What Are The Metabolic Surgeries? Are They Recommended?
Do You Know What are metabolic disorders?
Any one suffering from metabolic disorder?
Are you looking for Metabolic surgeries?
Then go through this blog which will help you with metabolic treatment.
How Metabolism Work?
Metabolism is a chemical process that your body uses to turn your food into fuel that keeps you alive.
Food consists of protein, carbohydrates and fats. These substances are broken down by enzymes in your digestive system and then transferred to cells where they can be used as fuel. Your body uses these substances immediately or stores them for later use in the liver, body fat and muscle tissue.
What is a Metabolic Disorder?
Metabolic disorders occur when metabolism fails, and the body swallows too much or too little of the substances needed for health. Our body is susceptible to metabolic disorders. The body needs amino acids and many types of proteins to fulfil all its functions. Brain needs calcium, potassium, and sodium to generate electric impulses. Fats are needed to maintain a healthy nervous system.
Metabolic disorders can occur in various forms. It includes:
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- Missing enzymes or vitamins needed for critical chemical reactions
- Abnormal chemical reactions that disrupt metabolic processes
- Diseases of the liver, pancreas, endocrine glands or other organs involved in metabolism
- Malnutrition
The group of metabolic disorders that occur together are called as Metabolic syndrome and increase the risk of heart disease, stroke and type 2 diabetes, including high blood pressure, blood sugar, excessive body fat in the waist, and abnormal cholesterol or triglyceride levels.
Having one of these diseases does not mean you have metabolic syndrome. However, that means you have a higher risk of getting serious illness. And if you develop more of these diseases, the risk of complications such as type 2 diabetes and heart disease increases.
How To Manage Metabolic Disorder?
Obesity is one of the commonly seen metabolic disorders caused due to low metabolic rate.
People with unhealthy obesity or a BMI ≥ 30 have a 50-100% higher risk of early death compared to those who have a healthy weight. Studies show that surgery reduces the risk of premature death by 30-40%. But how?
Metabolic surgery has been proven to be the most effective and sustainable treatment for obesity. The operation causes significant weight loss and helps prevent or cure more than 40 diseases or conditions related to obesity. Diseases related to obesity include type 2 diabetes, heart disease, obstructive sleep apnea, and some cancers which are metabolic syndromes.
Surgery is proven to be the most effective treatment for Diabetes Mellitus in adults. This excellent article, provided by Dr Venu Gopal Pareek, gives you the information about the surgery that can cure or correct several metabolic diseases. Possible, especially at the onset of type 2 diabetes in adults.
Before the Surgery let us learn Types of metabolic Disorders!
Types of Metabolic Disorder
If you have been diagnosed with metabolic syndrome, it means you must have at least three metabolic risk factors.
- A person has a higher risk of heart disease, who has excess fat in the stomach area than fat in other parts of the body, such as on the hips. Excess fat means who has a large waistline that indicates abdominal obesity or having an apple-shaped stomach.
- HDL cholesterol, also known as “good” cholesterol. HDL helps to remove cholesterol from arteries. So if an HDL cholesterol is a low level, it raises the risk for heart disease.
- Hypertension. Blood pressure is the force that drives blood to the walls of your arteries when your heart pumps blood. If this pressure rises and stays high over time, it can damage your heart and cause plaque formation.
- High Fasting blood sugar. Mild blood sugar can be an early sign of diabetes.
- Thyroid
- Obesity
Lets learn about Most Complicated Type of Metabolic disorder Is:
Diabetes is the most common metabolic disease. Type 2 diabetes mellitus (T2DM) is one of the leading causes of death worldwide as it is associated with kidney failure, blindness, amputations, heart attacks, and other conditions. Medical therapy for this disease is advanced but makes most patients vulnerable to their severe effects. While new drug therapies continue to improve the medical treatment of this disease, the majority never reach the goals set for success.
Treatment of metabolic disorder by a surgical method is called metabolic surgery. You can learn all of these metabolic surgery procedures below and meet the surgeon Dr Venu Gopal Pareek to know what works best for you.
What are Metabolic Surgeries:
Metabolic surgical procedures cause weight loss by limiting the amount of food that can be stored by the stomach, leading to malabsorption of nutrients. Bariatric surgery often causes hormonal changes. Most weight-loss operations are done today with minimally invasive techniques (laparoscopic surgery).
The term metabolic surgery is currently a surgical intervention for the treatment of metabolic diseases, primarily type 2 diabetes. Before learning about metabolic operations, let us learn about metabolic syndrome.
Types of Metabolic Surgeries:
The following are the most common bariatric operations in India to treat metabolic syndromes and their effects on T2DM. See detailed description of general bariatric procedures.
Gastric Bypass:
The Roux-en-Y Gastric Bypass often referred to as gastric bypass is considered the “gold standard” of weight loss surgery.
