Diabetes Surgery

Diabetes is a disease caused by unbalanced diet, sedentary lifestyle, or genetic factors. If left untreated, diabetes can lead to heart disease, vascular blockage, kidney failure, vision problems, blindness, non-healing wounds on the feet, neuropathy, or damage to the stomach and intestinal system. Therefore, the patient should be treated by specialist physicians. surgical treatment of diabetes It must be done. As it is known among the public. diabetes surgery, It is widely practiced by specialist physicians today. In the rest of the text, you can find answers to frequently asked questions such as what is diabetes surgery, how is diabetes surgery performed, and what are the costs of diabetes surgery.

What is Diabetes Surgery?

A question frequently asked by patients and their relatives:; What is diabetes surgery?, How is diabetes surgery performed?, Questions such as "Will my blood sugar rise again after surgery?" remain popular today. Diabetes surgical treatment carried out under the name What is diabetes surgery? the question is just type 2 diabetes surgery Diabetes surgery can be defined as an operation performed on patients with this condition. Diabetes surgery begins with reducing the volume of the stomach. The surgery focuses on the stomach and small intestines, aiming to intervene in hormones. Through hormonal changes, the aim is to eliminate the conditions that cause diabetes. Diabetes surgical treatment It is possible to eliminate all the causes of diabetes with this procedure. Furthermore, diabetes surgery also offers a solution to obesity, one of the most common diseases today. Medical data shows that type 2 diabetes surgery provides a high rate of improvement in obesity treatment.    

Who can have diabetes surgery? 

Diabetes surgery Although it might seem applicable to all diabetes patients, the surgery is only suitable for patients with type 2 diabetes. Diabetes surgery, on the other hand... metabolic surgery or surgical treatment of diabetes This is carried out under the name [name of procedure]. Type 2 diabetes patients who have tried all non-surgical and drug-free methods but have not achieved results can participate if they meet the following conditions: type 2 diabetes surgery It is possible.

What are the criteria for diabetes surgery?

• Individuals with a body mass index of 25 or higher,
• The pancreas produces sufficient insulin,
• Damage to tissues or organs due to diabetes,
• This operation can also be performed on patients who do not have a health problem that would prevent them from receiving general anesthesia.

 

How is diabetes surgery performed?

How is diabetes surgery performed? Regarding the question of whether surgery is suitable, the patient must first meet the necessary conditions. To ensure suitability, the patient must undergo numerous tests and observations during the preparation process. These tests should also help determine the most appropriate method. For patients undergoing diabetes surgery, either ileal interposition or transit bipartition is chosen. The nature of the operation varies depending on the chosen method. Unless there is an emergency, the patient must complete the preparation process. After successfully completing the preparation process, the surgical phase should begin.

Diabetes Surgery Stage 1

Because every diabetic is unique diabetes surgery There may be different steps in the planning stages. How the operation will be performed is determined only by a specialist physician after a detailed examination. How is diabetes surgery performed? The steps outlined below provide an answer to this question:;

• Diabetes surgeries are performed using minimally invasive techniques, regardless of the method used. This ensures both a more comfortable operation and a more comfortable and shorter recovery period.
• Both methods primarily involve intervention in the stomach. Special surgical instruments are used to cut away a large portion of the stomach. The structures within the stomach that secrete hormones that increase feelings of hunger are also present in the cut stomach tissue.
• After removing most of the stomach, the remaining portion should be formed into a tube.
• To eliminate leaks in the stomach, the remaining area is sealed with staples after the surgical procedure.

Diabetes Surgery Stage 2

• The second stage of the operation involves intervention in the intestines. This part includes procedures that vary depending on the method used.
• In transit bipartition surgery, the small intestine is divided into two, allowing nutrients to pass through two separate pathways.
• First, the small intestine divides into two sections at a point that varies from person to person (usually in the middle). The upper end of the lower part of the small intestine connects to the stomach as a second passage.
• The lower end of the remaining upper bowel portion should be connected to the newly created bowel passage, leaving a 100-centimeter gap at the bottom.
• Therefore, the small intestine, which is the main part of the digestive system, should be designed as two separate pathways. The benefit of this design is that digestion is accelerated and hormonal balance is altered.
• In the other method, ileal interposition, the hormone balance is altered using a different approach.
• After the stomach procedure is completed, a small section at the bottom of the small intestine is completely cut. Similarly, a small section at the top is also completely cut. The section cut from the top is transferred to the bottom; the section cut from the bottom is transferred to the top. In addition, the connection between the duodenum and the stomach is completely severed. The reconstructed small intestine is then connected to the stomach.
• This procedure results in the insulin hormone being released much earlier and in much larger quantities.
• After both operations, the stomach is closed using appropriate methods, completing the procedure.

What are the risks and side effects of diabetes surgery?

Diabetes surgical treatment This surgery carries risks similar to other gastrointestinal surgeries. Although rare, complications such as anesthesia-related reactions, infection, bleeding, or blood clots can occur. To minimize risk, a comprehensive pre-operative check-up and detailed examination should be performed. Considering that risks in surgeries are decreasing every day thanks to advancements in medical technology, potential risks can be minimized with pre- and post-operative precautions. 

