• Surgery for Diabetes

Obesity Surgery

Surgery for Diabetes

  • Obesity and Diabetes are considered nowadays as a worldwide twin epidemic. The term “Diabesity” explains the important correlation between Obesity and Type II Diabetes, making everyday life difficult for a wide range of overweighed patients.
  • Several serious chronic “Diabesity” related diseases will cause multiple metabolic dysfunctions, complicating and increasing the risk of early and sudden death. (Cardiac disease, Hypertension, kidney problems, dyslipidemia…).
  • Uncontrolled Diabetes Type II despite a supervised medical treatment and modification of lifestyle, is an excellent indication for Bariatric surgery that should be called at this moment a Metabolic surgery. It is accepted for patients with BMI ≤ 35 kg/m² and type II diabetes.
  • Recent studies advocate surgery even for patients with a BMI between 30 and 35 kg/m², who have insulin resistance and medically uncontrolled diabetes, in the presence of major cardiac and vascular risk factors.
  • This latter indication should be taken with a good multidisciplinary approach after interviewing the patient and his family.

A considerable percentage of diabetes is cured or improved after surgery:

  • In restrictive procedures this improvement is directly related to the weight loss after surgery.
  • In malabsorptive procedures, the diabetes will be controlled even before the patient starts to lose weight as soon as the 6th post-operative day.