ROUX-EN-Y Gastric Bypass:
In this surgery, the surgeon alters the digestive tract so that food bypasses most of the stomach and upper portion of the small intestine. Surgery results in significant weight loss and causes remission of T2DM in 80 percent of patients and an improvement of some disease in 15 percent of other patients.
Improvement or remission of diabetes with gastric bypass occurs earlier after surgery and before significant weight loss occurs. The independent mechanism for reducing diabetes after gastric bypass is explained partly by changes in postoperative hormones produced by the intestine. There is an active area of research in metabolic and bariatric surgery.
Advantages of ROUX-EN-Y Gastric Bypass Surgery:
- Make significant long-term weight loss (60 to 80 per cent weight loss)
- It limits the amount of food that a person consumes
- Produces changes in intestinal hormones, which reduce appetite and increase satiety
- Support > 50% weight loss
Sleeve Gastrectomy ((Vertical gastrectomy):
Laparoscopic Sleeve Gastrectomy performed by removing about 80% of the stomach. The rest of the stomach is a tubular pouch that resembles a banana.
Sleeve Gastrectomy is an operation that removes a large part of the stomach, which leads to weight loss. The remaining stomach is narrow and offers a much smaller food reservoir.
Sleeve gastrectomy also has several independent effects on weight loss in glucose metabolism and also causes some changes in intestinal hormones, which contribute to the improvement of diabetes. The rate of diabetes remission after Sleeve gastrectomy is also very high and in some studies similar to the reading of gastric bypass.
Advantages
- It limits the amount of food the stomach absorb
- It induces rapid and significant weight loss similar to that of Roux-en-Y gastric bypass, according to comparative studies.
- Does not require foreign objects and there is no bypass of the food like (RYGB)
- Including a relatively short hospital stay of about two days
- Causes beneficial changes in intestinal hormones that suppress hunger, reduce appetite and increase satiety
Adjustable Gastric Band
Referred to bands include an inflatable band that is placed around the upper stomach and forms a small stomach pouch over the band and the rest of the abdomen under the band. An adjustable gastric band is a weight loss procedure in which diabetes remission occurs in about 45-60 per cent of patients.
However, remission of diabetes is secondary to weight loss caused by the procedure, and there appears to be no other mechanism to improve diabetes in band patients. In other words, patients who have diabetes and unsuccessful in losing weight with the AGB will unlikely to see any improvement in diabetes.
Advantages
- Reduces the amount of food the stomach can absorb
- Cause weight loss of around 40 – 50 per cent
- Excludes gastric incisions or intestinal bypasses
- Shorter hospitalizations are needed, usually less than 24 hours, with several hospitals discharging patients on the same day of surgery
- Reversible and adjusted
- Has the lowest rate of complications and postoperative mortality among approved bariatric procedures
- The most moderate risk of vitamin / mineral deficiency.
Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Gastric Bypass:
It is a two-component method. First, a smaller gastric tube is made, which removes a part of the stomach that is very similar to sleeve gastrectomy and then a large portion of the small intestine is bypassed.
It is a malabsorptive procedure performed far less frequently than gastric bypass, sleeve or an AGB. Because of the complexity of the process and the higher risk of complications. However, research has shown that surgery is most effective in inducing early and prolonged remission or improvement T2DM.
Advantages
- Results are reasonable compared to other weight-loss surgeries like RYGB, LSG or AGB.
- Allow patients to take almost regular food
- Reduce the absorption of fat by 70 per cent or more
- Causes beneficial changes in intestinal hormones to reduce appetite and increase satiety.
- It is most effective against diabetes compared to RYGB, LSG and AGB.
Are Metabolic Surgeries Recommend?
Yes, doctors recommend metabolic surgeries because almost all people who undergo metabolic surgery show an improvement in their diabetes condition. Bariatric surgery has been found to affect type 2 diabetes in more than 135,000 patients in the following ways:
- Surgery helps reduce type 2 diabetes in almost 90 percent of patients with blood sugar
- Helps to decrease the intake of medication needed for diabetes.
- Improve the health problems related to diabetes.
- Remember and recommended that having the surgery under the experience and expertise doctor can give you the best results of the operation.
Conclusion:
Type 2 diabetes is one of the leading causes of death and contributes significantly to the morbidity and mortality of heart disease, stroke and kidney failure. Every year millions of people die from T2DM. Progress in bariatric operations, most of the people have saved, and their health and quality of life have improved.
If you decide to undergo surgery, the Dr Venu Gopal Pareek works with you and his surgical team to prepare for the procedure. The doctor will develop a diabetes care plan specifically for you – both before and after the procedure – to ensure that you achieve successful results and achieve your goals. Book Your Appointment Now!
About the Doctor:
Dr Venugopal Pareek – Bariatric Surgeon
Dr Venugopal Pareek – Bariatric Surgeon Dr Venugopal Pareek is one of the best Laparoscopic and Bariatric Surgeon in the city has done more than 9000 surgeries in 12 years. Dr Pareek has expertise in Bariatric Surgery. He has attended several conferences and published articles on medicine as well in various national and international journals.
