It has been applied in many countries following the study published by Spanish Obesity Surgeon Dr. Sánchez-Pernaute in 2005. Following this surgery, the patients were followed for 3 years, and in a short period of 6 months, HbA1c returned to normal and the patients achieved a full recovery from Diabetes Mellitus – without the need to use any antidiabetic medication – and lost 95% of their excess weight, reaching their ideal weight. they have reached. ( Obes. Surg. 2010 ) In addition, 98% of them were completely cured of Hypertension. It has started to be applied all over the world on Obesity, Diabetes Mellitus (Type II Diabetes) and Hypertension diseases with high success rates reaching 100%.
Surgery is performed under general anesthesia laparoscopically (closed method). There are five incisions, the smallest of which is 0.5 cm and the largest, of 1.5 cm, are made into the abdomen and the abdomen is inflated with carbon dioxide gas. The image is transferred to the screen with the help of the camera and the operation is performed. First, the tube is made into the stomach tube, just like the stomach. The pylor muscle, which separates the stomach and duodenum from each other, is preserved and the duodenum is divided into two by 3 cm from this muscle. Anastomosis is performed between the last 2.5 meters of the small intestine and the duodenum divided. Since a significant portion of the small intestine, which is approximately 5 meters long, does not suffer from food, fat absorption is reduced, as well as the digestion of food to the last part of the small intestine, some of the hormones secreted from the intestine help to improve both weight loss and metabolic diseases.
Some hormones called incretin are secreted from the small intestine, the largest endocrine organ. GLP-1 is one of the most important of these, and the digestion of food directly into the last part of the small intestine without digestion increases. GLP-1 stimulates the regeneration of β cells, the insulin secreting part of the pancreas, increases insulin secretion and increases insulin sensitivity in tissues. They also delay gastric emptying and increase the feeling of satiety. With these effects, it provides weightless control of type 2 diabetes without medication.
Obesity Treatment is divided into two: surgical and non-surgical treatments. The method is decided after a mutual discussion with an expert team and it guarantees to provide 24/7 support on all matters.
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