Type 2 diabetes surgery

I haven't made any comments for a long time.When I entered years ago they had operated to solve my diabetes there was some controversy.Currently, things have changed a lot.Last year the Spanish Society of Endocrinology and Nutrition (SEEN), the Spanish Society of Diabetes (SED), the Spanish Society for the Study of Obesity (SEEO) and the Spanish Society of Obesity Surgery and Metabolic Diseases (Sec) signed a document to support and control type 2 diabetes surgery in overweight patients.Little by little, doctors will acquire knowledge to recommend this surgery.On May 15, my surgeon will give a conference at the College of Physicians of Zaragoza, together with the president of the Aragonese Association of Endocrinology and Nutrition and a Professor of Surgery at the University of Zaragoza, to inform all all theAragonese doctors this possibility.This is seriously and fucking more and more strength worldwide.

Hello @chonidiabetes,

Can you explain what this surgery consisted of?

That is clear that it is surgery for people with type 2 diabetes and overweight more than 15 kg.Surgery is similar to that of obesity, in reality the same operations are used but adjusted to people to lose less, what they need.The operations that work best are the Poruqe bypass in addition to losing weight, less sugar and fat is absorbed.The less the intervention is absorbed better.The most effective are modified biliopancreatic bypass like the one I carry and the gastroileal bypass.The techniques have adapted to people with less overweight.

In the absence of data, I've been looking for a bit, and I found this.I have contacted the Montpellier clinic to ask for a little more information, what follow -ups and with what results ... I think it would be very good news if it were true.
I leave the article taken from this website: Link

Bypass solves type 2 diabetes
Bypass as a solution to type 2 diabetes.

Type 2 diabetes can be treated by operation

The bypass "cures" type 2 diabetes.

Avoid complications associated with type 2 diabetes is a vital task for a significant percentage of the population suffering from this disease.The efforts to reduce the effects of hyperglycemia on arteries and nerves are entirely necessary in order to increase patient survival.The Association of Type 2 Diabetes with vascular disorders, especially on heart arteries, considerably reduces the quality and life expectancy of diabetic people.The therapeutic strategies directed in this regard are all welcome.
Obesity surgery, especially gastric bypass, gastroileal bypass or byliopancreatic, have demonstrated for many years their effectiveness to cure type 2 diabetes, and thus has been admitted by the world scientific community.The treatment of diabetes in a morbid obese patient is surgery.There is no doubt of the efficacy of the Bypass about diabetes in patients with BMI or body mass index above 35. The National Institute of North American Health (National Institute of Health) recommends surgery in diabetics with indication of body mass or body massBMI above 30. For reasons of efficiency, obesity or bariatric surgery has been raised, at present, as treatment of the patient with diabetes Méllitus type 2 moderate overweight and even normal weight.The recommendations in this regard have been happening throughout these years in numerous forums of endocrinologists and surgeons of obesity.The International Diabetes Federation in May 2008 admitted metabolic surgery as a therapeutic reality of type 2 diabetes and introduced such surgery into a branch of the type 2 diabetes treatment algorithm.
It was already known, through numerous investigations, that the Bypass achieved a total resolution or a very important improvement in type 2 diabetes. For some time, some studies assume that weight loss is not enough to produce such an important improvement, especially when the results are immediate to surgery, when the patient has not yet lost barely.Dr. Karen Foster-Schubert of the University of Washington in Seatle remembers that recent research in mice and humans, in different parts of the world, suggests that surgery causes extremely beneficial metabolic and hormonal changes regarding diabetes.Ghrelina, hormone that stimulates appetite, decreases and intestine péctido YY and the glucagon-Like 1 (LPG-1) péctido increase after the intervention.Dr. Foster-Schubert refers us to the results presented at the International Conference on Gastrointestinal Surgery to ThirtFact that food does not pass through the duodenum produces a dramatic decrease in blood glucose, reduces hyperinsulinemia, improves the response to insulin, and the results of the A1C hemoglobin levels in just one month after surgery.
A recent meta-analysis, a joint analysis of multiple investigations with similar reliability characteristics, performed on 22,094 patients treated with gastric bypass shows that 84%of diabetics experience a complete reversal of type 2 diabetes. Most leave oral medication or insulin before leaving the hospital.Dr. Scopinaro, in the World Congress of Obesity Surgery held in September 2007 in Porto, said that Biliopancreatic Bypass is the most effective technique in the treatment of diabetes of the obese patient, even with little overweight.In this sense, Dr. Resa has presented results from the Biliopancreatic Loparoscopic Bypass without gastrectomy in morbid obese patients with less than 10 years of evolution of its diabetes, with improvement of 100% of the cases in the first month after surgery andabandonment of medication before three months.In April 2012, Dr. Resa forced in the IFSO -SECO Congress (International Federation for the Surgery of Obesity and Metabolic Disorders, European Chapter (IFSO -EC and Spanish Society of Morbid Obesity Surgery and DiseasesMetabolic) to present which is the ideal technique for the treatment of type 2 diabetes. This time it defended the effects of biliopancreatic bypass without modified gastrectomy by longer intestinal measures, so that patients solve blood glucose without too much weight loss and presentedGastrolielal bypass as a technique specially designed for the treatment of diabetics due to their speed, simplicity, security, results, better vitamin absorption and higher quality of lifeThe same time was required at the XIII World Congress of Endoscopic Surgery in Puerto Vallarta to discuss the way of doing obesity surgery.On this occasion, when the displacement from Barcelona to Puerto Vallarta was impossible in a few hours, a partner presented the opinions of Dr. Resa.In September 2012, at the XVII World Congress of the International Federation for the Surgery of Obesity and Metabolic Disorders within the plenary session entitled Diabesity Epidemic, Dr. Resa presented the Gastroileal Bypass as a preferred technique for the treatment of diabetes in patients with index with indexof body mass between 30 and 35, showing technical aspects so far unknown and the results with a healing rate of more than 94%, an improvement of 5.8%, where only one patient continued their treatment with insulin but at lower doses.
The use of bariatric surgery to treat type 2 diabetes in patients with BMI greater than 35 is clear, above 30 is advisable.Given the effectiveness of the Bypass, making this minimally aggressive, it has already been admitted by some surgeons and endocrinologists and by the scientific community in general, which is gradually promoting this practice.

Other techniques of obesity surgery against type 2 diabetes.

Any antiobesity technique entails benefit in diabetes associated with the thinning that the technique can produce.All restrictive techniques, which improve dietary habits and decrease weight and blood glucose can serve as diabetes treatment.Among these, the gastric manga or vertical gastrectomy must be highlighted, a technique that Dr. Reas practices by a unique hole or port.This intervention provides results due to the food restriction that produces and possibly derived from still well -known hormonal effects.

At present, we are trained to perform any technique by laparoscopy.We have all done them on occasion and we have a very important experience in derivative techniques especially with the Biliopancreatic bypass without removing the stomach and the gastroileal bypass, of which we are pioneers in the world.Being able to perform the most difficult techniques accredits us to perform anyAnother simpler.Therefore, we can offer our patients the most appropriate intervention in each case, although our tendency is to practice bypass techniques for considering them more effective, since with them greater resolution of diabetes is achieved.