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Metabolic Surgery

Metabolic Surgery
Turkey

Metabolic surgery (Diabetes Surgery) should focus on functional restriction. The only way to do this is to activate the ileum-induced appetizing neuropeptide hormones in the early stages of feeding. If the saturation signals from the extremities are too weak or too late, it may be the case that the person consumes too much food until metabolic saturation occurs.

Diabetes Surgery

Metabolic syndrome is a disease caused by central obesity that starts with insulin resistance, hypertension, elevated cholesterol, and fasting sugar and good cholesterol (HDL). There is a close relationship between type 2 diabetes and overweight; Approximately 80% of obese people are obese in about 40% of people with diabetes and people with type 2 diabetes mellitus.

A person with at least 3 of the following criteria is considered to be the metabolic syndrome.

– Waist circumference is> 102 cm for males and > 88 cm for females

– Triglyceride level is at or above 150 mg / dL

– LDL cholesterol is lower than 40 mg/dl in males and 50 mg/dl in females

High blood pressure (> 130 /> 85 mmHg)
High blood sugar (> 110 mg / dL)

What are the types of surgeries done with Metabolic Surgery?

It is a functioning mechanism based on the principle of utilizing hormonal changes by a displacement (transposition/interposition) operation in Metabolic Surgery operations. In Type 2 diabetic patients who do not have serious weight problems of metabolic surgery, it is possible to change this hormonal structure independently of weight loss and control blood sugar are positive effects on. Briefly, metabolic surgery is weight loss surgery.

Transitbipartition

It is one of the methods used in patients with metabolic syndrome. It is a technique introduced to the literature by Sergio Santoro. It is one of the methods used in type 2 diabetes and has a high probability of success.

Metabolic and bariatric activity is in the foreground. With this method, 1/3 of the food taken is passed through a 2/3 gastroenterostomy line and passes through all segments of the intestine through the normal anatomical pathway. In metabolic surgery procedures, a part is based on the removal of the stomach and the relocation of the small intestine.

Starting from a distance of 6 cm from the stomach exit section, the stomach is cut and sewed with special materials. Then, gastroenterostomy is performed with a 250 cm distal part of the ileum.

Ilealinterposition Surgery

It is the process of replacing the initial part with the last part of the small intestine with the operation of interposition. This surgery disrupts the hormones that cause insulin resistance and regulates the sugar level by raising hormone levels that increase insulin resistance.

Type Of Bypass

DOUDENOJENJENAL BYPASS:

It is one of the methods used in patients with metabolic syndrome. DJB / SG is a metabolic surgical method that has a long-term weight loss effect and provides good life comfort. DJB / SG is a surgical technique performed with partial resection of the stomach, bulbous resection, and bulbo enterostomy anastomosis by bypassing the jejen to a certain length.

MINI GASTRIC BYPASS

With weight loss achieved from standard bypasses, Metabolic syndrome is also treated with this technique. In this technique, the entrance of the stomach is made into a small tube. Also in the first part of the small intestine, first 200- 250 cms, a loop gastroenterostomy is performed to connect the tube and the small intestine. By reducing the stomach, reducing the absorbing and reducing ghrelin production in the inactive part of the stomach, the patient loses weight.

JEJENOILEAL BYPASS

One of the bariatric surgery methods that cause absorption disorder. A method that restricts weight gain for a long time. It is recommended to apply in specific cases due to malabsorption.

ROUX-EN-Y GASTRIC BYPASS

It is an operation that reduces the amount of the food the patient receives and restricts the absorption. With this surgery, a small gastric pouch that has a volume of 30-50 ml is created in the stomach. Approximately 80 cm of the starting part of the small intestine is resected and the gastroenterostomy is performed with the distal end and the proximal enteral end is anastomosed to enteral and that is 120 cm in.

INTRAGASTRIC BALLOON APPLICATION

The intragastric balloon is put to the stomach and the balloon is inflated. This procedure makes the patient feel satiety and reduces food intake. The intragastric balloon is removed after approximately 6-12 months.

What is the difference between the sleeve gastrectomy surgery and metabolic surgery?

Sleeve gastrectomy surgery is a bariatric surgery method used in patients that are overweight and not suffering from metabolic syndromes. High blood sugar and pressure can be examples of metabolic syndrome. Metabolic surgery is performed to cure these metabolic syndromes. Also if the patient is overweight, bariatric surgery can be combined with Metabolic Surgery.

How is Pre-Metabolic Surgery Preparation?

All patients who will have metabolic surgery are first subjected to very comprehensive tests, blood tests, whole abdominal ultrasonography, and gastroscopy.

After the examinations and examinations are completed, the obesity surgeon evaluates the patients and their outcomes. If the patient is unable to have an obesity operation, it is decided which obesity surgery will be performed.

Postoperative Period

Under normal conditions, you will be admitted to the hospital 1 day before the surgery. You will be given medication to treat your blood sugar and hypertension. You will have to go into a liquid diet 1 day before the surgery and you have to eat nothing after midnight. If everything is normal during the post-operative period, you will have 3-4 days of hospitalization.

The liquid drink will be taken from the mouth.
Detailed information on nutrition and daily activities after discharge will be provided verbally and in writing.