• YouTube Social  Icon
  • Facebook Social Icon
  • Twitter Social Icon
  • Instagram - Black Circle

METABOLIC SURGERY (DIABETES)

 

Surgery is indicated when other treatments (drug or dietary) have failed or have not achieved the expected target. Candidates for bariatric surgery should meet the following criteria:

 

* BMI greater than 40

* BMI greater than 35 with comorbidities

* Failure in medical treatment

* Without psychiatric contraindications

* Younger than 65 years old

Surgical procedures aimed at reducing and controlling weight can be classified as follows:  

 

* Restrictive procedures (limit the amount of food eaten)

* Malabsorptive procedures (limit the absorption of fat by the intestine)

* Mixed procedures

 

What is metabolic surgery?

 

Metabolic surgery refers to the surgical treatment of type 2 diabetes mellitus, representing a new treatment option for this disease until now considered only for medical treatment.

Metabolic surgery is derived from bariatric surgery or surgery for morbid obesity. Two types of interventions are performed: gastric bypass and duodenojejunal bypass, which consists of excluding the duodenum and the proximal segment of the jejunum (first potions of the small intestine) from food traffic, producing changes in hormones and receptors located in this area, which have to do with glycemic control. This procedure can also be performed in combination with the gastric sleeve. Unlike bariatric surgery, metabolic surgery can be performed in patients with a BMI lower than 35 kg/m2, since the main goal of the surgery is the treatment of diabetes and not obesity. In this type of surgery has been reported remission of diabetes in 85% of cases and improvement in 15%. It is ideal for patients who for some reason can not properly carry their treatment or those with difficulty to control it.

 

How does weight loss work?

 

In simple and restrictive surgeries, it reduces the amount of food that can be ingested because the stomach is smaller and fills up immediately. Eating less will cause weight loss. In surgeries such as the gastrojejunal bypass, there is also a malabsorption ingredient since a portion of the small intestine is removed. In this way, the entire nutrient load of the food ingested “is not taken”.

 

How long does the surgery last?

 

It depends on each person and the technique used. It goes from 45 minutes to 2.5 hours.

 

Will I have to follow a diet?

 

The diet after surgery is a duty. This means you will not be able to eat certain foods unless you change your eating habits by having to chew very well and eat slowly.

 

But ... How much can I eat?

 

Initially about 60 c/c per meal. Over time it is increased to 150-200 c/c. You should eat at least five times a day.

 

What if I do not feel satisfied?

 

A diet program will be given to cover your nutritional needs and vitamins.

 

At what rate is weight lost?

 

It depends on each person and the type of surgery. Approximately 12-15 kg in the first month and subsequently after the second month between 1 ½-4 kg per month will be gradually lost.

 

Why is a surgery necessary?

 

Because the severely obese, who has tried all kinds of diets and failed, who has a "serious" disease or who has other serious medical problems (hypertension, diabetes, arthritis, heart disease, etc.) needs to lose weight and surgery is the most effective way.

 

Are obesity surgeries very dangerous?

 

Surgeries of intestinal shunts were long-term. Today they are no longer made.

METABOLIC SURGERY (DIABETES)

 

Surgery is indicated when other treatments (drug or dietary) have failed or have not achieved the expected target. Candidates for bariatric surgery should meet the following criteria:

 

* BMI greater than 40

* BMI greater than 35 with comorbidities

* Failure in medical treatment

* Without psychiatric contraindications

* Younger than 65 years old

Surgical procedures aimed at reducing and controlling weight can be classified as follows:  

 

* Restrictive procedures (limit the amount of food eaten)

* Malabsorptive procedures (limit the absorption of fat by the intestine)

* Mixed procedures

 

What is metabolic surgery?

Metabolic surgery refers to the surgical treatment of type 2 diabetes mellitus, representing a new treatment option for this disease until now considered only for medical treatment.

Metabolic surgery is derived from bariatric surgery or surgery for morbid obesity. Two types of interventions are performed: gastric bypass and duodenojejunal bypass, which consists of excluding the duodenum and the proximal segment of the jejunum (first potions of the small intestine) from food traffic, producing changes in hormones and receptors located in this area, which have to do with glycemic control. This procedure can also be performed in combination with the gastric sleeve. Unlike bariatric surgery, metabolic surgery can be performed in patients with a BMI lower than 35 kg/m2, since the main goal of the surgery is the treatment of diabetes and not obesity. In this type of surgery has been reported remission of diabetes in 85% of cases and improvement in 15%. It is ideal for patients who for some reason can not properly carry their treatment or those with difficulty to control it.

 

How does weight loss work?

 

In simple and restrictive surgeries, it reduces the amount of food that can be ingested because the stomach is smaller and fills up immediately. Eating less will cause weight loss. In surgeries such as the gastrojejunal bypass, there is also a malabsorption ingredient since a portion of the small intestine is removed. In this way, the entire nutrient load of the food ingested “is not taken”.

 

How long does the surgery last?

 

It depends on each person and the technique used. It goes from 45 minutes to 2.5 hours.

 

Will I have to follow a diet?

 

The diet after surgery is a duty. This means you will not be able to eat certain foods unless you change your eating habits by having to chew very well and eat slowly.

 

But ... How much can I eat?

 

Initially about 60 c/c per meal. Over time it is increased to 150-200 c/c. You should eat at least five times a day.

 

What if I do not feel satisfied?

 

A diet program will be given to cover your nutritional needs and vitamins.

 

At what rate is weight lost?

 

It depends on each person and the type of surgery. Approximately 12-15 kg in the first month and subsequently after the second month between 1 ½-4 kg per month will be gradually lost.

 

Why is a surgery necessary?

 

Because the severely obese, who has tried all kinds of diets and failed, who has a "serious" disease or who has other serious medical problems (hypertension, diabetes, arthritis, heart disease, etc.) needs to lose weight and surgery is the most effective way.

 

Are obesity surgeries very dangerous?

 

Surgeries of intestinal shunts were long-term. Today they are no longer made.