It is a known fact that the health of obesity patients is endangered due to type 2 diabetes and that there is a natural connection between obesity and type 2 diabetes. Many scientific studies have been conducted to determine whether bariatric surgery or metabolic surgery would be more beneficial for people who suffer from type 2 diabetes and obesity simultaneously. Medical authorities question the effectiveness of the results of stomach reduction surgeries performed on diabetes 2 patients and conclude that metabolic surgeries will be more efficient for type 2 diabetic patients compared to obesity surgeries.
About transit bipartition surgery and sleeve gastrectomy surgery, which are among diabetes surgeries. In this article we have prepared, we will talk about what you need to know about both operations.
What You Need to Know About Transit Bipartition Surgery
- Thanks to transit bipartition surgery, which can be applied to obesity patients with type 2 diabetes, it acts as a hunger hormone. The known ghrelin level is reduced, the body is protected against peptic ulcers, and since the stomach is reduced in size, food intake and therefore calorie intake is restricted. Patients can quickly reach satiety even if they consume little food.
- Transit bipartition surgery is performed laparoscopically under general anesthesia. After closed surgery, the recovery process of patients is shortened and their return to their daily lives is accelerated.
- During transit bipartition surgery, sleeve gastrectomy surgery is performed primarily. Then, the last part of the small intestines is integrated into the new stomach created. The purpose of this process is to activate the L cells located in the last part of the small intestines. When L cells are activated, Peptide Y and GLP-1 hormones trigger the release of insulin by the pancreas, allowing the patient's blood sugar to be controlled.
- Transit bipartition surgery is 86% effective in healing type 2 diabetes.
- Transit bipartition surgery does not harm nutrient absorption, and no part of the intestines is disabled after the procedure. Therefore, after transit bipartition surgery, patients no longer need to use vitamin and mineral supplements for life. patients Whether they should use supplements or not will be determined according to the results of the examinations performed by the surgeons.
- During transit bipartition surgery, the duodenum is not intervened and the patient's natural digestive tract is preserved. In this way, it becomes possible to perform endoscopic interventions in the future.
- In order to decide on transit bipartition surgery, it must be determined that the patient has type 2 diabetes. However, this information is not sufficient for the operation decision. If the patient has type 2 diabetes and has a certain level of insulin reserve function and activity; If the patient cannot control blood sugar and metabolic syndromes caused by blood sugar, an operation decision may be made.
- Return to work after transit bipartition is normally possible within 3 days after discharge. After the check-ups, experts will decide whether the patients can return to work.
- After diabetes surgery, attention should be paid to the diet and water consumption should not be neglected. Patients can have a comfortable postoperative period if the nutrition program given by the experts is followed.
- Those with a body mass index over 35 or over 30 have diabetes, high blood pressure, high cholesterol, respiratory system problems and sleep apnea. Gastric sleeve surgery can be applied to people who have health problems such as.
- Sleeve gastrectomy is a restrictive type of obesity surgery that limits food intake by restricting stomach volume. It is also commonly called "Sleeve Gastrectomy" or "stomach reduction surgery".
- During sleeve gastrectomy, approximately 80% of the stomach is permanently removed from the body. Since ghrelin is released in the removed stomach parts, patients lose their appetite after the operation.
- Sleeve gastrectomy can be performed with open and closed techniques. The recovery process after laparoscopic full stomach surgery is shortened and there is no obvious scar left.
- Sleeve gastrectomy has risks like all other surgical operations, leakage in the stapler line is one of the risks specific to this surgery. The risk of leakage is reduced by performing the necessary checks by experienced surgical teams.
- Sleeve gastrectomy does not change nutrient absorption, however, patients may need to take vitamin and mineral supplements in accordance with their surgeon.
- After sleeve gastrectomy, patients can lose most of their excess weight in a 2-year period. In order to lose weight after surgery and not regain the weight, patients must adopt healthy living habits. Patients who do not follow a diet or regular exercises may not achieve the results they want.
- It is possible to lose weight quickly after sleeve gastrectomy surgery. However, in addition to adopting healthy living habits, it should not be forgotten that the patients' current body mass index values, secondary diseases, age and metabolic rate may also affect the weight loss process.
- An exercise regime must be established after sleeve gastrectomy surgery. Walking should definitely be started after the operation. After 3 months, training intensity can be increased and expert opinions should be sought.
- Hair loss may occur after sleeve gastrectomy surgery, but this problem can be eliminated by taking adequate protein support and eating under the supervision of a dietician.
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