What is Diabetes Surgery

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Diabetes Surgery is term that is used to define a group of surgical interventions to treat Type 2 Diabetes mellitus. Diabetes Surgery is called as "Metabolic Surgery" in some sources. There for Diabetes Surgery and Metabolic Surgery terms define the same thing. The reason for this is a special medical condition called "metabolic syndrome. In metabolic Syndrome the patient suffers from obesity, diabetes, hypertension and dyslipidemia at same time. When Diabetes Surgery Operation (Metabolic Surgery) is applied, obesity and  type 2 diabetes are treated as well as the other components of methabolic syndrome which are hypertension, dyslipidemia, Sleep Apnea and Polycystic Ovary Syndrome.

After a detailed properative evaluation and careful patient selection some operation may be used to treat obesity and type 2 diabetes, thus there are more than one diabetes oprations. Di,abetes operations generally are; Gatsric Bypass, Transit Bipartition, SADI-S, Duodenal Switch, Billiopancreatic Diversion, Ileal Interposition. Even Gastric Sleeve operation can treat Type 2 Diabetes in some patient. Gastric Sleeve surgery treats type 2 Diabetes in 60% of the diabetic patients who also suffer from central obesity.  The success rate of Diabetes Surgery operations me ntion above differs from 80-92% in treating type 2 Diabetes and quitting insulin injections.

Diabetes Surgery works in combination of different pathways. Generally they reduce body weight and this in turn treats the peripheric insulin resistance which means body utilizes insulin more easily. Because allmost all kinds of Diabetes Surgeries (Except Ileal Interposıtıon) are "bypasses" in nature the calorie intake drops , this is also another pathway in controlling diabetes. In al of the types of Diabetes Surgery Operations, food enters the small intestine from its far part (distal intestine), this causes an increase in a very special hormone called "GLP-1). GLP-1 has very strong effects on pancrease and brain. GLP-1 effects can be summarised as following:

- Induces food satiety in brain.

- Increases muscle metabolism.

- Slowdowns the absorption from intestine

- Decreases Hunger hormone level

- Stops pancreatic B-cell destruction

- Increases B-cell number in Pnacreas

- Insulin secretion increases significantly after the increase in blood GLP-1 hormone level.

Transit Bipartition Operation is the oepration of choice of our clinic, and we have special reasons for this. Transit Bipartition is a special type of Bypass still having many advantages over classic Gastric Bypass.

- Transit Bipartition takes only 120 minutes to perform just as Gastric Bypass

- In Transit Bipartition you can treat esophageal reflux also just like gastric bypass, you can perform Transit Bipartition in Omega loop or in Roux-en-Y style according to the special needs of the patient.

- The excluded stomach portion is removed out of the body contrary Gastric Bypass where this stomach portion is left in the body as a closed box.

- After Transit Bipartition advanced billiary interventions like ERCP easily can be applied if required, this is a challenge in Gastric Bypass.

- It is ver easy to make a Revision / Conversion surgery or to perform after Transit Bipartion contrary to Gastric Bypass. 

- Vitamin malsbsorption is far less than Gastric Bypass in Transit Bipartition.

Preoperative preparation procedure is just as same as gastric sleeve surgery in Transit Bipartition operation. A wide blood test panel including all hormone tests like c-peptide, cortisol, thyroid hormones, vitamins...etc, all neccessary consultations like cardiology, chest medicine, internal medicine, endocrinology and anesthesia, imaging test like abdominal ultrasound/MRI, a detailed endoscopical examination are performed in the preopertative evaluation period.