Metabolic Surgery
(TYP2 DIABETES)

Metabolic Surgery

We treated type 2 diabetes patients with a surgical method. The classic treatment paradigm for type 2 diabetes is education, nutrition, exercise and the use of medication. Despite all these treatments, the disease can progressively go on. In such cases, metabolic surgery should be considered as an effective treatment alternative.

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Of course, Type 1 and Type 2 diabetes are completely different diseases. In type 1 diabetes, no insulin production occurs. On the other hand, the body produces Type 2 insulin, but can not use this insulin. We can only treat type 2 diabetes patients. We allow the body to use the already produced insulin.

Both types of diabetes cause organ damage by damaging the blood vessel walls. In overweight patients, especially the middle and large blood vessels are affected, which leads to problems such as heart attack and paralysis. Patients with lower weight may experience eye, kidney and foot problems due to its effect on small and medium blood vessels. Other components of the metabolic syndrome include high blood pressure, obesity, high cholesterol and other blood lipids. But there are always exceptions.

Your hospital stay will be performed 1-2 days before your surgery and your blood sugar and hypertension will be brought under control. One day before surgery, you must start a liquid diet (water, fruit juices, soup, tea, ayran, steamed fruit and the like) and stop eating and drinking after 10pm. (This ensures that your bowel stays clean so no enema is needed, the surgery is clean, and the risk of infection decreases.)

During the operation, an oxygen measuring pen is attached to your finger to control the oxygen saturation in your blood. A blood pressure monitor automatically measures your blood pressure to control the tension. Venous access is established to ensure the flow of anesthetics and other medications. While under anesthesia, catheters provide adequate and safe fluid flow. In extremely overweight patients or with additional problems, a vein is opened in the hand or wrist in the vein to measure the blood pressure and the amount of oxygen (this is removed one day after surgery). You will then wear tight leg stockings that will ensure adequate blood flow in your legs until you start walking. In addition, your legs are massaged with pressure devices to prevent blood build-up in your legs during surgery.

  • You must stay in intensive care on the first day after surgery to be closely monitored. The effect of anesthesia continues while you are being transferred to the intensive care unit.
  • You have a blood pressure monitor on your arm to measure your blood pressure every 15 or 30 minutes. A measuring clip is on your finger to control the amount of oxygen after the operation.
  • You can only drink water on the first day after surgery. Other fluids and proteins will be given to you intravenously until your oral nutrition reaches a sufficient level.
  • One day after the operation, you may need assistance in sitting and standing, as you may become dizzy standing up for a few seconds.
  • Normally, patients are discharged 4 to 5 days after surgery
  • Depending on the operation, you should continue with the liquid or semi-solid diet and take your meals every 2-3 hours.
  • You must drink at least 1.5 liters of water per day. Your daily amount of urine must be over 1.5 liters.
  • You must have gastric protection for 1 month and gallbladder protection for 2 months.
  • You must take vitamin syrop and calcium supplements until your oral intake is sufficient.
  • Your drug need for stress states will also decrease. However, it is recommended that you measure and record your blood pressure every day for 15 days.

You must perform blood and urine tests on the 1st, 3rd, 6th, 12th, 18th and 24th months after surgery. You may need to have an endoscopy to check your stomach status.