BARIATRIC SURGERY – Diabetes & Weight Loss Treatment

It can take work to get your diabetes under control, but the results are worth it. Uncontrolled diabetes means your blood sugar levels are too high, even if you’re treating it. And you may have symptoms such as peeing more often, being thirsty a lot, and having other problems related to your diabetes. 

If you don’t make the effort to get a handle on it, you could set yourself up for a host of complications. Diabetes can take a toll on nearly every organ in your body, including your:

  • Heart and blood vessels
  • Eyes
  • Kidneys
  • Nerves
  • Gastrointestinal tract
  • Gums and teeth

So today we are discussing one of the treatments through which you can control your diabetes completely.

Overview of the Bariatric Surgery

Bariatric surgery refers to a variety of surgical and non-surgical procedures performed to help people with diabetes and obesity lose weight. Bariatric Surgery is a surgical treatment of obesity and weight-related health complications.

The Bariatric Surgery is done by bariatric surgeons who are experts in surgical and advanced endoscopic (non-surgical) procedures. Their expertise ranges from first time  bariatric operations to complex revisional bariatric surgery for patients who have had weight loss operations in the past, but either had a complication or did not get the results they hoped to achieve.

What Can Be Treat With Batriatic Surgery

​Bariatric surgery, also known as weight loss surgery or metabolic surgery, is the surgical treatment of obesity and weight-related health problems, such as:

  • Diabetes
  • High blood pressure
  • High cholesterol 
  • Sleep apnea 

The patient is assessed and treated by a multidisciplinary team that includes bariatric surgeons, a nutritionist, endocrinologists, and psychiatrists. Depending on the health of the patient, patients may also see a pulmonologist and/or a cardiologist.

Type Of Bariatric Surgery

Bariatric Surgery offers the following treatments for weight loss:

type bariatric surgery
  • Laparoscopic sleeve gastrectomy: A non-invasive surgery to remove 75 percent of the stomach. 
  • Laparascopic gastric bypass: A surgery to reduce the size of the stomach. 
  • Intragastric balloon: An inflatable, implantable medical device placed in the stomach that helps patients feel full faster. 
  • Revisional bariatric surgery: A surgery for weight regain or poor weight loss that follows a previous surgery. This procedure is performed when initial surgery did not produce desired results or when complications develop from a previous weight loss surgery. 
  • Advanced non-invasive procedures: Includes endoscopic suturing (stitches made using a device inserted through the esophagus) as well as endoscopic management of surgical complications, like re-tightening the stomach pouch after bariatric surgery. 

Diagnosis & Treatment

Firstly, digestive specialists diagnoses and treatment of obesity and weight-related health complications.​

Diagnosis for Bariatric Surgery

After being referred to a Bariatric Surgery specialist, a patient will typically have an initial assessment with a nutritionist, a surgeon, an endocrinologist, and/or a psychiatrist.

Once the patient has made the appropriate modifications to his or her lifestyle, there is an additional appointment with the nutritionist. In some cases, the patient will also undergo cardiac and pulmonary evaluations.

Treatment With Bariatric Surgery

Two weeks before surgery, the patient is put on a special diet to reduce the size of the liver, which improves the safety of the operation.

Approximately one day before surgery, the patient undergoes a full evaluation by the anesthesiologist. On the day of surgery, the patient meets with the surgeon and the anesthesiologist before proceeding to undergo laparoscopic surgery, also known as “keyhole surgery.”

Four hours after surgery, the patient is encouraged to walk around, as walking reduces the risk of complications. Patients are typically asked to stay in the hospital for two days after surgery. This may vary based on the patient’s overall health and the extent of the operation. During this stay, the patient meets with nutritionists and receives verbal and written guidelines on how and what to eat over the following weeks and months. 

​After discharge, the patient is required to return to the clinic one week after the operation, and then one month later. The patient is expected to attend appointments to review progress with his or her nutritionist, surgeon, and internist every three months without fail.

Bariatric Surgery Program Caregivers

  • Bariatric surgeons
  • Bariatric nutritionists
  • Psychiatrists
  • Internal medicine physicians 
  • Endocrinologists
  • Anesthesiologists
  • Pulmonologists
  • Cardiologists
  • Radiologists