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Diabetes Surgery

Diabetes Surgery

To start with we share some interesting facts about Diabetes (common form is the Type 2 Diabetes) that you may not be aware of.

  • There has been a dramatic rise of Diabetes in India from 11.9 million in 1980 to 64.5 million in 2016. India now has the second highest number of Diabetes patients in the whole world.
  • Approximately 90 percent of type 2 diabetes mellitus (T2DM), the most common form of diabetes, is attributable to obesity or excessive body fat.
  • Metabolic and bariatric surgery is the most effective treatment for type 2 diabetes among individuals who are affected by obesity and may result in cure into up to two-thirds of the patients will chances of stopping all medication for Diabetes, and improvement in nearly all cases.

How surgery treats Diabetes:

The effect of surgery on Diabetes is immediate, long before weight loss. The most effective changes in the body after surgery are hormonal. Immediately after surgery due to re-routing of food there is a rise in levels of incretins which make the body’s more effective. Further with the weight loss, improved diet and increased exercise Diabetes gets cured in most patients after surgery. Once Diabetes is treated it’s ill effects on the whole body particularly the heart, kidneys, nerves and eyes stop at an early stage.
There is now substantial evidence that bariatric surgery at an early stage in patients at high risk of developing Diabetes particularly with family history of Diabetes, prevents the disease from developing!

INTERNATIONAL DIABETES FOUNDATION POSITION STATEMENT ON BARIATRIC SURGERY IN THE TREATMENT OF TYPE 2 DIABETES

In 2011, diabetologists, endocrinologists, surgeons and public health experts convened at the 2nd World Congress on Interventional Therapies for Type 2 Diabetes in New York City. Based upon the evidence presented by these world-renowned experts, The International Diabetes Foundation (IDF) released a Position Statement calling for bariatric surgery to be considered early in the treatment of T2DM.

The document recognized that:

  • In addition to behavioral and medical treatments, bariatric surgeries constitute a powerful option to ameliorate diabetes in patients affected by severe obesity.
  • Bariatric surgery is an appropriate treatment for people with T2DM and obesity not achieving recommended treatment targets with medical therapies.
  • Surgery should be an accepted option in people who have T2DM and a BMI of 35 or more (More than 32.5 in Asians).
  • Surgery should be considered as an alternative treatment option in patients with a BMI between 30 and 35 when T2DM cannot be adequately controlled by optimal medical regimen, especially in the presence of other major cardiovascular disease risk factors.
  • Bariatric surgery for treatment of T2DM is cost-effective
  • The risk for complications and death with bariatric surgery is low and similar to that of well-accepted procedures such as gallbladder surgery.

Before & After

6 months later, cured of Diabetes and 30 Kg lighter post Laparoscopic Mini Gastric Bypass

BEFORE

before

AFTER

after

✱ Results may vary person to person.

Video: Laparoscopic Mini Gastric Bypass

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