80.5% of persons subjected to this type of intervention has succeeded in controlling the disease and improve their quality of life.

Bariatric surgery, intervention to resolve problems of obesity, is becoming the main tool for curing type 2 diabetes , as has been shown effective in 80.5% of the cases indicated. About 3 million Spanish people with type 2 diabetes might benefit from the operation, although the waiting list is long.

Success of surgery in 80.5% of diabetics

80.5% of people who have undergone surgery for diabetes has succeeded in controlling the disease and improve their quality of life, as revealed in the report’s findings with a larger number of cases available in Spain, a total of 82 operations in 2 years , February 2010 February 2012 As Chiron Zaragoza hospital. Hospital managing director of Chiron Zaragoza, Cristina Guarga, and the head of the Advanced Laparoscopic Surgery Unit of that hospital, Jorge Solano, presented in early May at a press conference the report.

This is the report on one type of intervention that became available in the world four years ago and there is only a larger number of cases in a U.S. hospital and another in Brazil, though not so well.Hospital managing director of Chiron Zaragoza was happy for the good results saying in remarks published on the website of Europa Press on 3 May, which is ” a pride and satisfaction “for the center, including this report from the global top and achieving better diabetes and collateral.

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Requirements for operation

Jorge Solano said that only type 2 diabetic patients, those who appear the disease in adulthood by the malfunction of insulin, may have this type of obesity surgery . Among the requirements that must meet the patients appear to be between 18 and 65 and a Body Mass Index (BMI) between 30 and 35, somewhat overweight “according to Solano said in remarks published on the website Europa Press on May 3, since the operation are lost between seven and ten kilos. Cases are poorly controlled diabetes with a glycosylated hemoglobin of 6.5 and more presence of pancreatic reserve.

Specifically, out of 82 patients operated at the Hospital of Zaragoza Chiron, 31 are women and 51 men, mean age 50 years and a diabetes of 7.9 years average age. Of the 82 people audited, 27 were treated only with pills and 52 needed further insulin. After the operation, only one patient required a small dose of insulin per day and 15 continue to be treated with pills at a dose lower than the original. And the remaining 66 have managed to control diabetes and do not require any treatment. The head of the Advanced Laparoscopic Surgery Unit of the Hospital of Zaragoza Chiron appealed for ” prudence “and noted that until they have spent ten years with the maintenance of this data can not speak of curing the disease.

Improved quality of life

After the intervention, 53.5% of patients have been eliminated hypertension , hypertriglyceridemia 71.8% and 98.4% hypercholesterolemia. Other complications that can decrease are stroke and nephropathy that can lead to kidney dialysis or artificial. And erectile dysfunction is resolved.

Bypass and stomach reduction

Solano stated that the operation is to conduct a by-pass in the intestine so that food does not pass through the part of the body that stimulates hormones that make up the blood sugar level to get there food. It also reduces the size of the stomach, although in a few weeks expands and recovers a size roughly equal to what it was before the operation. The operation usually lasts less than an hour, is done by laparoscopic surgery (less invasive) and the patient goes directly to the ward and was discharged within 48 hours if you live within an hour of the hospital and at 72 if you live more than one hours. The postoperative liquid diet required five days, five more crushed, soft 15 days, and you can eat normal between day 21 and 23 of the operation, while the high labor received between week and three weeks. Then make regular checks.

Two studies agree on the benefits of bariatric surgery

Weight loss surgery more combat type 2 diabetes drugs . Two papers agree on the advantages of the surgery in selected patients. The publication The New England Journal of Medicine (NEJM) refers to these studies agree that the likelihood of disease remission (no need for medication, blood sugar levels normal) is higher among those who undergo an intervention Bariatric surgery (weight loss) than those who continue therapy with drugs, diet and exercise. ” The bottom line is that bariatric surgery offers a powerful performance in remission of diabetes , “said Javier Salvador, president of the Spanish Society of Endocrinology and Nutrition, in remarks published on the website of the newspaper El País on 1 May.

The bariatric surgery, also called metabolic by possible effects on diabetes, is included in the portfolio of the Spanish utility. ” The problem is the long waiting list, and the longer a person, the process was more complicated is that intervention is a success and return to values ​​of normal blood sugar , “said Javier Salvador. Chicago researchers reported March 26 that the weight loss surgery better control type 2 diabetes in overweight and obese patients the most advanced drug therapy against metabolic disease. The study, conducted at the Cleveland Clinic and presented at the annual scientific meeting American College of Cardiology in Chicago, showed that patients who underwent surgery were more than three times more likely to achieve control their diabetes after one year the group was being treated with medication.

Treatment trial at the Hospital of Bellvitge

The Hospital of Bellvitge, Barcelona, ​​and Zaragoza Royo Villanova are the two public hospitals that have achieved accreditation to perform the operation, although none have not practiced, according to Solano said, part of the equipment authorized in the public hospital Aragon. The Hospital of Bellvitge in L’Hospitalet of Llobregat is the first public hospital in Spain that started a clinical trial for the use of metabolic surgery in patients with type 2 diabetes with obesity problems and difficulties in controlling metabolism.

This paper will compare the efficacy of metabolic surgery has already been shown in studies in Brazil, with conventional medical treatment in patients with type 2 diabetes and obesity grade 1 (BMI 30-35 kg / m2). The Hospital of Bellvitge hosted late last April, the IX International Course on Bariatric Surgery, where they met some of the most experienced professionals in the field and could follow the completion of twelve direct interventions.