini Gastric Bypass
- Duodenal Switch Derivatives
- Transit Bipartition
These surgical methods are operations that reduce eating and regulate the hormonal secretion of the intestines.
Who Is Metabolic Surgery Performed To?
When it comes to diabetes surgery type 2 diabetes, It can be said as the most effective solution. If the blood sugar cannot be kept at the desired level in the treatment of type 2 diabetes, metabolic surgery can be performed if the patient’s condition is suitable for the operation. Apart from diabetes, surgical methods can be used in many diseases of metabolic origin (high blood pressure, overweight, cholesterol, etc.).
In addition to the patient’s body mass index of 40 and above, surgical procedures can also be applied to people with a body mass index of 30 and above. But the condition here is that the patient’s blood sugar control could not be controlled despite the treatments. How long the patient has had diabetes mellitus and insulin use are checked. The condition of the pancreas is evaluated with the examinations performed before the metabolic surgery. Because the most critical issue expected from the surgery is the continuation of insulin secretion by the pancreas. Therefore, the state of the pancreas is considered together with the patient’s stage of obesity.
What are the Risks and Side Effects of Metabolic Surgery?
As with all surgical operations, there are some risks in metabolic surgery. Complications such as bleeding, infection, leakage, reactions related to anesthesia can be seen. It can be considered possible that a hernia will form over time from the holes where the surgery was performed. Stone formation in the gallbladder is also possible, but metabolic surgery is in the category of surgery with very low risks compared to other operations. Here, the experience and meticulousness of the surgeon performing the surgery play an important role as well as how much attention the patient pays to himself.