Metabolic surgery refers to the surgical treatment of Type 2 Diabetes Mellitus, representing a new treatment option for this disease, which was previously considered only for medical management.
Metabolic surgery derives from bariatric surgery or surgery for Morbid Obesity. Two types of interventions are performed: Gastric Bypass (with one or two anastomoses) and Gastric Sleeve, which involves excluding the duodenum and the proximal segment of the jejunum (the first portions of the small intestine) from the food transit, leading to changes in hormones (incretins) and receptors located in this area, which are related to blood glucose control.
Studies show that Gastric Sleeve can remit Type 2 Diabetes in 56% of cases, and Gastric Bypass in approximately 80% of cases. Unlike conventional bariatric surgery, metabolic surgery can be performed on patients with a BMI between 30 and 35 kg/m², as the primary goal is the treatment of diabetes rather than obesity.
It is ideal for patients who, for some reason, cannot manage their treatment effectively or those with difficult-to-control diabetes.
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