Saturday , May 8 2021

Bariatric surgery, the possibility of achieving diabetes remission



Mexico City. Bariatric surgery is no longer an aesthetic procedure, as it was from the beginning over 40 years ago, and is now a chance to treat obesity. And in diabetics who have this overweight, the results can mark more years of life.

"In patients with diabetes who have less than five years of disease progression, moderate obesity and barely oral administration, bariatric surgery results in 85% to 90% of the disease," explains doctor Samuel Ordóñez Ortega, a specialist in obesity and metabolic diseases specializing in Mexican surgery clinic.

The bariatric physician clarifies that remission is not the same as treating diabetes. "The reference suggests that, after intervention, the patient is spending a year without medication in regulating blood glucose, of course, a commitment and a multidisciplinary approach, with a special diet and many specific concerns, is needed, but in ten out of ten cases.

The so-called bariatric or metabolic surgery can include two surgical techniques. One of them is a stomach where the stomach has decreased from 500 to 600 milliliters in normal state to 100. The body forms a tubular shape and reduces 80% of the gastric capacity.

Another procedure is gastric bypass, where the stomach is reduced by means of rivets and through the bridge it connects to the small intestine so food avoids the stomach. It is the technology that has the best results in the world over the last 20 years, according to the surgeon Ordóñez Ortega.

"Bariatric surgery achieves blood glucose levels, meaning it keeps sugar stable without the need for drugs and gives the patient a 15 year life of diabetes," says a specialist in medicine and bariatric surgery.

Bariatric surgery is recommended for patients with BMI below 35 with the goal of improving diabetes. The index is the value that is divided into the weight in kilograms, the height squared in meters to give Kg / m2.

When the BMI is between 18 and 25, the normal parameters are spoken, more than 25-30 people are overweight, 30-34.9 grade 1, 35-39.9 degree 2 and over 40 are type 3.

Finally, Dr. Ordóñez Ortega warns that an interested party can access those who do not know thoroughly about surgical techniques. He says that Mexico does not have an official record of metabolic interventions annually, but more than 10,000 cuts are estimated without official approval.

"Only 140 certified bariatric surgeons are 120 million people, and seven out of ten are overweight or obese." There is little information in the media about what bariatric surgery can do to those who live with obesity and diabetes. "But the measure is a tool for the patient and teaches him that he will get the best result ".


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