Gateway to Health

Type 2 Diabetes Surgery

Diabetes mellitus (also known as diabetes mellitus) is one of the most dangerous diseases known today. Opportunities for the treatment of diabetes, which arises independently of the capacity of the pancreas to produce insulin and is caused by environmental factors rather than genetic predisposition, are quite advanced. The treatment of the disease starts from the diagnosis and the first thing to do is lifestyle changes. These changes, such as removing sugar and sugar from the diet, starting sports exercises and switching to a regular life, save many years for many patients. However, the clinical picture that emerges as insulin resistance and excess blood sugar begins to be unaffected by these changes over time; drug therapy is needed. A normal life can be lived for a long time with insulin supplements. During the duration of diabetes, the susceptibility to other metabolic diseases also increases. These processes, which feed off each other, become incurable from a point of view only with medication and lifestyle changes. Patients resort to diabetes surgery as a last resort, which can be divided into bariatric surgery and metabolic surgery.

What is Diabetes Surgery?

In order to have diabetes surgery, absorption should be impaired and the amount of food taken into the stomach should be limited. The disease that causes the emergence of both applications is obesity. However, it is possible to intervene in diabetes mellitus, which is called today’s plague, by revising the relevant methods. Diabetes surgery starts with the reduction of stomach volume. On average, between seventy and eighty percent of the stomach is completely removed. Since the mucous membrane of the gastric volume, which is rendered dysfunctional, also secretes the appetite hormone, the amount of food consumed is restricted bilaterally. Since the patient cannot find a place to physically store the nutrients, he/she is full by eating very little food. At the same time, the feeling of satiety continues for a very long time.

After stomach reduction surgery, it is time to intervene in the intestines to disrupt the absorption and change the hormone secretion. The type of diabetes surgery determines which type of intervention will be performed here. In ileal interposition surgery, when changing the lower – upper intestine sections; In transit bipartition surgery, a second intestinal tract is created. Although both methods have their own advantages and disadvantages, the currently preferred application is transit bipartition surgery.

Conditions for Surgery

Certain conditions are required in order to have diabetes surgery. Conditions are very important both in terms of suitability and in determining the right method. It is also possible to prefer obesity surgeries instead of diabetes surgery if the excess weight has carried the body mass index to 35 and above. In both surgical fields, the aim is to completely get rid of the patient’s metabolism problems.

How is Diabetes Surgery Performed?

Diabetes surgery can be applied with various methods depending on the patient’s condition. If the patient is overweight, obesity surgery (bariatric) is preferred instead of diabetes surgery (metabolic). If it is thought that diabetes is the basis of all metabolism problems, one of the ileal interposition or transit bipartition surgeries is selected. Although the methods of both methods are similar, their mechanisms of action are different.

In ileal interposition surgery, the contact of the intestinal part, which increases insulin secretion, with food is brought forward. The part that suppresses the insulin hormone is transferred to the end of the intestines. In this method, it is possible to talk about a more effective absorption disruption process. In addition, since a part of the duodenum is excluded, the contact of various pancreatic and bile fluids with food is delayed. In transit bipartition surgery, the flow chart of the intestine is changed rather than the absorption of food. By creating two different ways, food is digested much faster. This both increases insulin secretion and does not reveal vitamin – mineral deficiencies.

To Whom Is Diabetes Surgery Applied?

It is out of the question for every diabetic (diabetes/diabetesmellitus) patient to be taken directly to diabetes surgery. Although it is implemented quite successfully, it has various risks. For this reason, surgeries are only applied to those who meet certain conditions:

People who have sincerely and for a long time tried non-surgical methods but failed, can have diabetes surgery.
Diabetic patients with sufficient insulin production capacity of the pancreas can have diabetes surgery.
If the tissue damage due to diabetes is accelerated and cannot be stopped, diabetes surgery can be applied.
Diabetes surgeries can be applied to those whose body mass index is between 25 and 35.
In addition to these, a few more conditions specific to the patient are sought. For definitive information, you should definitely be examined.

Can Diabetes Surgery Be Applied to Type 1 Diabetes Patients?

There is no such thing as the elimination of type 1 diabetes by metabolic surgical methods. The main type of diabetes that can be treated surgically and has ubiquitous information is type 2 diabetes. Since type 1 diabetes causes the complete disappearance of insulin reserves, it is not possible to increase the insulin level even if metabolic surgery is applied. Surgical treatment of type 1 diabetes is not possible in today’s conditions. Current surgical applications include pancreas transplantation and beta cell transplantation. Although there are some experimental studies, successful results have not been obtained yet.

Diabetes Surgery Prices

It is possible to talk about more than one surgical method in order to eliminate diabetes and other metabolic diseases. The most basic factor that determines the price is which surgery method is chosen. Afterwards, factors such as the patient’s condition, the success and infrastructure of the hospital where the operation was performed, and the level of expertise of the doctor who performed the operation affect the price. Those who demand a price for diabetes surgery should go to a specialist institution and be examined.