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Diabetes Surgery (metabolic surgery) is the Obesity surgery or weight loss surgery that is performed in obese patients who have type II diabetes.
- Patients with Type 2 diabetes who have consistently failed to lose weight beyond a point using conventional weight loss methods (dietary restriction, increased exercise and physical activity, and medication)
- Patients with BMI (body mass index = Weight/ height2) over 32.5kg/m2 with Type 2 diabetes
In the recent years, studies have shown that obesity surgery can improve or even cure diabetes. It was seen that obese patients with type 2 diabetes who underwent surgery for weight loss had a marked improvement in diabetes after surgery. Studies have now shown that substantial and long-term weight loss after Diabetes surgery causes resolution of diabetes and increases the lifespan. Diabetes can be resolved completely or can become less dramatic. Around one-third of the patients who undergo surgery have resolution of Diabetes Mellitus immediately after the surgery. They may not need medicine for diabetes. In another one-third of the patients the diabetes usually resolves within three months. They may not require anti diabetic medicines after a few months. Last one-third of diabetics after surgery may continue to be diabetic but their blood sugar levels and dosage of anti diabetic medicines falls drastically. The lifespan of these patients is also increased. The chances of resolution of diabetes are high in patients who have had diabetes for less than 10 years.
Diabetes surgery (metabolic surgery) is being performed in India for nearly a decade. The surgery involves re-alignment of the stomach and intestines in such a manner that the size of the stomach reduces, thereby causing less hunger and earlier satiety. The Roux-en-Y Gastric bypass/ Mini Gastric bypass and Sleeve gastrectomy are two popular bariatric procedure categories. These procedures are being performed laparoscopically (key-hole surgery) and the patients can have the benefits of faster recovery, small scar, less pain and early return to routine activities.
Most sleeve gastrectomies performed today are done through Laparoscope. This involves making five or six small incisions in the abdomen and performing the procedure using a video camera (laparoscope) and long instruments that are placed through these small incisions.
Sleeve gastrectomy is a restrictive form of operation in which approximately 2/3rd of the left side of the stomach is removed laparoscopically using endoscopic staplers. The stomach thus takes the shape of a hockey stick or sleeve. No intestines are removed or bypassed during the sleeve gastrectomy
It greatly reduces the size of the stomach and limits the amount of food that can be eaten at one time. After this surgery, patients feel full after eating very small amounts of food. Sleeve gastrectomy may also cause a decrease in appetite. In addition to reducing the size of the stomach, the procedure reduces the amount of the “hunger hormone,” ghrelin, produced by the stomach.
We have achieved recognition because we consistently deliver high-quality bariatric care, comprehensive services, and positive patient outcomes.
Our weight loss surgeons hold leadership positions in professional organizations. They deliver lectures, help develop treatment guidelines and teach the latest bariatric surgery techniques.
If you have regained weight following weight loss surgery, we can help you correct behaviors that may have gone off course. We evaluate your anatomy, behavior, and medical conditions to determine a treatment strategy. If appropriate, we offer a list of revision options, depending on which original procedure you had.
While these procedures are not covered by insurance and have not been available for as long as the standard weight-loss surgeries, they are showing promise. Our bariatric surgeons and our gastroenterologist are trained to perform endoscopic weight loss procedures, such as the gastric balloon, and can evaluate your individual medical condition to determine if you may benefit from one of these less invasive approaches.
Dr Rajat Goel
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Dr. Vijender Verma
9 A.M to 4 P.M
Prof. (Dr.) Mahesh Chandra Misra
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When the patient recovers from the affect of anesthesia, the patient is made to get up and move within the room. And then, patient is asked to take several walks and next day thereafter.
The patient can be discharged on the second day after the surgery depending upon the status of the patient. Some patients go after 3 days and some with other medical ailments may need few more days. The normal routine work can resumed after 7 days of surgery.
The scars are minimal and almost invisible in patients with good healing capacity of the body. Nowadays, we use absorbable sutures which do not even require suture removal.
Yes, pregnancy is possible even after the surgery but it is advisable to wait for at least one year for it. As by then, the body will not be in a state to provide proper nutrition to the body to carry a healthy fetus. Still it’s better to consult with your surgeon as the gynecologist before taking any decision.
It is a highly developed technique for doing all types of surgical procedures. It is also known as Laparoscopic Surgery, Keyhole Surgery or Band-Aid surgery. A thin telescope known as laparoscope and working instruments are inserted through small incisions (3-12mm) in the abdominal wall and the laparoscope is attached to a tiny video camera which shows the inside view of patient’s body to a high resolution in the monitors. These incisions are usually covered with surgical glue/ closed with absorbable sutures and after a few weeks are barely visible thus avoiding any follow-up visit for suture removal.
There are several advantages like
- Rapid recovery,
- Hospital stay are shorter
- Negligible pain
- Minimal scarring,
- Back to daily routine within few days
Minimal Access surgery or the laparoscopic surgery reduces the hospital stay by half. In some MAS the patient can be discharged on the same day.