What Happens After Diabetes Surgery

Surgical procedures performed to treat diabetes are carried out using minimally invasive techniques. This applies to both ileal interposition and transit bipartition surgeries. It is known that recovery is more comfortable and shorter after operations performed using minimally invasive techniques. This comfortable and shorter recovery period also applies to diabetes surgery. The recovery process after surgery continues until all weight is lost and diabetes is completely eliminated, but healing of surgery-related complications takes approximately three months.

Recovery Process After Diabetes Surgery

• Since patients undergoing surgery are generally those with advanced diabetes, there is a risk of complications after the operation. To ensure immediate intervention for any potential risks, the patient is kept in the intensive care unit for the first day.
• Blood and blood pressure values must be continuously monitored throughout the intensive care process. While in the intensive care unit, the patient can move around, provided they do not get out of bed. They can move their arms and legs and lie in a comfortable position.
• If there are no complications in the intensive care unit, the patient is transferred to a regular room. Here, the patient's vital signs are monitored. From the second day onwards, the patient has no problem getting up and taking light walks.
• After a hospital stay of four or five days, rarely a week, the patient is discharged as an outpatient.
• After being discharged, the patient begins the prescribed diet. They also start taking the prescribed medications.
• They can return to a desk job starting from the third week.
• From the third month onwards, they can return to physically demanding jobs.
• By the end of the first year, he loses eighty percent of his excess weight. Furthermore, his diabetes is largely eliminated.
• Until the end of the first year, the child is weighed and recorded every day. Their blood pressure is also measured and recorded daily.

The stitches placed after the operation may take up to ten days to be removed. Tissue damage begins to regress from the fourth month onwards, and healing begins from the first year. The patient begins to perform physical activities that they could not do before the operation without any problems from the sixth month onwards.

In the most general terms, although the recovery process after diabetes surgery may seem difficult, it is actually quite comfortable. As long as the necessary precautions are taken, there are no risks that could jeopardize the outcome of the operation.

Can blood sugar levels rise again after diabetes surgery?

There are two different types of surgeries performed to treat diabetes and eliminate diabetes-related problems. Ileal interposition surgeries have been performed for a longer time and, naturally, have more long-term data on their results. Transit bipartition surgeries, on the other hand, have been widely performed since 2010. We have twelve years of data, including the experimental period.

Surgical treatment of diabetes requires intervention in both the stomach and intestines. These interventions are not easily tolerated or reversed by the digestive system; in other words, the effects of surgery are permanent. Of course, there are rare cases where the ends of the intestines begin to function like the stomach, but these are usually cases of patients who did not heed the necessary precautions.

If everything is done correctly after both transit bipartition and ileal interposition surgeries, there is no chance of diabetes recurring. Data shows that in patients who undergo these surgeries, blood sugar is controlled without medication. Furthermore, tissue damage heals significantly. Currently, the definitive solution for diabetes lies in surgical methods. However, the application of these methods does not mean that the patient can live as they wish or consume as much sugar as they want. If the necessary precautions are neglected, the digestive system will regulate itself in a way that leads to weight gain and the return of diabetes. The reduced stomach volume changes, and the intestinal entrance begins to function as the stomach.

Transit bipartition surgeries appear to yield more successful results than ileal interposition surgeries. However, it is too early to draw definitive conclusions. Long-term statistics will be available with data to be published in approximately three years. Based on this data, it is highly likely that diabetes will be permanently cured.

Diabetes Surgery Prices

Diabetes or diabetes-related problems constitute a significant societal burden. The primary goal in treating diabetes is to use non-surgical methods rather than surgical ones. Furthermore, preventative treatments that aim to prevent the disease from developing in the first place are also quite popular. Despite all this, for patients with diabetes who cannot be cured with non-surgical methods, surgical intervention for diabetes should be considered.

Diabetes surgery price The cost varies depending on the type of surgery. Ileal interposition surgeries are more expensive than transit bipartition surgeries. The main reason for this is that ileal interposition surgeries take longer than transit bipartition surgeries. Since diabetes surgical treatment has been practiced for many years, there are many expert metabolic surgeons. Transit bipartition, on the other hand, is only recently gaining popularity.

Besides the type of surgery, dozens of different factors influence the pricing of surgery. Hospital conditions, surgery date, workload, patient's condition, and the risks of the procedure are among the main factors. Since prices vary from patient to patient, it is not possible to give a precise price. Prices are determined and communicated to the patient after a detailed examination.

Diabetes surgery price Another factor is the contribution covered by the Social Security Institution (SGK). For patients who truly need surgery and for whom it is not considered a luxury, the SGK contributes a certain amount, sharing the cost of the operation. Whether the operating institution has an agreement with the SGK also affects prices. In conclusion, you should have a physical examination to get an accurate price. Nowadays, people learn about metabolic disorders through YouTube, the internet, social media, and television news.