Diabetes Surgery

What is Diabetes Surgery?

This procedure, which is applied for the control of type 2 diabetes and obesity, is also called metabolic surgery. In this surgery, displacement is made between the beginning and the end of the small intestine. The reason why the food is directed to the midgut is to increase the secretion of insulin from the pancreas with the effect of the hormones secreted from here and to help balance the blood sugar.

Type 2 diabetes is a common disease that usually occurs after the age of 40. Insulin can be produced according to Type 1 in patients with Type 2 diabetes. However, this insulin cannot be used for many different reasons. As a result, blood sugar rises. Constantly high blood sugar causes many different health problems such as heart disease, kidney disease, visual impairment, nerve damage, amputation and paralysis.
It is aimed to correct this situation, which causes serious metabolic problems, by surgery. If recovery does not occur with the application of classical methods, metabolic surgery method is applied. Thus, patients get rid of both their excess weight and diabetes and the problems it brings.

Different methods can be used depending on the patient's condition. The necessary surgical method is decided upon the examination performed before the operation.
Diabetes surgery is applied with 3 different methods.
- Transit bipartition: In this method, the stomach volume is first reduced by classical sleeve gastrectomy surgery. In the other stage, the lower part of the small intestine is connected to the lower part of the stomach, allowing the food to pass through two different intestinal tracts. This process increases the rate of passage and absorption of foods, and satiety hormone is secreted earlier and blood sugar is controlled.
- SADI-S: In the first step of the operation, sleeve gastrectomy surgery is performed. However, the stomach volume is larger than the classical type of gastric surgery. Then the last 250 cm of the small intestine is connected to the outlet of the stomach. In this way, the absorption of food is limited and blood sugar control is provided.
- İleal interposition: This is the surgical removal of the last part of the small intestine, called the ileum. Along with this procedure, the fundus part of the stomach, which secretes the hunger hormone, is also removed. Thus, the feeling of hunger is suppressed, the amount of food is limited and blood sugar control is ensured.

Body mass index must be 30 and above.
It is applied to people who have type 2 diabetes and whose organs are starting to be damaged. However, it does not apply to everyone with Type 2 diabetes. If the disease does not get better despite dieting and applying medication, it is considered suitable for surgery.
Another important point for the inclusion criteria for surgery is the preservation of pancreatic insulin reserve. With the control of the reserves, it is decided whether the operation will be performed or not.

The patient starts walking a few hours after the operation.
The stitches do not need to be removed because the stitches dissolve on their own.
Alcoholic beverages should be avoided for 6 months.
It is recommended to avoid foods that cause gas in the first 3 months.
The recommended nutrition program should be applied meticulously.
Tea and coffee are started to be consumed 1 month after the surgery.
On the second day after the operation, clear liquid without pulp is consumed. Soft liquid foods can be consumed between the third day and the second week, and puree can be consumed up to 1 month after the second week. After one month, normal solid food can be started, but this should still be kept under control. It prevents weight gain in the long run.

• Diabetes surgery prices in İzmir, Turkey are determined according to the patient's medical condition and treatment method. Call us now to get detailed information about diabetes surgery and to find out if you are eligible.