It is possible to examine diabetes mellitus in 2 groups. In type 1 diabetes, there is a problem in the production of insulin hormone, which is mostly congenital and sometimes symptoms may appear later. Most patients with type 1 diabetes started to receive external insulin injections at an early age. These patients are generally not obese but rather thin. In type 2 diabetes, on the other hand, while there is no problem in the production of insulin hormone, the main reason is the resistance to the insulin hormone, which is formed by the adipose tissue in the body, mostly due to obesity. In this context, the majority of patients with type 2 diabetes are obese.
The concept of metabolic surgery generally aims to treat patients with Type 2 diabetes with surgery. In addition, many diseases such as hypertension and hypercholesterolemia brought by the patients can be eliminated. These surgeries are performed in the form of bypass surgeries, similar to bariatric surgeries. In these patients, it is aimed to reduce the fat tissue in the body by losing weight and to break the insulin resistance. The surgery basically consists of removing some part of the stomach and reconnecting the last part of the small intestine to get closer to the stomach. In the surgery, the small intestine lengths of the patients are counted and new connections are made at appropriate distances.
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