Obesity is a serious problem at the health level.But not only.Obesity surgery reduces, according to WHO, life expectancy almost 15 years.That is why it is as related to derived diseases as diabetes, apnea, joint problems, cholesterol ...

We interviewed Dr. José Luis de la Cruz for sports and life in his consultation in Léon, one of the greatest specialists in carrying out the gastric by and investigating his benefit in relation to diabetes, a situation that has changed much of the treatment for treatment forThis disease after different investigations.

Who performs these Gastric By Pass operations?

The trend now is that men are operated before, there are perhaps more awareness especially for associated diseases, especially diabetes.An important obese person has hypertension, cholesterol, sleep apnea, diabetes ... When it was operated before it was called comorbidity, due to associated diseases.

Has the Gastric By Pass changed the relationship with diabetes?

At the end of the 90s a surgeon published an article that put value, and we had not realized that the best treatment for type II diabetes is surgery.We knew that diabetes was controlled through this operation, surgery could be an alternative, but today it is key.

So, don't you have to be a morbid obese to operate and treat diabetes?

Some diabetic can be operated without being morbid with the same.The criteria of the year 91 have changed, and especially surgery has nothing to do.Today it must never be opened, we carry out operations for laparoscopy since 99 for obesity.Everything changed, the risk, recovery ...

In fact, in 2007, a surgeon organized in Rome the ‘I Congress of Surgery and Diabetes’, and from there a new concept was born that has changed what there was, now it is surgery of obesity and metabolic.One thing we had in front of us and we hadn't noticed.

In 2015, at the end, the ‘II World Congress of Surgery and Diabates’ was held in London, and the conclusion was that surgery has to be on the front line in certain patients, not being the last step.It should be the first.Notice if everything changed, that most of those present were not medical specialists, were endocrine, of 45 medical societies present there.With these new associated operations and applications, diseases derived from diabetes disappear, including the amputation of lower limbs.

In addition, after many operated patients, it is demonstrated that it is not only that glucose is better controlled, but that there is less mortality and less complications, infarctions, cerebral infarctions ... Conclusions after 6 years of follow -up to the patient.

Everyone who goes to consultation to operate does so?

No, we do not operate or 4 % of the candidates for surgery.There is still fear, ignorance, and there is a certain rivalry to keep the patient as such.

In addition to the benefits of Gastric By Pass operations, these operations have allowed us to increase the knowledge of diabetes and develop new medications lines.

Obesity surgeries
The gastric ball

"It is not surgery, it is empty, it is filled and gives the sensation of full stomach. It has a limited time, it is silicone, it is corroding, and in the end it goes through the intestine. Some people may die. It is a temporary solutionbut not for a morbid obese. "

The Apollo and the Pose Method

"They have a very good marketing, it is as if the stomach was sewn, the disadvantage is that there is only one job published in Spain. What happens after 6 months? More than 60 % of patients have gone allpoints, they are released, it is not a good method "

The By Passgastric

"The one chosen by 98 % of bariatric surgeons, surgery is the only real and long -term solution, endorsed by WHO. What it does is leave a small stomach, the person has a feeling of fullness. The patient can eat everything, but much smaller because it fills before. "

The gastric band

It is the famous operation that Francisco Rivera has been done."It's like shower rings, it swells and undo, you are choosing it. It is put in the mouth of the stomach and you decide whether you open or not. The mechanism is on your hip. If you close, it only passes liquids, purés ...The big problem they have is to eat, because they are still hungry.