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How does Bariatric surgery help in the cure of Diabetes?

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How does Bariatric surgery help in the cure of Diabetes?

While the Gastric bypass surgery has become a popular option for obese people to shed the fats quickly, it has also become a surgery highly beneficial for diabetics. Diabetes is now a very common disease in the urban population of India and obesity is a potent risk factor for the development and progression of type 2 diabetes. This is why the incidence of diabetes in obese people is five times higher than the normal weight people. Obesity, a potent risk factor for type 2 diabetes, contributes to its development by inducing insulin resistance and inflammation, which in turn impair glucose regulation. One should consult a top Gastroenterologist or Gastro Doctor to understand if Gastric bypass surgery can help their case of Diabetes.


Understanding Diabetes

Diabetes is a disorder of carbohydrate metabolism. When Diabetes is associated with Obesity, then it is also called as “Diabesity.” Diabetes is broadly classified into type 1 Diabetes mellitus and type 2 DM. In type 1 Diabetes mellitus, the problem is inadequate insulin secretion from Pancreas meaning absolute deficiency of insulin hormone. Patients of type 1 DM require lifelong insulin injections.

Type 2 DM is different from type 1 as in it there is resistance against insulin in the body which results in inability of insulin to perform its work i.e. Insulin is not able to push glucose into the cells which leads to increased concentration of glucose in blood and at the same time cells starving for glucose. Type 2 DM is usually treated with medicines called OHAs (oral hypoglycemic agents).


What is Bariatric surgery?

The obesity surgery (Bariatric surgery) is the most effective long-term treatment known today for severely obese patients. Several gastrointestinal configurations have been invented to provide sustained weight loss and long-term improvement in obese patients. It leads to improvements in quality of life and obesity related diseases such as diabetes, hypertension, sleep apnea (when breathing stops for short periods during sleep) and many others.

Bariatric operations currently performed include stomach restriction (adjustable gastric banding, sleeve gastrectomy, combined restrictive, and malabsorptive procedures (Roux-en-Y gastric bypass, biliopancreatic diversion with duodenal switch). The most common bariatric surgery is gastric bypass (also called Roux-en-Y gastric bypass, RYGB).

Bariatric surgery has been used only for treating obesity since years now but it is now being explored as a cure for type 2 diabetes as well. Top Gastroenterologist may explore such surgery in not only in obese patients but also in normal weight or moderately overweight people.


How can Bariatric surgery cure Diabetes?

Bariatric surgery involves variety of operations in which we make changes in your stomach and small intestine surgery. The operation specifically suitable for Diabetics is Gastric Bypass operation in which we create a small gastric (stomach) pouch out of the native stomach and connect it with small intestine (jejunum). This new arrangement in body result in exclusion of Duodenum and proximal jejunum from food pathway (food doesn’t go in initial part of small intestine).

This leads to secretion of incretin hormones and decreased secretion of anti-incretin hormones. Incretins are good hormones which work like insulin and help in control of blood sugar. So, this sugar control after Bariatric surgery is weight loss independent and thus, most of the patients start living off diabetes medicines just after bariatric surgery. Even though the patient might achieve normal weight after 1 year of surgery, their problem of Diabetes is solved immediately after the surgery.

One more mechanism also described for resolution of Diabetes is that after bariatric surgery (gastric bypass) food enters early into last part of small intestine (terminal ileum)  which results in incretion hormones secretion and sugar control.


Talking about the Risk factor

The benefits of Bariatric operations clearly overcome any potential problem. The risks of bariatric procedures have decreased with increasing expertise and technical advancement. In hospitals like Gujarat Hospital – Gastro & Vascular Centre, the success rate is incredible and there are very less to no chances of morbidity or mortality.

As per the statistics, a diabetic patient undergoing medical treatment has a higher risk of dying as compared to the one undergoing bariatric surgery. In other words, the risk of death from diabetic complications is greater than the risk of death from surgery. Hence, considering the risk-to-benefits ratio, bariatric surgery is extremely effective when compared to medical treatment.


Summing up

Bariatric surgery is the only effective treatment for severe obesity that not only provides long-term and sustained weight loss but resolution of nearly all obesity associated co-morbidities, improving overall survival, and decreasing cancer rates.

In simple words, the Bariatric surgery is the best method of weight loss in “Obese people with Diabetes” as their Type 2 Diabetes get cured immediately after this surgery along with attainment of normal weight and many other health benefits of Bariatric surgery


Why choose Gujarat Hospital for your surgery?

Gujarat Gastro and Vascular Hospital is a center of super specialty of Gastroenterology and Vascular Care in Surat/South Gujarat. Quality care and no compromise attitude are the motto of this centre with an expert team in the field of Medical and Surgical Gastroenterology and Vascular Surgery dedicated at your service. Gujarat Hospital has a team of expert in bariatric and metabolic surgeries. Here are a few reasons why you should choose Gujarat Hospital –

- Modern operation theatre with skilled and experienced surgeons who have performed several bariatric surgical procedures.
- ICU with fulltime intensivist.
- High success rates, and low complications rates
- Ability to handle complex cases (for example existing liver, vascular, gastro, stomach or intestinal problems)

The Bariatric & Gastro Surgeon at Gujarat Hospital - Dr. Ram Raksha Pal Rajput is a very well trained and experienced Surgeon. He performs all kinds of bariatric surgeries and has an excellent track record of successful surgeries. Dr. Ram’s persistence for quality in medical care and incredibly positive attitude towards critical issues is highly revelled in the medical fraternity. Under his care and guidance, you are in the safest hands possible. 

With 500 + successful bariatric operations, 10 + daily patients, and 10 + years of experience; Dr. Ram Raksha Pal Rajput is one of the best Bariatric Surgeons in India. Dr. Ram is particularly popular amongst his patients for his wonderful after surgery support. 

One of his patients, Salehben Shaikh weighed 152 kg and had lost all hopes of living a normal and comfortable life. She had high BP, Diabetes, leg pain, back pain, and couldn’t even walk without getting breathless. Dr. Ram promised her a normal life post surgery and as promised, she lost 56 kg of weight after 7 months of the bariatric operation performed by Dr. Ram Raksha Pal Rajput. She is currently enjoying a normal and comfortable life without any health problems. 

There are endless such stories of success and happiness spearheaded by Dr. Ram and his team. People who had lost all hopes and were simply waiting to die have started a new and productive life after a bariatric surgery performed by him. You can book an appointment at Gujarat Hospital to consult with Dr. Ram regarding your obesity related issues. 

The staff members of our "24x7 Hours Operational Hospital" also make you feel safe as a patient and ensure that every comfort is taken care of.

Address: Opposite Shree Ram Petrol Pump, Anand Mahal Road, Adajan, Surat - 395009

Email: gujarathospitalsurat@gmail.com

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