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Fırat Tıp Dergisi
2018, Cilt 23, Sayı 3, Sayfa(lar) 088-091
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Metabolic Surgery
Yunus DÖNDER1, Cüneyt KIRKIL2
1Kilis Devlet Hastanesi, Genel Cerrahi Kliniği, Kilis, Türkiye
2Fırat Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Elazığ, Türkiye

Metabolic syndrome leads to some complications. Each component of the syndrome needs to be treated. For this purpose, anti-hypertensive, anti-diabetic and anti-lipidemic agents are used but the key role in the treatment is weight control. The ideal way to control weight is to reduce daily caloric intake and increase physical activity. Various medical treatments have been tried but the results were not very successful. The most effective way is still the surgical treatment.

Even there is no concrete definition of metabolic surgery, it may be defined as surgical interventions to treat the metabolic syndrome. The general perception in bariatric surgery is that type 2 diabetes has entered the remission phase due to the weight loss of the patients. However, in these patients glycemic control has been shown to be provided while the patient is still in hospital. It has been understood that the gastrointestinal system plays an important role in glucose homeostasis and its mechanisms have been tried to be revealed. The foregut hypothesis and the hindgut hypothesis have been proposed. A hindgut operation such as a duodenal switch has been shown to improve insulin sensitivity and glucose homeostasis without causing a hyperinsulinemic state relative to a foregut operation such as gastric bypass. Hindgut surgery carry a greater potential of vitamin-mineral malabsorp-tion than foregut surgery. To overcome this, in recent years transit bipartition technique has been developed.

As a result, various methods are used in metabolic surgery. The choice of surgical technique should be specific to the patient.


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