Metabolic surgery

This is a term that has recently gained popularity in the field of bariatric surgery. Obesity is associated with adverse effect on many of the body?s metabolic processes and of concern is glucose metabolism. Obesity increases the risk for type 2 diabetes and most obese people have concurrent type 2 diabetes. Metabolic surgery is a term that refers to a set of gastrointestinal operations used with intent to treat diabetes and metabolic dysfunction including obesity. Simply put, these are surgical procedures that primarily aim at correcting dysfunction in glucose metabolism. An example of such a procedure is the Roux-en-Y gastric bypass. It is not clear how bariatric surgical procedures produce remission in type 2 diabetes. Theories existing include that introduction of food directly to the lower intestine via bypass stimulates release of GLP-1 whish results in secretion of insulin. It is also hypothesized that rearranging the gut results in decrease of hunger stimulating hormones such as peptide YY which result in decreased intake of sugar; hence, better glucose control.

Acid Reflux

Acid reflux occurs when stomach contents leak out into the tube connecting the mouth to the stomach. Common symptoms include heartburn, an unpleasant taste in the mouth and difficulty swallowing. Less commonly, throat pain, nausea, coughing and increased salivation may also be observed, and frequent reflux is associated with an increased risk of tooth decay due to acid erosion. Most people will experience occasional episodes of symptomatic acid reflux, and it is usually no cause for concern.

Cholesterol and Obesity

Cholesterol is a lipid, or type of fat produced by the liver and derived from various dietary sources. Although often referred to in negative terms, cholesterol plays an essential part in many processes within the body, including formation of cell membranes and nerve linings and in the manufacture of bile acids, fat-soluble vitamins and certain hormones. However, high cholesterol or hypercholesterolemia is strongly associated with significant health issues including heart disease and stroke.

Diabetes

Diabetes Mellitus or diabetes is a condition in which the blood sugar levels reach abnormally high levels because the body is unable to control sugar levels by producing enough insulin or responding to insulin properly. Diabetes occurs because either the pancreas produces insufficient insulin necessary for the absorption of sugar by the body cells or the body cells are resistant to the insulin that is produced and therefore unable to absorb the sugars.

Fingerstick to check glucose in diabetic patient

Health Benefits of Bariatric Surgery

Anyone who has lived with obesity for any length of time will be well aware that the negative effects of carrying excessive weight are not limited to physical appearance. Overweight and obesity can impact upon every system in the body, leading to a host of health problems that limit quality of life and life expectancy. The social stigma carried by obesity can have a significant detrimental effect upon self-esteem and psychological wellbeing, whilst the physiological changes associated with the condition can lead to multiple life-threatening co-morbidities.

Sleeve

Laparoscopic sleeve gastrectomy is a restrictive procedure that reduces the size of the stomach but does not alter the gastrointestinal tract or the pylorus. Because the route of ingested food through the gastrointestinal tract is not altered, nutrients are better absorbed. The patient is less dependent on vitamin supplements as the food is absorbed in a more natural manner.

Weight Loss

Bariatric surgery requires a change in the way that you think about food, dieting and exercise. Although there are definite physiological changes that occur after surgery and that will help you lose weight, it is important that you realize the need to change your environment and some of your previous lifestyle choices. Although the operations change the way in which your body processes food, some of these changes are only temporary. It is important that you start life-affirming habits that will help you succeed.