Metabolic Surgery



Diabetes has always been considered a chronic and irreversible disease.
Metabolic surgery is intended to improve diabetes in severely obese patients. As a result, patients will have normal blood glucose levels without the use of insulin therapy or oral hypoglycemic agents.

 

Often referred to as bariatric surgery, these operations are performed to produce weight loss, but metabolic surgery does far more than produce weight loss. Metabolic and bariatric surgery currently provide one of the most effective therapies for diabetes, high blood pressure, sleep apnea, arthritis, asthma, acid reflux, infertility and high cholesterol. Such operations can often restore the health of the morbidly obese individual by the correction of abnormal metabolism.

In recent years, it has become evident that the gastrointestinal tract and the small bowel in particular, play a critical role in the regulation of blood sugar levels, fat metabolism, and in the control of appetite and body weight. Therefore, changes in gastrointestinal anatomy imposed by operations commonly used to treat morbid obesity (i.e. gastric bypass and biliopancreatic diversion) as well as by novel, emerging surgical techniques can influence diabetes and other metabolic disorders through direct mechanisms and not only by inducing weight loss.

In patients with severe obesity, metabolic surgery dramatically improves diabetes, often resulting in normalization of blood glucose levels and discontinuation of insulin therapy or oral hypoglycemic agents. Such remission of diabetes is unprecedented in the history of a disease that has always been considered chronic and irreversible.

An international consensus conference, the Diabetes Surgery Summit, was held in Rome, Italy on March 2007. In this historical scientific event, a multidisciplinary team of world experts in endocrinology and gastrointestinal physiology recognized that metabolic surgery could represent a valid alternative option for selected patients with diabetes.

Now at Surgical Bariatric solutions we offer Metabolic surgery to treat diabetes in patients with severe obesity.

In addition to its effects on diabetes, metabolic surgery represents also new perspective in the treatment of severe obesity, with or without diabetes. Indeed, by tailoring the choice of gastrointestinal surgical procedures to the metabolic characteristics of individual patients, surgery can results in much more than just body weight loss, and improve life expectancy and quality of life of severely obese patients.

The section of Gastrointestinal Metabolic Surgery provides patients with a thorough, individualized plan to treat diabetes, obesity and other metabolic conditions by the use of minimally invasive techniques, such as laparoscopic gastric bypass, adjustable gastric banding, biliopancreatic diversion, sleeve gastrectomy as well as novel cutting edge procedures. Through small abdominal incisions, these approaches reduce postoperative pain, allow a quick recovery and return to normal daily activity, and improve appearance of abdominal scars.

 

Surgical Bariatric Procedures