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Obesity and Diabetes Surgery

Bilgehan POYRAZOĞLU 25 June 2024

Obesity and diabetes are among the growing health problems today, and surgical methods play an important role in tackling these diseases. In this article, we will discuss in detail which surgical techniques are preferred for diabetes and obesity patients, the effects of these surgeries, and for which patients they are suitable.

Preferred Surgical Techniques

Today, two main techniques stand out in obesity and diabetes surgery: Sleeve Gastrectomy and Roux-en-Y Gastric Bypass.

  • Sleeve Gastrectomy: This bariatric surgical method, applied especially for excess weight, involves the removal of a large part of the stomach. This surgery can help patients lose weight and partially improve diabetes. Due to its ease of application, fewer side effects, and ease of follow-up, it is a method frequently preferred by surgeons.

  • Roux-en-Y Gastric Bypass: This surgery, preferred specifically for diabetes, involves reducing the stomach and restructuring the small intestine. This surgical intervention allows the patient's blood sugar levels to approach normal even before significant weight loss occurs. Therefore, it is especially preferred for diabetes patients who are insulin-dependent or on intensive medication, as well as for obese patients with reflux.

Reasons for Preferring Sleeve Gastrectomy

The reasons why Sleeve Gastrectomy is more frequently preferred by surgeons are as follows:

  • Ease of Application: Easier to apply compared to other surgical techniques.
  • Fewer Side Effects: Fewer side effects occur.
  • Flexibility: Easier transition to other surgical techniques if needed.
  • Ease of Follow-Up: Post-operative follow-up is easier.
  • Controllable Metabolic Effects: Metabolic effects are more controllable.
Situations Where Roux-en-Y Gastric Bypass is Recommended

The most suitable surgery for insulin-dependent or intensive medication-using diabetes patients is Roux-en-Y Gastric Bypass. This surgical technique is preferred not only for diabetic patients but also for obese patients with reflux. This miraculous method, which provides diabetes regulation without significant weight loss, can also be referred to as metabolic endocrine surgery.

Disadvantages of Roux-en-Y Gastric Bypass

Like every surgical method, Roux-en-Y Gastric Bypass has some disadvantages. This surgery requires close monitoring of patients for metabolic and physiological disorders. Additionally, attention should be paid to vitamin deficiencies. However, considering the damage that diabetes can cause to the human body, this surgery is of great importance in maintaining patients' quality of life and health.

Conclusion

Obesity and diabetes surgery is a revolutionary approach in protecting patients' health and improving their quality of life. Surgical methods such as Sleeve Gastrectomy and Roux-en-Y Gastric Bypass are selected and applied according to different disease conditions and yield successful results. These surgical methods not only provide weight loss and diabetes regulation but also improve many health problems. Therefore, obesity and diabetes surgery is among the most effective solutions in modern medicine.

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