Diabetes Surgery
If blood sugar control is not achieved in Type 2 Diabetes (Diabetes) patients, over time, kidney failure, decrease in vision, nerve damage (decrease in feeling, wounds on the soles of the feet) can occur, which are difficult to treat and take a long time. causes irreversible damage. Diabetes surgery is performed when blood sugar control cannot be achieved with medication, diet and exercise in the treatment of diabetes.
When food reaches the last part of the small intestines (ileum), various signals are sent to the pancreas to secrete insulin. Thanks to the secreted hormones, the blood sugar level is regulated. Additionally, satiety occurs thanks to the substances secreted from the ileum. These surgeries performed in diabetes surgery (ileal interposition, transit bipartition, SADI-S and gastric mini bypass) aim to allow the ileum to encounter food earlier and to balance blood sugar before it rises. Both surgeries begin with a sleeve gastrectomy. Thus, food intake is reduced, the expansion of the stomach is prevented, and the level of the ghrelin hormone in the body is reduced.
In order to achieve successful results in diabetes surgery, the patient's insulin reserve must be sufficient. In other words, the pancreas must still be able to secrete enough insulin. The insulin reserve of the pancreas is measured and predicted through examinations performed before the surgery.
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