Surgical Treatment for Type 2 Diabetes

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• Surgical Treatment for
• Type 2 Diabetes

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• Metabolic surgery is now one of the
  recommended treatment options for those suffering
  from type 2 diabetes according to the American
  Diabetes Association.

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• The experimental evidence for
  Gastrointestinal surgery as a treatment for type
  2 diabetes has been growing steadily over the
  last 15 years and continues to show promising
  results since this type of surgery alters the
  mechanism of the physiologies of metabolic
  regulation. This means that the inner working of
  the digestive tract gut hormones, bile acids,
  nutrient sensing and bacteria can actively
  improve (or at least better regulate) the insulin
  secretion levels within the gut.

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• More recent studies, and randomised data has
  yielded results that show a positive output
  metabolic surgery can have on type 2 diebetes
  through an improvement of Glycemic control,
  reduction of medication dependencies, weight loss
  and an improvement in life quality.
• The treatment has shown to have between a
  30 and 60 success rate in terms of remission
  cases and is very cost effective when viewed from
  a quality of life per year standpoint. The need
  to rely on medication has also been shown to
  decrease.
• This type of surgery is recommended to
  patients with class III obesity (a BMI greater
  than 40). This is independent of their Glycemic
  control. It can also be considered as an option
  for those with class II (BMI 35-40) and class I
  (BMI 30-35) levels of obesity.

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• There are several types of metabolic
  procedures that can be considered.
• Roux-en-Y Gastric Bypass
• This procedure involves dividing the stomach
  so a smaller pouch is created. The part of the
  stomach that is separated no longer receives any
  nutrients.

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• Vertical Sleeve Gastrectomy
• This procedure involves surgically altering
  the stomach, giving it more of a sleeve shape.
  This not require any re-routing of the intestinal
  connections.

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• Lap band Surgery
• This procedure involves placing a adjustable
  band around the top of the stomach to stimulate
  feelings of satiety when less food has been
  consumed.

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• Biliopancreatic Diversion
• This procedure involves resecting the
  stomach after a portion of it has been removed
  and rerouting the intestinal connections to
  accomodate the new physiology.

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• Side Effects
• Risks for this type of surgery have been
  diminishing rapidly over the last two decades.
  The current mortality rate sits between 0.1 and
  0.5. These figures are on par with other
  procedures such as hip-replacements and
  hysterectomys. Any risks that you might be
  subject to should be discussed at length with
  your physician before undergoing any metabolic
  surgery. It is also vital that your surgeon
  follows up with you post-operation to monitor
  progress and assess any health-related issues
  that might cause problems.

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• http//perthweightlosssurgery.com.au/