In this article, you can find answers to frequently asked questions about Sugar Surgery, such as How is Sugar Surgery Performed and What is Its Purpose, How Diabetes Surgery is Done, What is Its Purpose, Who is Suitable For Diabetes Surgery, Which is the Most Frequently Applied Diabetes Surgery, How Often Do You Go to a Doctor’s Control after Diabetes Surgery?
Diabetes is one of the important health problems of our age. Diabetes can be seen with obesity as well as in people who are not obese, and suitable patients can be treated with surgery.
Some hormones are secreted from the first part of the small intestine, which raises the sugar, and from the last part, which lowers the sugar. The treatment principle in diabetes surgery is to increase the level of good hormones that reduce sugar in this part by directing the nutrients to the last part of the small intestine, not the first part.
How Diabetes Surgery is Performed, What is Its
In the first stage of the surgery, the stomach is narrowed if the patient is not overweight, and the stomach is narrowed more if the patient is overweight. In the next stage of the surgery, the part towards the end of the small intestine is brought to the narrowed part of the stomach and tied. Thus, when the patient takes the food, approximately two-thirds of the nutrients are routed directly to the last part of the small intestine by passing through the newly constructed route, and the release of good hormones that reduce sugar here are increased.
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Who is Suitable for Diabetes Surgery?
- Diabetes surgery is only applied to Type 2 diabetes patients.
- The success rate of diabetes surgery is over 90% in suitable patients.
- In order to determine the suitability of the patient, some tests need to be done. The most important of these tests is the C-Peptide level.
- C-Peptide level gives us the rate of insulin secreted by the patient.
- Acceptance of the patient as suitable for diabetes surgery depends on this value being 1.5 and above.
If the patient has been using insulin for 10 years or more, that is, the amount of insulin secreted by him/her is lower than the expected value, it should be known that this reduces the chance of success of the surgery. Therefore, our advice to our patients is to apply to us without delay after the diagnosis of incurable diabetes mellitus, and to choose to have this surgery in the early period. Because the sooner the patient applies to us, the more chance of benefiting from surgical treatment will increase.
In summary, Diabetes Surgery
- Diabetes can be treated with surgery.
- It is suitable for the patients having C-Peptide level above 1.5.
- It increases the success rate of applying to the doctor in the early period with the detection of diabetes for surgical treatment.
- The success rate is around 90% in the appropriate patient.
- The most preferred diabetes surgery is the Transit Bipartition operation.
- The surgery takes approximately 1.5 hours.
- It requires at least 2 days of hospitalization
- The majority of patients continue their lives without the need for additional diabetes treatment after surgery.
- The patients are called to a doctor’s control at regular intervals (1st month, 3rd month, 6th month and 12th month) after the surgery.
- It is expected that the sugar level will decrease within 6 months after the surgery.
- After the surgery, the patients can continue their lives for an average of 10-15 years (although it varies from patient to patient) without receiving any other diabetes treatment.
Which is the Most Commonly Performed Diabetes Surgery?
The most frequently applied and preferred surgical treatment for diabetes is the Transit Bipartition method. The aim of Transit Bipartition surgery is to provide the patient with adequate nutrition and to produce a solution to diabetes without losing too much weight.
How Often Should a Doctor Check Out after Diabetes Surgery?
In diabetes surgeries, the follow-up procedure of the patients is the same as in the obesity surgeries, and the patient is asked to come to the physician’s control at regular intervals in the first, third, sixth and twelfth months. In these controls, the patient’s blood values and insulin levels are examined and it is examined whether the surgery provides the expected benefit or not, whether it causes any health problems.
When Does Sugar Level Start to Decline after Diabetes Surgery?
The most frequently asked question by patients who have diabetes and decide to have this surgery is when my sugar starts to drop after the diabetes surgery. The reasonable time expected here is the elimination of diabetes within about 6 months after the surgery, but it should be taken into account that this time can differ according to each patient, as it can take a month for some patients to see the result of the surgery, while others can take three months and four months.
How Long Does Diabetes Surgery Resolve Diabetes?
Another important issue that patients wonder about is how long this surgery can be a solution to diabetes for them. Since the insulin reserve of our body will decrease over the years, diabetic patients who have this surgery can continue their lives without the need for any other treatment for an average of ten to fifteen years.
Frequently Asked Questions
You can find answers to your questions below …
Before the surgery, you cannot say with 100% certainty whether a patient will have a prolapse problem after losing weight. However, there is a high probability of prolapse after surgery in people who have too much excess weight to lose according to their ideal weight.
After the surgery, especially starting from the 3rd month, there is a hair loss problem that lasts for 2-3 months on average. This is especially true in patients with iron, biotin, zinc and selenium deficiencies. Therefore, it is important to use vitamins especially in the first 3 months after the surgery. Vitamins found to be deficient in controls should be supplemented. Hair loss is not permanent. Weakened hair strands break and there is no problem in the hair root.
If the patient does not have weight-related resistant diabetes, if there is no gastric hernia and severe reflux in the endoscopy, gastric sleeve is recommended. Bypass should be preferred more in patients with obesity disease due to excessive sugar consumption. For those who have a gastric sleeve and gain weight again, bypass is preferred as revision.
In order to check whether there is a leak or not, a blue dyed liquid is given during the surgery and a control film is taken one day after the surgery, if no leakage is detected in this test and film, and then there will be no leakage.
Not making the stomach smaller than necessary during the surgery reduces the risk of leakage, and additionally stitching the stomach part that is cut during the operation reduces the risk of leakage.
After you are discharged from the hospital, it takes an average of 1 week for you to get used to the new procedure after the surgery, for your stitches to go away and for your body to be completely discharged from anesthesia. Therefore, all our patients can return to work 1 week after the surgery, unless there is an unusual situation.
The probability of using vitamins for life after both gastric sleeve and bypass surgery is very, very low. If there is no vitamin deficiency after the 3rd month in the controls, the vitamin support given as a supplement is discontinued.
You can start walking about 1 week after the surgery. After 1 month you can swim and ride a bike. You can start heavy sports after 2-3 months.
You will lose weight quickly in the first 3-4 months of the surgery, but your weight loss can pause in between. This period lasts about 2-3 weeks, and in some patients up to 6 weeks. You should not worry and panic during this period, as this is a situation we have been waiting for. If you do not disrupt your diet after surgery, you will continue to lose weight.
You will have pain for the first 3 hours after the surgery. This pain will be minimized with strong painkillers. You can have nausea and vomiting on the day of surgery. You can bleed from your mouth during vomiting. This is what we expect. On the 2nd day, you will only feel occasional pain at the surgery site. Nausea and vomiting can rarely occur. On the 3rd day, you will return home very comfortably. In some patients, nausea can subside and continue up to the 1st week.
Drinking coffee after surgery does not harm the stitches in your stomach; drinking coffee can increase gastric reflux and increase fluid loss from the body, so we do not recommend coffee consumption for 2 months after surgery.
We do not recommend that our patients become pregnant for the first 12 months after surgery, for their own and their children’s health. We recommend the surgery to people who plan to have surgery after pregnancy, when they finish the breastfeeding period, otherwise we do not perform obesity surgeries during breastfeeding.
You should come to the hospital at least 1 day before the surgery and have your endoscopy and other analyzes done. After the anesthesiologist and other units deemed necessary evaluate you, the operation is performed when approval is given. On the 2nd day of the operation, a control film is taken and liquid foods are started to the patient. On the 3rd day, the hospital is discharged. So you stay in the hospital for 2 nights.