How is Metabolic Surgery for Diabetes performed? - Dr. Tulip скачать в хорошем качестве

How is Metabolic Surgery for Diabetes performed? - Dr. Tulip

This surgery for diabetics is called as metabolic surgery. This is done through tiny holes over the tummy. So we need not cut open the tummy and what is done is we operate on the stomach and the small intestine. So that is called as bypass. So what is happening in this surgeries so we divide the stomach in a small portion. So this small portion or small pouch is attached to the small intestine, that means we are diverting the food directly from the small gastric pouch into the small inettsine.so majority part of the stomach and the small intestine, the food doesn’t enter. How does this help us? Because we are bypassing the second part of the duodenum, the harmful factor of the duodenum is not released because this is released only when the food touches that part of the stomach of the intestine. What we achieve form this bypass is that the food touches or reaches the lower part of the small intestine, which is called as the ileum very rarely compared to normally and tis causes release of the GLP hormone, in three times more than normal. What happens is this hormone is very good for the pancreas and this stimulates the pancreas and thus the pancreas starts working in a much better way and insulin sensitisation occurs. Normally in Type 2 diabetics we have insulin resistance. So by doing this bariatric surgery, wherein we do the manipulation of the hormones, the pancreas starts working better so the person gets out of insulin resistance. So much so that the very next day of surgery, the person is out of diabetes, this is nearly like 1 day surgery, but we don’t need to take care, we ned to make sure that the person is a Type 2 diabetic and has good pancreatic reserve and is not underweight. We don’t do these surgeries for underweight people. The person should be either overweight or obese.