EN
Indications for surgery in type 2 diabetes
Contraindications to surgery for diabetes
Conservative treatment or surgery in diabetes?
Preparing for an operation for diabetes
How an operation is performed on diabetes?
Results of the operation for diabetes
Reviews regarding the operation on diabetes
What is the price for diabetes surgery
WHAT IS DIABETES TYPE 2?
Type 2 diabetes is a metabolic disease that develops due to impaired insulin hormone function. The main reason for the development of type 2 diabetes is obesity. Over 80% of people diagnosed with type 2 diabetes are overweight.
The disease causes complications, many of which are dangerous. The most common of these are:
- sleep apnea (respiratory arrest in sleep);
- high blood pressure;
- diabetic foot (ulcers that appear due to the violation of blood circulation in the legs);
- kidney failure;
- loss of vision;
- wear & tear of joints due to the load created by excess weight;
- myocardial infarction;
- stroke.
INDICATIONS TO SURGERY FOR TYPE 2 DIABETES
The treatment of obesity is one of the main methods of treating type 2 diabetes. Operation in diabetes is an alternative to conservative treatment, which gives a long lasting effect.
The operation should be performed in the following cases:
- if the body mass index of the patient exceeds 35. That is, patients with morbid (life-threatening) obesity. Metabolic surgery will help reduce weight to normal;
- if the patient can not comply with the diet and can not perform the necessary physical exercises. Metabolic surgery will save them from restricting to a strict diet plan or involving in high physical activities;
- If the blood of a patient has increased cholesterol and triglycerides. The weight loss surgery normalizes the carbohydrate metabolism and these indicators come back to normal;
- if there is a high risk of developing concomitant diseases. After diabetes surgery, this risk is significantly reduced.
CONTRAINDICATIONS FOR DIABETES TYPE 2 SURGERY
Any surgical intervention is accompanied by a certain degree of risk. In the case of metabolic surgery, it is aggravated by poor wound healing and increased risk of inflammation. However, the risks of complications in diabetes significantly exceed the danger that accompanies the operation.
The surgeon can refuse to conduct an intervention in the following cases:
- if the patient suffers from alcoholism;
- if the patient smokes;
- if the patient already had severe complications that affected the heart, liver, lungs or kidneys.
CONSERVATIVE TREATMENT IN DIABETES OR SURGERY?
Conservative treatment of type 2 diabetes
Conservative methods for the treatment of diabetes are a clear lifelong adherence to the requirements for diet and exercise. And we are not talking about smaller restrictions – the patient is forced to radically change his approach and eating habits. A diabetic patient also needs regular injections of insulin and intake of sugar reducing agents. Most patients will have to reduce body weight. It should be remembered that in case of any violation, the blood sugar level will increase dramatically. This, in turn will lead to the development of complications.
Surgical treatment of type 2 diabetes
Unlike diets, injections and pills, diabetes surgery cure has a long lasting result – a person can no longer gain extra pounds. When weight returns to normal, more than 80% of patients reach a remission stage. The likelihood of premature death is reduced because of the reduced risks of complications. The operation on diabetes increases the production of a hormone responsible for the sensitivity of the body to insulin. This saves the patient from taking insulin injections or, at least, significantly reduces it.
PREPARATION FOR DIABETES OPERATION
The patient should notify his doctor about taking any medications. Several days before the operation, patient should stop taking antiaggregants (eg, aspirin). Such drugs dilute the blood, which is undesirable in surgical intervention. Day before the bariatric diabetes surgery patient should switch to a liquid diet. No eating and drinking 8 hours before the intervention.
HOW AN OPERATION IS PERFORMED ON DIABETES?
There are several types of metabolic operations. Sometimes bariatric diabetes surgery can act as a therapy for diabetes – operations are aimed primarily at reducing weight. Both metabolic surgery and bariatric operations can be performed with traditional access and laparoscopically. Foreign medical centers prefer minimally invasive operations. The surgeon makes punctures in the anterior abdominal wall, incisions are not required. The operation is under general anesthesia. Postoperative hospital stay lasts up to 6 days. After discharge, the doctor prescribes a special diet that must be strictly followed during the recovery period.
RESULTS OF DIABETES OPERATION
By reducing the volume of the stomach through gastric sleeve surgery the patient quickly becomes full, eating much less than before. Hormonal processes of the body come back to normal. Due to this, in the first weeks after the bariatric surgery on diabetes, the patient’s blood glucose level decreases. In 90% of cases this contributes to the rejection of insulin. Due to complex changes in the digestive tract after surgery, the walls of the small intestine absorb a much smaller amount of food. Thus, some of the fat does not have time to split and being absorbed, but is simply eliminated naturally.
During the first two years after the stomach surgery, a person loses up to 80% of his weight.
PATIENTS REVIEW ABOUT DIABETES BARIATRIC SURGERY CURE
A patient’s testimonial on a metabolic operation in the Metabolik Cerrahi Clinic:
“I lived with diabetes for about 14 years. After the operation, I dropped 27 kg and my sugar dropped to 7. I no longer use any medications. I thank Dr. Alper Celik for giving me life without diabetes. “
HOW MUCH DOES THE DIABETES SURGERY COST?
Today, in many countries there are centers specializing in the surgical treatment of diabetes. However, local surgeons do not conduct interventions at the level at which foreign doctors from developed countries in medicine do it. Local clinics mostly perform open surgery methods, while abroad minimally invasive approach is used.
The price for operation to cure diabetes abroad varies from $ 6,000 to $ 24,000. The cost of a metabolic diabetes surgery depends on the country in which it is carried out. The price of the operation also depends on the level of the operating physician, the chosen method and the type of access.
Leaders in the field of surgical treatment of diabetes can be considered clinics in Turkey, Germany, Spain, Czech Republic and Poland. Also, operations for diabetes such as gastric bypass diabetes surgery or vertical sleeve gastrectomy are conducted by specialists from Israel, Italy, Korea and India.
In Turkey, one of the best centers of metabolic surgery is the Metabolik Cerrahi Clinic. Leading specialist of the field – Alper Celik specializes in the different types of bariatric surgery including the ileal Interposition. Doctors of Metabolik Cerrahi treat not only diabetes, but also the complications caused by it.
In the Czech Republic, a bariatric surgery for type 2 diabetes can be carried out at St. Zdislav’s Hospital. Here such types of bariatric surgeries are conducted through the Da Vinci robot by Dr. Yaroslav Tvaruzhek.
In the Spanish clinic Teknon, diabetes is treated under the guidance of Dr. Carlos Baesta. Minimally invasive laparoscopic and endoscopic techniques are used here.
Among the clinics of Poland it is worth mentioning the KCM medical center. Operations here are performed under the direction Dr. Grzegorz Kowalski. Dr. Kowalski has performed about 10 thousand laparoscopic operations.
