There are always some confusions regarding the difference between bariatric surgery and metabolic surgery. Bariatric surgery is done only on people who are obese with a BMI above 35. Metabolic surgery is especially for those people who with even lower BMI of 30 and is diabetic.
Metabolic syndrome is diagnosed if there are presence of at least two to three of the factors mentioned below:
- Abdominal obesity or excess fat in the stomach area along with other factors as well is a reason for metabolic syndrome. This excess fat can lead to heart disease.
- A high triglycerides level is a type of fat found in the blood.
- A high HDL cholesterol level, also known as good cholesterol, if is low can also raise the risk of heart disease.
- High blood pressure can lead to plaque build-up and heart disease.
- Presence of high blood sugar can also be an early sign of type-2 diabetes.
- If any of these two or three factors are present in someone, it could be diagnosed as metabolic syndrome and metabolic surgery might be required.
Some facts about metabolic surgery:
- Metabolic surgery is done majorly to treat type 2 diabetes and not type 1 diabetes. Although there are obese type 1 diabetics but it is generally hereditary. So, obese type 2 diabetics are the only one in need of metabolic surgery.
- If you have poor glycaemic control and a high body mass index, you are eligible for metabolic surgery.
- People with a high level of cholesterol and blood pressure can also make a person eligible for metabolic surgery.
- Another fact to remember for metabolic surgery is the lifestyle change after metabolic surgery.
- In most cases, women at the age of 40s are usually the candidates of metabolic surgery.
Types of metabolic surgery:
- For obese diabetic patients, #Gastric Bypass and #Biliopancreatic diversion surgery can be done. This surgery is done on people with a BMI over 35. This is almost similar to bariatric surgery performed on obese people.
- The second type of surgery is Ileal interposition surgery which is also known as Duodenojejunal bypass surgery. This surgery is for those diabetic patients who do not require bariatric surgery. It can be performed even on people with a BMI of 30 but suffering from diabetes. In this surgery, the last part of the small intestine is inserted in between the other two parts of the small intestine.
So, before you choose to go for a surgery, if you are an obese diabetic, make sure you know the difference between bariatric surgery and metabolic surgery. Based on your requirement and priority, choose wisely the type of surgery.