Diabetes Surgery / Metabolic Surgery

Type 2 Diabetes Surgery? Treatment of Type 2 Diabetes? Lifestyle Change?

Type 2 Diabetes Surgery

Patient Education and Lifestyle Modification

In the realm of diabetes management, patient education, medical nutrition therapy, and exercise stand as fundamental pillars. Our objective in treating diabetes is multifaceted: to normalize blood glucose levels, mitigate micro- and macrovascular complications, and address cardiovascular risk factors comprehensively. Weight management is crucial, alongside the regulation of other pertinent factors such as blood pressure and lipid levels.

Lifestyle Change for Effective Management

At Doctors of Turkiye, we emphasize the pivotal role of lifestyle interventions from the moment of diagnosis, particularly in individuals at high risk for diabetes. Patient education and medical nutrition therapy constitute integral components of our approach. Medical nutrition therapy aims not only to achieve metabolic control and prevent chronic complications but also to tailor nutritional strategies to individual needs, considering personal and cultural factors. Empowering patients with the ability to self-manage various scenarios encountered in daily life, such as exercise and hypoglycemia, is paramount.

Medical nutrition therapy has demonstrated remarkable efficacy in reducing HbA1c levels by approximately 1% in type 1 diabetics and 1-2% in type 2 diabetics. Furthermore, it plays a significant role in ameliorating comorbidities such as dyslipidemia and hypertension. Regular physical activity, tailored to accommodate existing complications, is universally recommended for individuals with diabetes. It not only enhances insulin sensitivity in those with prediabetes but also aids in the prevention of type 2 diabetes.

Exercise facilitates the regulation of blood glucose, lipid levels, and blood pressure control in individuals with diabetes. While the specifics of an exercise program vary according to the patient, consistency—aiming for at least three sessions per week lasting 20-30 minutes each—is essential. Attaining the appropriate submaximal heart rate ensures optimal benefits.

Doç. Dr Muzaffer AL
~~General Surgery Specialist~~

Diabetes

Transit Bipartition Surgery: Revolutionizing Type 2 Diabetes Treatment

With Transit Bipartition surgery, a transformative journey awaits those battling Type 2 diabetes. This safe and highly effective metabolic surgery method elevates insulin production while mitigating insulin resistance, offering a beacon of hope to patients.

Notably, it achieves remarkable success in enhancing insulin sensitivity and alleviating associated conditions like high cholesterol, high blood pressure, and excess weight.

Through Transit Bipartition surgery, individuals can swiftly reclaim their health and resume their daily lives with renewed vigor.

Patient Selection and Advantages

Transit Bipartition surgery is meticulously tailored to type 2 diabetics, with patient selection hinging on specialized blood tests assessing pancreatic insulin production. The success of the surgery correlates with the remaining insulin reserves, with higher reserves correlating to enhanced post-operative outcomes. This underscores the criticality of thorough patient evaluation in ensuring optimal results.

Advantages of Transit Bipartition Surgery

This groundbreaking surgery boasts numerous advantages, positioning it as a preferred and recommended option worldwide. Key benefits include the preservation of gastric and intestinal integrity, minimal vitamin supplementation requirements, and the facilitation of endoscopic procedures. Notably, its reversibility in various scenarios underscores its versatility, while its robust neurohormonal activity and exemplary safety profile further distinguish it as a pioneering solution in diabetes management.

İleal Interpositions: Tailored Solutions for Enhanced Diabetes Management

İleal Interpositions offer tailored surgical solutions, comprising two distinct techniques catering to diverse patient profiles. While both techniques incorporate the gastric sleeve procedure as a standard practice, patient eligibility pivots on pancreatic insulin production. Specialized blood analyses are integral to patient selection, ensuring optimal surgical outcomes.

Non-Diverted (Jejuno-Ileal Interposition) Technique

In the non-diverted technique, a segment of 200 cm is meticulously prepared from the terminal 30 cm of the small intestine and interposed into the initial section, preserving the terminal 30 cm. This strategic maneuver activates hormones promoting insulin sensitivity while curbing ghrelin hormone activity in the stomach. By fostering an early sense of satiety without compromising food absorption, this technique proves particularly advantageous for low-weight type 2 diabetes patients.

Diverted (Duodeno-Ileal Interposition) Technique

In contrast, the diverted technique entails the closure of the connection between the stomach and duodenum, alongside the gastric sleeve procedure. Here, a 170 cm segment from the terminal part of the small intestine is intricately connected to the initial part of the duodenum, bypassing the duodenum and initial small intestine. This partial bypass configuration ensures comprehensive diabetes management while preserving the integrity of the gastrointestinal tract.

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Diabetes surgery

Transforming Lives through Metabolic Surgery

Did you know that type 2 diabetes can be effectively treated through surgical intervention?
The global rise in diabetes cases prompts us to utilize innovative surgical methods for type 2 diabetes patients, a groundbreaking approach termed Metabolic Surgery. While the conventional treatment algorithm for type 2 diabetes involves training, diet, exercise, and medication, these methods may not always provide the desired results. In cases of progressive disease or ineffective insulin use, uncontrolled blood sugar levels can lead to severe organ damage, sometimes proving fatal. Metabolic Surgery emerges as a compelling alternative in such challenging scenarios.

Understanding Metabolic Surgery
Metabolic surgery operates by improving insulin resistance and release, independent of weight loss, through gastrointestinal hormonal changes. This innovative approach enhances the overall situation of diabetes patients, often allowing them to discontinue insulin or oral antidiabetic drugs while effectively regulating sugar levels.

Success Rate of Metabolic Surgery
With a success rate ranging from 75-98%, Metabolic Surgery delivers an average treatment success rate of 86%, showcasing its effectiveness in managing type 2 diabetes.

Additional Benefits of Metabolic Surgery
Metabolic Surgery exhibits noteworthy benefits, including an 80% improvement in hypertension, a 90% improvement in patients with elevated cholesterol and triglyceride levels, and weight control through hormonal effects in individuals with excess weight. Furthermore, it contributes to improvements in diabetes-related complications such as eye bleedings, kidney failure, foot wounds, nerve damage, and damage to various organs. Sexual problems associated with diabetes can also see improvement.

Method of Application
Utilizing the laparoscopic method, the surgery is performed through small millimetric holes. This approach minimizes postoperative pain, facilitates earlier resumption of normal activities, and enhances overall healing.

Duration of Surgery
On average, Metabolic Surgery takes approximately 2 hours.

Hospital Stay
Patients typically stay in the hospital for an average of 4-5 days.

Return to Normal Life
Patients can resume their normal lives within 7-10 days post-surgery.

Post-Surgery Diet
While continuous dieting is not required, the initial 10 days involve consuming fluids, followed by semi-solid foods between the 10th and 14th days. Solid foods can be reintroduced after 14 days, with an emphasis on avoiding high glycemic index foods. Nutritionists provide a customized nutritional plan, and follow-up is conducted by our expert team.

Post-Surgery Check-ups
Regular tests are recommended at 1, 3, 6, 9, and 12 months after the surgery, followed by biannual checks thereafter. These tests can be conducted locally, with results conveniently shared through WhatsApp or email.