Home » Health » “Stomach” surgery is an option for obese and “diabetic” patients.

“Stomach” surgery is an option for obese and “diabetic” patients.

Many people understand that ‘Gastric surgery’ is only a treatment for those who are obese in order to lose weight. In fact, gastric bypass surgery can also cure diabetes. which is the leading comorbidity caused by obesity

Meanwhile, gastric surgery In addition to helping reduce the amount of food you eat, It also plays a role in adjusting hormones in the digestive tract. Makes it possible to control food intake better Hunger level decreased Longer fullness Adjust the function of the hormone insulin Coupled with reduced weight Insulin resistance was also significantly improved. It is considered a method of treating patients with type 2 diabetes who are obese. That is one of the most obvious ways to see results.

Dr. Naranon Bunyuen, laparoscopic surgery and obesity surgeon at Phitsanulok Hospital, Phitsanulok, under the Principal Healthcare Group or PRINC, explains that diabetes is one of the health problems in Thailand. with a tendency to continually increase Along with the current trend of increasing the number of obese patients. There is international scientific evidence supporting that. stomach surgery or obesity surgery to lose weight Can help treat insulin resistance. As a result, blood sugar levels can be controlled better than taking medicine or injections alone. Leads to long-term results, that is, diabetes can be alleviated or cured. In the long run, surgery Can help obese patients with diabetes Reduce the use of drugs or the chance of being cured from diabetes by more than 50% compared to the non-surgery drug group. The chance of being cured from diabetes is only 2%.

Dr. Naranon said that gastric bypass surgery for weight loss has been practiced for more than 50 years in foreign countries. Originally in the past it was an abdominal surgery. There is often a large surgical wound and it is a highly complex surgery with many complications. Therefore it is not popular. which current technology Laparoscopic gastric bypass surgery is generally accepted. There is research that studies obesity surgery. and the development of surgical techniques until they are more acceptable High security Patients can recover quickly. Few complications It takes only 1 day for most patients to be able to get up and walk again. Can live a normal life and can recover from complications caused by obesity as well


There are 3 methods of laparoscopic gastric bypass surgery:

1.Sleeve gastrectomy is the most commonly performed surgery. Less complicated than other methods By using special sewing equipment. Trimming the stomach to make it slender and straight, leaving about 15-20%, results in reducing the appetite hormone (Ghrelin), causing you to eat less. The patient’s hunger will clearly decrease. Together with eating less This makes it possible to lose up to 60-70% of excess weight within 1 year after surgery. The chance of malnutrition, minerals, and various vitamins is less than with other types of surgery.

2.Bypass surgery (Roux-en-Y gastric bypass) is a more complicated surgery. By surgery to make the stomach into a bulb, approximately 25-30 cc, along with small intestinal bypass surgery. After surgery, it can help increase the level of work. Satiety hormones reduce hunger, make you eat less, and reduce food absorption. Can reduce excess weight by up to 70-80%, which is suitable for patients with severe diabetes. This method can help with diabetes better than the first method. and good results in obese patients with gastroesophageal reflux disease But the chance of vitamin and mineral deficiency is higher, especially vitamin B12, which requires continuous vitamin supplementation every 6-12 months.

3. Sleeve gastrectomy Plus is a surgical method developed from Sleeve gastrectomy and small intestinal bypass surgery shorten the time for nutrient absorption. The results can reduce excess weight by up to 70-80% and help with diabetes. As good as bypass By this Sleeve Plus method It can be divided into smaller methods that can be decorated in many different ways according to the suitability of the patient.

Gastric bypass surgery may not be the right choice for everyone. Patients should see their doctor for a detailed consultation. To compare the benefits that will be received with the risks of surgery Including physical examination To see the readiness of each person’s physical condition. Initial assessment can be made from body mass index (BMI), which is BMI >32.5 kg/m2 along with obesity-related diseases such as diabetes and high blood pressure. High blood fat, etc., and a body mass index (BMI) >37.5 kg/m2 meet the criteria for surgery. In other cases, you can consult with a specialist doctor as well.

As for side effects that may occur after gastric surgery There are complications. That may occur according to the patient’s age and underlying disease. in obese patients Patients who are overweight, have many congenital diseases or have had abdominal surgery before There will be more risks from surgery.

Vitamin and mineral deficiency due to gastric surgery causes the patient to eat less food. As a result, the body receives less vitamins and minerals. Therefore, the patient must receive vitamins. Some minerals are continually replaced, but overall, from weight loss Improvement of complications from obesity Taking vitamin replacements It may be more cost-effective than having to take medicines for various diseases or injections such as blood pressure medicine, diabetes medicine, and lipid medicine for the rest of your life.

Dr. Naranon said that although gastric surgery for weight loss has many advantages, Both in terms of treating complications from obesity such as diabetes, blood pressure, fat, including weight loss and body shaping, but surgery may not be the right choice for everyone. Patients must be carefully considered by a team of specialized medical professionals. To consider results and risks. To choose the appropriate surgical method The patient should be aware of the said surgical process. And be aware of the risks or effects that may occur after surgery. In addition, patients should be aware of the condition of excess weight. and their own comorbidities or complications to choose a treatment method that is appropriate for oneself and get the best results

2023-11-28 07:22:00

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