I am Considering Metabolic Surgery For Patient whois Obese and has Type 2 Diabetes

Abstract Obesity and obesity related diseases endanger modern society as an unpreventable pandemic. Bariatric surgery has been performed with great success in the treatment of morbid obesity for many years. Treatment of obesity related diseases suchas type 2 diabetes, hypertension, fatty liver and dyslipidemia have expanded the targets of treatment and metabolic results have become as important as loosing excess weight. It has been observed that effective glycemic control could be achieved before substantial weight loss and both experimental and clinical studies suggested thatgastrointestinal tract manipulation could be used for the treatment of diabetes. In randomized trials metabolic surgical treatment has been shown to be superior to intense medical treatment for glysemic control in diabetic patients. Additionally it has been documented that metabolic surgery not only achieved glycemic control butalso result in decrease in cardiovascular risk with improvement in triglyseride and HDL-cholesterol levels as well as decrase in systolic and diastolic blood pressure.It is clear that metabolic surgery has and will have an important part in the treatmentalgorithyms of type 2 diabetes with expanding indications