Metabolic Surgery: The Solution to Type 2 Diabetes

It is not necessary to be obese to resort to metabolic surgery. In fact, many of the patients with type 2 diabetes are candidates for this type of surgery, also known for that reason as “diabetes surgery”.

And it is that this intervention, beyond facilitating an aesthetic improvement with weight loss, allows in 99% of cases, to end insulin injections. In addition, in 98% of cases, these patients no longer have hypercholesterolemia problems. And in somewhat lower percentages, but also higher than 70%, they manage to resolve their hypertriglyceridemia and eliminate arterial hypertension.

But What is metabolic surgery or diabetes surgery?

Doctor Alberto Toscano, from the General Surgery Service of the Ribera health group at the Ribera Povisa hospital (Vigo), explains that this surgery involves performing a gastric bypass or a sleeve gastectomy. “It is a minimally invasive intervention, which is carried out by laparoscopy, with only five incisions of just one millimeter”, he assures. The patient is discharged on the third day following the intervention, if no problem arises.

With this intervention, a “gastric reservoir” is created that allows limiting intake and allowing food to pass only through the final part of the intestine, delimiting the sections in which absorption occurs, and avoiding, above all, food passing through the intestine. duodenum, which is where the origin of the metabolic signal that causes insulin resistance is.

Immediate effects of surgery

Immediately following the intervention, the patient can stop injecting insulin, because the remission of diabetes is usually instantaneous. In addition, some hormones that generate the feeling of hunger are reduced, which helps weight loss and an increase in quality of life and general health, also associated with problems of hypercholesterolemia and high triglyceride levels.

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