Metabolic Surgery is the treatment of metabolic abnormalities with the surgical alteration of the gut anatomy. It leads to improvement in metabolic syndrome, fatty liver disease, and diabetes mellitus type 2. Surgically induced weight loss has been found to be superior to medical treatment in managing these diseases. The metabolic and bariatric surgeries are aimed at helping the patients lose weight which is associated with the improvement of metabolic diseases, especially diabetes mellitus type 2.
Metabolic Syndrome is a combination of conditions such as abdominal obesity (with a waist circumference of over 102 cms in men and 88 cms in women), elevated fasting glucose (greater than 110 mg/dl), hypertriglyceridemia, low HDL levels, and hypertension that frequently occur together and raise the patients' risks for developing cardiovascular diseases, diabetes, and stroke. Currently, around 50 million people worldwide can be diagnosed with metabolic syndrome
These surgeries are recommended for someone whose weight is significantly above the ideal body weight range for height and age. BMI measures obesity in a person and depends on his weight and height. A normal BMI is usually considered to be between 20 to 25. The higher the BMI, the higher the extent of obesity.
Diabetes is an epidemic in Western countries, and its incidence is greatly increasing in the Indian subcontinent. More than 25 million have diabetes worldwide, which constitutes about 8.5% of the global population, and this number is bound to increase over the coming years.
Uncontrolled diabetes leads to significant medical comorbidities, including heart attacks or myocardial infarctions, vascular diseases resulting in ulcer formation and potential limb amputations, blindness, and kidney diseases which in its worst-case requires dialysis and hampers the person from leading a normal life.
Medical treatment for diabetes has limitations concerning the side effects that the therapy might lead to. Due to this reason, it is often hard for patients to achieve good control of their diabetic state through medical treatment, and looking for surgical options for the same becomes a necessity.
Each of the above-mentioned metabolic operations can improve the metabolic syndrome to varying degrees. It is primarily due to the weight loss that occurs as a result of these, but also due to changes in gut hormones which are believed to have a role in the progression of Type 2 diabetes. Depending on the operation performed, rates for the remission of diabetes vary. Laparoscopic Adjustable Gastric Banding results in remission or improvement of diabetes in about 57% of patients. Roux-En-Y Gastric Bypass successfully improves the symptoms of diabetes in approximately 80% of patients, and Duodenal Switch improves diabetes in about 95% of patients. These results have been obtained by seeing their effects in a large number of patients. The duodenal switch operation has the best results in improving diabetes mellitus mainly because it causes hormonal changes secondary to altered gut anatomy. The effect of Laparoscopic Gastric Banding on improving diabetes mellitus is mainly due to the associated weight loss.
If you suffer from morbid obesity and its associated conditions and are looking for a centre of Metabolic Surgery in Navi Mumbai, your search is over. Kokilaben Dhirubhai Ambani Hospital is here to provide you with the best experience concerning Metabolic Surgery in Navi Mumbai. Through a thorough evaluation of the patient's past medical history and present condition, we develop a plan that is best suited to the individual's needs.
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