Bariatric Surgery and Diabetes

Up until recently, diabetes was only treatable with medication, but no permanent cure was known; until stomach surgery, known as bariatric surgery, which reduces the stomach size and ,as a result, dramatically lowers what a person can eat. This surgery has two effects, weight loss in a one year period approximately and a second effect: corrects high sugar blood levels three months after the patient undergoes surgery.

Diabetes is…

An illness that shortens life and predetermines diseases related to obesity, even death. Diabetes mellitus (DM) is an increasingly common medical condition affecting approximately 8% of the population of the United States. Of these 25 million people, it is estimated that nearly 7 million are unaware that they have the disease until faced with associated complications.

The American Diabetes Association estimates that 12-25% of hospitalized adult patients have diabetes mellitus (DM). An estimated 25% of diabetic patients will require surgery. Mortality rates in diabetic patients have been estimated to be up to 5 times greater than in non-diabetic patients, often related to the end-organ damage caused by the disease and the occurrence of surgical complications due to infections.

Consequence of infection

Infections account for 66% of postoperative complications and nearly one quarter of perioperative deaths in patients with DM. Data suggest impaired leukocyte function, including altered chemotaxis and phagocytic activity. Tight control of serum glucose is important to minimize infection. The good news of having bariatric surgery at Obesity Control Center in Tijuana, Mexico, physician have reported data showing that bariatric surgery in morbidly obese patients with type 2 diabetes may be beneficial for metabolic glycemic levels, hypertension and renal complications of diabetes.

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OCC’s epidemiologist is closely monitoring the COVID-19 status and is actively issuing updates as they are available. The Centers for Disease Control and the World Health Organization are the most trusted sources online.  While the CDC has announced new mask protocols for vaccinated individuals, there will be no changes for our office protocols for patients, guests, and staff members as the announcement does not apply to hospitals or medical facilities. Masks are still a requirement for all patients, guests and staff at our facility.

As we reinitiate weight loss surgery, we are constantly adapting and installing new and updated safety measures.

Weight loss surgery is medically necessary.

Bariatric Surgery and the clash of two pandemics.   

Major metabolic and bariatric surgery Societies and colleges globally are now calling for the safe resumption of bariatric and metabolic surgery before the COVID-19 pandemic is declared over. 

The sooner bariatric surgery can be safely performed, the quicker obesity, type 2 diabetes, and other diseases can be reduced or resolved as they are not only chronic they are also progressive.  Obesity is also linked to more than 40 diseases including type 2 diabetes, hypertension, heart disease, stroke, sleep apnea, osteoarthritis, and at least 13 different types of cancer.

A recent statement from the ASMBS says “Before COVID-19 began, it was clear that patients with obesity were ‘safer through surgery.’ In the era of COVID-19, ‘safer through surgery’ for patients with obesity may prove to be even more important than before.” Obesity and Metabolic syndrome have been identified as an independent risk factor for adverse outcomes including death among COVID-19 patients.

See here for full COVID-19 update. 

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