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12.12.2018 15:45:54
With type 2 diabetes, bariatric surgery can help significantly reduce blood glucose levels. Most patients after surgery no longer need to inject insulin. The risk of the diseases associated with diabetes, such as myocardial infarction, stroke, diseases of the eyes, blood vessels and kidneys, is reduced. After surgery, the stomach can hold no more than a glass of water. The essential nutrients patients need are to be taken in pills. Patients must regularly have blood tests done.
There are two ways (the so-called “bariatric surgery”) to reduce the stomach in patients with obesity and diabetes. Both are minimally invasive.
With sleeve gastroplasty, approximately two thirds of the stomach is removed, so that a volume of 200 millilitres remains. The normal mechanism of digestion is maintained. After surgery, patients significantly lose weight, and the progression of diabetes slows down. Experts suggest that when most of the stomach is removed, certain mediators are switched off. It leads to glucose metabolism normalization.
Gastric bypass is considered a particularly effective and fast-acting method. It is a more costly method, but in the long run diabetics get more benefits from it. The stomach is greatly reduced. The small intestine is separated further below and is firmly sewn to the stomach. Feeding is through a detour (bypass). Hormonal activity in the gastrointestinal tract changes.
According to a Swedish study, patients with obesity noticeably lose more weight after bariatric surgery than with conservative treatment. In addition, they suffer 30% less heart attacks and strokes, and for these reasons, 50% fewer of them are fatal. The operated patients also had an advantage in such issues as quality of life, cancer, and wear and tear of the joints.
