Metabolic Surgery For Diabetes

Hi!

This is Dr. Tulip. I am a Bariatric and Laparoscopic Surgeon practicing at Dr. Tulip Hospital, 4th block, Koramangala.

Now this surgery for diabetes is called the metabolic surgery. This is done through tiny holes over the tummy so we need not cut open that tummy and what is done if we operate on the stomach and the small intestine. It is called the gastric bypass. So what is happening in the surgery? We divide the stomach into small portions and this small portion, a small pouch, is attached to the small intestine. Which means we are diverting the food directly from the small gastric pouch into the small intestine.

So majority part of the stomach and small intestine , who doesn't enter. How does this help us? Because we are by passing that second part of the deodenum the second part of the deodenum, the harmful factor, the deodenum factor is not released because this is released only when the food touches that part of the stomach of the intestine. Other thing is what we achieved by these bypass is, the food touches, reaches rather, this lower part of the small intestine which is called the idiom which is very early compared to normal and this causes release of the glp 1 hormone normally in three times more than normal.

Now, what happens by this? This hormone is very good for the pancreas it stimulates the pancreas and does define class starts working in a much better way and more insulin sensitization occurs. Normally in type 2 Diabetics we have insulin resistance. So by doing this bariatric surgery when we do the manipulation the hormones, Dipankar starts working better and the person gets out of insulin resistance. So much so that the very next day of surgery, the patient is totally out of diabetes. This is nearly like a wonderful but we do need to take care, we need to make sure the patient of the type 2 diabetic as good pancreatic reserve and is not underweight. We don't do the surgery for underweight people. The person should be either overweight and obese.