The Metabolic Surgery and the diabetes remission.

Gastrointestinal surgery for treatment of diabetes.

The changes in medicine are presented in a dizzying, day after day there are new developments in medical practice, requiring the constant updating of health professionals, some areas where we thought that it could not have evolution, continue surprising us.

The advances in medications to control diabetes are important, however, has not yet fulfilled the expectations, there is evidence that even with medical treatment, the patient tends to worsen their control, as evidenced by recent studies of the UKPDS, (UKPDS 34 Lancet 352:854865) which is an agency for international clinical study of diabetes, and concludes that "we have to do something more effective for the treatment of diabetes"

In his attempt to test new drugs, have left some excellent and effective for control, and even inhaled, but did not alter the clinical course of the disease.

For 30 years now, bariatric surgery is being performed in the U.S. and several parts of the world, but it was not until 10 years ago, they started running into serious studies which showed that these patients who were undergoing gastric bypass surgery, his diabetes he was referring, and its effect is long-lasting remission, as demonstrated by Dr. Walter Pori in their publications in Annals of Surgery 1995: 222

In 2004 we were part of a revolution in the concept of gastrointestinal surgery for treatment of diabetes, since then, several groups at the international level are doing this surgery under very strict protocols with diabetic patients with overweight, obese and not obese.

It has been proven that diabetic patients with overweight or obese, have a rate of remission of their diabetes ranging from 83 to 98% with gastric bypass surgery (bariatric surgery) ... this is a reality, as evidenced by the studies of Dr. Buchwald, meta-analysis of more than 22 thousand patients, published in JAMA 2004 (journals) at the summit in Rome from 2007, its casuistry rose to 135 thousand patients, and remission rates are the same.

It is currently being designed specifically for certain surgical techniques non-obese diabetic patients, as the group of obese patients showed that the control of diabetes demonstrated in the early days of post-bariatric patients, who are still without documenting weight loss, so it is attributed a primary effect of surgery for control, and not a result of weight loss. 

This premise gives the tone for the development of new procedures aimed only at controlling diabetes that was born the metabolic surgery.

The Bariatric surgery if you change the clinical course of diabetes, and the follow-ups to 30 years, and forward looking 16 years is shown, patients who have undergone bariatric surgery and then were diabetic, not only have stopped the treatment, but the complications of diabetes has not been reported.

Taking into account all the diseases can be prevented, resolved or improved in the obese patients, such as hypertension, high triglycerides and cholesterol (high risk of sudden death with these problems) self-esteem, sleep apnea, hernia and Hiatal reflux, some types of cancers, including breast, prostate, colon and endometrium, problems in the spine, knees, ankles, varicose veins, hemorrhoids, in addition to all the complications that diabetes can take, such as blindness, kidney failure, amputation for gangrene , Sexual impotence, decreased sensitivity, and so on.

We can categorically assure that so far there is no medical or surgical procedure that offers greater health benefits to bariatric surgery ... none!

In addition to these surgeries are performed laparoscopically, with 0.5 cm incisions in the skin, without pain and quicker recovery.

The mechanisms by which acts surgery without touching the pancreas are complex, any doctor or interested person may request information on the topic that fascinates us.