As with all other surgical methods, the method is applied as a last resort in Type 2 Diabetes surgeries. Unlike other surgeries, when appropriate conditions are provided, Type 2 Diabetes surgery is the definitive solution for diabetes. However, it is not possible for every patient to fully comply with both ileal interposition and transit bipartition, as there are many conditions at the point of providing suitable conditions.
Since it is possible to calculate the benefit to be obtained with the operation to a great extent in advance, people with certain conditions are not accepted for the operation. The reason for this is that the benefit to be obtained by the operation is not enough for these people. Conditions that may prevent diabetes surgery include:
In the presence of type 1 diabetes, it is not possible to eliminate the disease by metabolic surgical methods. The only similarity between Type 1 diabetes and Type 2 diabetes is the name. In essence, the two diseases are very different from each other.
There is no insulin production in type 1 diabetes. Or even if any, insulin hormones released into the blood are accepted as foreign substances by the immune system. Type 1 diabetes patients (they account for approximately ten percent of all diabetes patients) can be treated only with insulin supplements.
In order for type 2 diabetes patients to be considered suitable for surgery, insulin reserves must be sufficient. With the surgical method applied, the insulin secretion capacity of the body is increased. Islets in the pancreas must also be able to adapt to this increase.
The evaluation of this harmony is made with the level of islet functions, that is, insulin reserve. People with diabetes for more than ten years may experience problems related to insulin reserve. If there is not enough reserve, the patient is not accepted for surgical intervention. However, approximately eighty percent of patients do not have trouble with insulin reserve.
The aim of Type 2 Diabet surgery is to completely eliminate sugar and eliminate tissue damage. In cases where tissue damage reaches large dimensions, tissue damage cannot be cured even if surgical intervention is performed. If this situation is detected before the operation, surgical intervention is abandoned.
Some diseases and organ dysfunction may cause the surgical intervention to be delayed or canceled completely. Especially loss of function in kidneys and liver is important at this point. Metabolic diseases can also delay the operation for a while.
The weight of the person is very important in Type 2 Diabetes surgeries. Body mass index of the patient is taken to determine the correct methods; According to this index, a choice is made between metabolic surgery and obesity surgery. At the same time, which of the surgical methods will be applied is determined according to the body mass index.
Although these are the problems that can prevent the operation, some other problems may arise due to the special condition of the patient. These problems are examined in every patient as a standard. You should consult a specialist physician to determine whether you have a problem that prevents the operation.
The condition of patients undergoing Type 2 Diabetes surgeries is highly critical. Although the healing capacity is high, there are tissue damage; Many patients also have blood pressure, cholesterol and excess weight in addition to diabetes.
The fact that the surgery interferes with the digestive system also increases the risks. When evaluated in general, it is possible to say that Type 2 Diabetes surgeries are in the risky surgery class.
In order to eliminate these risks and to reduce them to a great extent if they cannot be removed, the period before the operation is kept quite long; Various treatments are applied for the preparation of the patient. Although the risk is very low in patients who are fully eligible for the operation, it is not zero.
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