Obesity can be defined as a complex of both physical and mental disorders that occur as a result of the energy intake from food exceeding the amount spent and the storage of this excess energy as fat in the body, which negatively affects the quality and duration of life.
2- WHY DOES OBESITY OCCUR?
Genetic, metabolic, cultural, socio-economic and environmental factors play a role in obesity. Obesity can easily develop when there are genetic similarities where nutrition and lifestyle are poor.
3- WHAT ARE THE DISEASES CAUSED BY OBESITY?
Migraine, depression, sleep apnea, high blood pressure. cholesterol, hypertension, ischemic heart diseases, asthma, reflux, strokes, diabetes, bladder weakness, infertility, joint diseases, vascular diseases.
4- CAN TYPE 2 DIABETES BE TREATED?
Firstly, medical treatment is tried. Surgery is required for diabetes that cannot be reduced below 200 despite high doses of insulin.
Although a high rate of improvement is achieved with surgeries performed for obesity in Type 2 diabetes (Sleeve Gastrectomy, Gastric Bypass), it was first performed by Brazilian Surgeon Sergio Santoro. Results are obtained with Transit Bipartition surgery, which is a metabolic surgery technique.
5-WHAT IS BIPARTATION SURGERY?
First, stomach tube is performed. is turned into the stomach. Then, a marking is made at a distance of 100 cm from the point where the small intestine meets the large intestine. From this point, another 150 cm is counted and 250 cm of small intestine is cut. The cut lower end is connected to the stomach outlet. The upper end is connected to the previously marked 100 cm. Thus, two-thirds of the food we eat quickly reaches the last part of the small intestine through the new connection pathway. 1/3 passes through the duodenum naturally.
6-HOW IS THE EFFECTIVENESS OF BIPARTISATION SURGERY?
With this surgical technique, both the patient and the patient are treated. It combines appetite-reducing sleeve gastrectomy (restrictive) and the Gastric Bypass technique, which allows 2/3 of the food to quickly reach the last 250 cm of the intestines. It becomes a knowledge. The rapid arrival of food to the last part of the small intestine (terminal ileum) quickly activates the L cells in the ileum and hormones called GLP-1 and Peptide Y are activated, increasing insulin secretion. Thus, it provides metabolic improvement in diabetes.
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