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Metabolic and Bariatric Surgery
An Effective Treatment for Type II Diabetes, High Blood Pressure, High Cholesterol and Obstructive Sleep Apnea
Recently bariatric surgery has been recognized as one of the most effective treatments for metabolic syndromes; type II diabetes, high blood pressure, high cholesterol and sleep apnea. A review article published in the Journal of the American Medical Association (JAMA) concludes in addition to the effective weight loss achieved by participants undergoing bariatric surgical procedures, a substantial majority of patients with diabetes, hyperlipidemia, hypertension and obstructive sleep apnea experienced complete resolution or improvement of their comorbid condition.
Dr. Joffe has been following this extensive research and is putting his clinic at the forefront of the surgical treatment of metabolic disorders. AMBI has a dedicated and highly specialized approach to metabolic surgery. We recommend one of 3 clinically proven bariatric procedures to treat metabolic abnormalities.
What is metabolic syndrome and how can it be treated?
As the rates of obesity reach epidemic proportions, a set of severe and hard to treat conditions called co-morbidites also emerge. Metabolic syndromes are the comorbidites or metabolic diseases and conditions associated with obesity, including; type 2 diabetes, hypertension, high cholesterol, obstructive sleep apnea and other life-threatening diseases.
In addition to significantly and effectively treating obesity, patients who undergo bariatric surgery experience complete resolution or significant improvement of obesity related health conditions and metabolic disorders. Specifically in patients with diabetes; previously considered chronic and irreversible, metabolic surgery can induce complete remission of diabetes, resulting in discontinuation of insulin therapy or oral hypoglycaemic agents.
It was originally thought that these conditions resolved themselves due to weight loss; however research confirms that metabolic surgery corrects the abnormal metabolism. In fact, surgeons are now looking at the potential use of bariatric and metabolic surgery as a primary treatment for metabolic syndromes in obese individuals.
In a recent review article in the Journal of the American Medical Association (JAMA) of bariatric studies from 1990-2003, results indicated:
Type 2 Diabetes
Completely resolved in 76.8% of patients and resolved or improved in 86%
improved in 70% or more of patients
resolved in 61.7% of patients and resolved or improved in 78.5%
eliminated in 85.7% of patients
Patients also lost an overall percentage of excess weight of 61.2%.
Mechanism/How it works
The gastrointestinal tract and the small bowel play a crucial role in the regulation of blood sugar levels, fat metabolism, appetite control and body weight. Alterations in the gastrointestinal anatomy (gastric bypass, sleeve gastrectomy and adjustable gastric band) influence diabetes and other metabolic disorders. More specifically with respect to Type II Diabetes, metabolic surgery improves insulin resistance and secretion mechanisms.
Benefits of Metabolic Surgery
- Reduce or stop taking your medications
- Reduce or eliminate side effects from your medications
- Complete resolution or improvement of co-morbid conditions
- Increase your lifespan – risk of death in diabetics is twice that of people without diabetes
- Improve your quality of life
- Lose excess weight
- Prevent onset of more serious co morbidities caused by diabetes such as heart disease and stroke, high blood pressure, kidney disease and amputations