Metabolic surgery against overweight

Decreases appetite and improves blood glucose levels. The patient must follow healthy habits and control himself throughout his life.


Currently, a new specialty has been developed to treat diabetes (the World Day is commemorated the next Monday) as a result of excess weight. This is meta-physical surgery, where one of the bariatric procedures is applied "with the primary objective of improving or resolving diabetes, in addition to being overweight or obese," says Federico Moser, head of the team. of bariatric surgery of the Private Hospital.
What has particular metabolic surgery is that it can be performed in people who do not have such a serious obesity, since it has been observed that "many Patients dramatically improve blood glucose values, without the need for medication, before achieving a significant loss of weight, "she says. This is because, among other mechanisms, hormonal mediators that regulate the blood that circulates in the blood participate.
In any case, it must be taken into account in any patient with excess weight and associated diabetes, which The best results are achieved in those who have "little time to develop the disease", warns Jos. Sea Foscarini, assistant professor at the Catholic University of Cordoba (UCC) and vice president of the Society of Bariatric Surgery.
For some years now, the Organization has been n World Health has been warning about two epidemics: obesity and diabetes. They are not casual; on the contrary, they are related to each other, since type 2 diabetes (which is the most common), usually develops in overweight people, whose accumulated fat makes it difficult for the body to use the insulin that produces the pancreas to properly metabolize the sugar that reaches the blood. Thus, patients with type 2 diabetes generate insulin resistance and accumulate an excessive amount of glucose.
This metabolic disorder gave rise to the term diabesity, to designate the close relationship between diabetes and obesity, pathology. , which entail serious health problems and accumulate a high mortality rate.
On the other hand, bariatric surgery is the last resource to lose weight in obese patients who have not had Success with diets and exercises.
They come to the consultation with the surgeon, "fighting for their quality of life" Foscarini, member of the Obesology Unit, Surgical Area, Allende Sanatorium, they see their parents with serious cardiovascular problems, hypertension, metabolic syndrome and type 2 diabetes.
But the surgery does not achieve results by itself. alone. We often hear cases of failure (Maradona is one of them) that blame the surgical technique, when it is necessary to understand that the project of bariatric surgery is based on four fundamental pillars: surgery ; in yes, the adhesion to the nutritional plan; mental health with psychological and / or psychiatric treatment; and physical activity, "remarks the specialist. Foscarini understands that "there is no bariatric surgery more or less risky and with better results. Each patient needs a surgery and for this we must evaluate it comprehensively. "
Regarding the effectiveness of the surgical technique, he points out that surgery" constitutes 25 percent of the project, and the 75 percent remaining depends on the patient & rdquo; in terms of adherence to the pillars outlined.
For his part, Moser, who directs the Training Center in Laparoscopy of the UCC, underlines that "the primary goal of surgery bari & aacute; The trica is to be a tool to re-establish feeding habits and healthy life sustained over time.
How does this tool work? Moser explains: on the one hand, the appetite decreases, because after surgery the level of the ghrelin hormone that generates it decreases. On the other hand, the early satiety factor.