Type 2 Diabetes Surgery – Metabolic Surgery

Type 2 Diabetes Surgery

Patient education, medical nutrition therapy and exercise are the constant elements of treatment in all types of diabetes.

The goal of diabetes treatment is to reduce blood glucose to normal levels and to control micro- and macrovascular complications and cardiovascular risk factors. In addition to weight control, other known risk factors such as blood pressure and lipid levels should also be controlled.

Treatment of Type 2 Diabetes

The goal of diabetes treatment is to reduce blood glucose to normal levels and to control micro- and macrovascular complications and cardiovascular risk factors. In addition to weight control, other known risk factors such as blood pressure and lipid levels should also be controlled.

Lifestyle Change

Patient education, medical nutrition therapy and exercise are the constant elements of treatment in all types of diabetes. These treatments should be started from the moment of diagnosis in high-risk and high-risk individuals in terms of diabetes and medical nutrition therapy should be questioned at each evaluation. The aims of medical nutrition therapy are to provide metabolic control, to prevent chronic complications of diabetes or to reduce the rate of development of complications, to determine the nutritional needs of the individual by taking into account the personal and cultural characteristics of the individual and to gain the ability to self-manage in different situations that may be encountered in daily life (exercise, hypoglycemia, acute illness, etc.).

With medical nutrition therapy, HbA1c levels can be reduced by approximately I% in type 1 diabetics and 1-2% in type 2 diabetics. Medical nutrition therapy improves comorbidities such as dyslipidemia and hypertension. Regular physical activity planned and adapted to existing complications should be recommended for all individuals with diabetes. Regular physical activity reduces resistance to a hormone secreted from the pancreas that regulates sugar metabolism in people with prediabetes and contributes to the prevention of type 2 diabetes.

In individuals with diabetes, it facilitates the regulation of blood glucose levels, lipid levels and blood pressure control. Although the goal of the exercise program varies according to the patient, it should be continued at least 3 times a week for 20-3O minutes and the appropriate submaximal heart rate should be reached for the patient in order to benefit.

Type 2 Diabetes Surgery – Metabolic Surgery

Transit Bipartition Ameliyatı

With Transit Bipartition surgery, you can get rid of Type 2 diabetes and start a new life. It is a safe and very effective metabolic surgery method that increases insulin production and reduces insulin resistance.

It treats Type 2 diabetes patients with a very high success by increasing insulin sensitivity. With Transit Bipartition surgery, you can also get rid of high cholesterol, high blood pressure and excess weight. You can regain your health in a short time and go back to your normal life. The most important feature is that it provides hormonal treatment for Type 2 diabetes by avoiding mechanical restriction and malabsorption.

Which diabetics is Transit Bipartition applied to?

We operate on type 2 diabetics. First of all, insulin production in the pancreas should be evaluated with special blood tests. According to the results of these tests, we perform the surgery on type 2 diabetics who have enough insulin reserves left in the pancreas. The more the remaining reserve, the success after surgery can reach up to 100%. Therefore, these tests are very important in patient selection.

Advantages of Transit Bipartition:

This surgery, which has many advantages, is preferred and recommended in our country and in the world today. It is possible to show these advantages as follows:

The integrity of the stomach and twelve intestines is preserved.
Food absorption and processing of food continues in the entire small intestine, so there is little or no need for vitamins. It is the most important advantage.
It allows all kinds of endoscopic procedures to be performed.
Surgery can be easily reversed in any situation.
It shows strong neurohormonal activity. The safety is very high and the risk is very low. The patient returns to normal life in a short time.

İleal İnterpositions

There are two different versions of the surgery. In both techniques, the gastric sleeve procedure is performed as standard. In patients with relatively low weight, only the fundus is removed to reduce ghrelin hormone activity.

In patient selection, it is very important whether there is insulin production in the pancreas. Special blood analyzes are applied to patients who still have sufficient insulin secretion in the pancreas. It is not applied to patients under 18 years of age and over 65 years of age with type 2 diabetes.

Non-Diverted (Jejuno-ileal interpozisyon ) Technical:

A 200 cm segment is prepared from the last 30 cm of the small intestine and “interposed” into the initial section of the small intestine, preserving the last 30 cm of the small intestine. Hormones that provide insulin sensitivity are activated. Ghrelin hormone activity in the stomach is reduced. An earlier feeling of satiety is achieved. In this surgical technique, in which no absorption problems are experienced, food is also absorbed from the duodenum. It is more frequently preferred in low-weight type 2 diabetes patients.

Diverted (Duodeno-ileal interposition)

In addition to the gastric sleeve procedure, the connection between the stomach and duodenum is closed at the level of the second part of the duodenum. In order to protect the last 30 cm of the small intestine, a 170 cm segment is prepared from the last part of the small intestine and connected to the first part of the duodenum at the end of the stomach.

The other end is connected to the beginning part of the small intestine and the last part of the small intestine is “interposed” between the stomach and the beginning part of the small intestine. Since the duodenum and the initial part of the small intestine are bypassed, a partial bypass is also performed.