What is metabolic surgery and T2D | The correlation
Metabolic surgery is a weight loss surgery primarily conducted to shed excess weight and secondarily deal with related morbidities. These morbidities include various diseases, especially metabolic diseases such as diabetes type I and type II. Metabolic surgical procedures have a prime focus on treating these diseases. Diabetes Care published guidelines for metabolic surgery have regarded metabolic surgery as a qualifying treatment option for type 2 diabetes. Hence, metabolic surgery and T2D have been correlated significantly.
People often confuse metabolic surgery with bariatric surgery. However, bariatric surgery is primarily focused on losing weight, which may improve the related morbidities. At the same time, metabolic surgery is for severe diabetes patients who fail to improve and treat the disease with diet and lifestyle changes. Hence, metabolic surgery and T2D are very closely related. Let’s discover more about the surgical procedure and its link to type 2 diabetes.
The procedure of metabolic surgery
Owing to the confusion among bariatric and metabolic surgery, the terms are interchangeable as well. Hence, we shall be using the words so. There are the following different procedures of laparoscopic and bariatric surgery.
Known as Roux-en Y gastric bypass (RYGB), gastric bypass has been the most successful and acceptable procedure of metabolic surgery for treating obesity along with type 2 diabetes. The best bariatric surgeon in Lahore resizes the patient’s stomach with the staples into the pouch and the lower, more significant portion. This pouch can hold only 1 ounce of food. The reduced size of the stomach limits the food intake. Further, the surgeon connects the pouch with the small intestine (jejunum).
Gastric bypass can be performed in two different ways. First, it can be either open surgery or laparoscopic surgery. Second, research studies related to obesity control indicate that metabolic surgery and T2D have a strong connection. The food intake restriction and very-low-calorie diet (VLCD) induce the T2D remission within eight weeks. Furthermore, RYGB improves insulin sensitivity and β-cell function. In general, the patients exhibit significant and better glycemic control. Therefore, they are subject to Roux-en Y gastric bypass than the candidates trying to control their diabetes with lifestyle change and pharmacotherapy.
The surgeon staples 85% of the stomach during the sleeve gastrectomy and leaves only a banana-shaped stomach. Hence, it restricts food intake and limits the production of the hormone responsible for hunger. Therefore, this metabolic surgery and T2D make way to a better healthy life.
In contrast with gastric bypass, gastric banding is about wrapping up a silicone-filled band around the upper portion of the stomach. Of all the metabolic surgery procedures, gastric banding is the only surgery that is adjustable. Hence, the amount of food intake is adjustable by changing the tightness of the band around the stomach after the surgery depending upon the patient’s condition. However, the Lap-Band is the only device and procedure for metabolic surgery and T2D remission that FDA approves. The best bariatric surgeons in Pakistan suggest gastric banding for people whose BMI ranges from 30 to 34.9. However, various pre-operative requirements are depending upon the insurance as well as the pre-existing health conditions.
Benefits of metabolic surgery and T2D treatment
Metabolic surgery is a practical approach to treat T2D, especially in patients who are suffering from obesity. Some of the main apparent benefits of metabolic surgery are as under:
The risk of various underlying diseases such as microvascular and macrovascular complications reduces with weight loss surgery.
Furthermore, the surgery helps the patients with diabetes maintain the disease without insulin and medication for diabetes. Hence, it helps in improving the survival rates for the patients.
Metabolic surgery and T2D plays a vital role in improving one’s mental health as well. It is mainly because obesity is related to various mental health issues and metabolic surgeries along with metabolic diseases help reduce excess weight. Ultimately, it helps in improving the self-image.
Moreover, metabolic surgery lessens pregnancy complications, gallbladder disease, obstructive sleep apnea, and other diseases.
Cons of metabolic surgery
There haven’t been any cons of metabolic surgery registered so far. Furthermore, the complication rates have been meager in diabetes patients.
Only a few of the patients had to go for reoperation. A study including five years follow-up indicates the following statistics for reoperation in metabolic surgery.
2% of patients who went for sleeve gastrectomy
6% candidates for gastric bypass
The patients may have to face anemia after the surgery. According to the stats, 49% of sleeve gastrectomy and 28% of gastric bypass patients suffer from post metabolic surgery anemia.
Furthermore, nutrients deficiency is prevalent among the patients who opt for metabolic surgery. Hence, the best bariatric surgeon in Lahore for your metabolic surgery and T2D treatment must advise you to use some nutritional supplements.