Gastric Surgery Deemed Safe for Diabetics

Diabetics who struggle with obesity are generally keenly aware of how dangerous extra weight can be over the long-haul. Already at higher risk for a host of medical complications, additional pounds can maximize the potential for problems to arise.

While losing weight is considered vital for diabetics deemed obese, shedding the pounds is often easier said than done. Diabetics, however, have found, like many others, that bariatric surgery can deliver the results diet and exercise alone often cannot. Concerns, however, about the safety of bariatric surgery for diabetics have lingered.

Researchers have found, however, that laparoscopic gastric bypass procedures for those with type 2 diabetes are no more hazardous than other common procedures, such as a hysterectomy or total need replacement.

Investigators from the Cleveland Clinic in Ohio dove into the American College of Surgeons’ National Surgical Quality Improvement Program database for their research. The ACS collects data on a number of variables, including 30-day postoperative morbidity and mortality incomes for people who undergo major surgeries within the United States. To reach their conclusions, Cleveland Clinic investigators collected all data related to diabetics undergoing bypasses between January 2007 and December 2012. They also looked at other surgical procedures, such as coronary artery bypass grafts, knee replacements and appendectomies, as related to diabetics.

All told, 66,678 people were included in the study. Of those, 16,509 underwent gastric bypass procedures. For those who had gastric bypasses, the complication rate was 3.43 percent and the morality rate was 0.30 percent. Ultimately, researchers found gastric bypass procedures to be of comparable risk to other laparoscopic procedures and found significantly better short-term outcomes when compared with coronary artery bypass grafts.

Diabetics interested in learning more about bariatric surgery should consult directly with a licensed physician. The best weight loss option will depend on each person’s unique case.

Ups and Downs of Lap Band Surgery

People who have reached the end of their dieting rope may find themselves turning to bariatric surgery for the weight loss results they seek. Lap band procedures are among the most popular for many good reasons, but this type of surgery isn’t without its potential ups and downs.

Patients seeking surgical options for weight loss will find the lap band procedure is the least aggressive option available to them. Rather than physically remove a portion of the anatomy, as is the case in a gastric sleeve or bypass operation, the band involves the placement of a restricting device. This device limits comfortable food consumption without technically being a permanent fixture in the body.

Here are some of the potential pros and cons of choosing lap band procedures:

Pros
• The procedure is reversible and adjustable. The band can be adjusted, if required, or removed entirely. This is especially important for women who intend to become pregnant at some point and may need extra stomach capacity, but it’s a perk for all who choose this route.
• The weight loss benefits are marked for those battling obesity. The band itself restricts the size of the stomach and provides less room for food storage. In addition, people generally experience decreased feelings of hunger.

Cons
• No matter how it’s looked at, the lap band is a foreign object that is being introduced into the body. It can slip and may erode over time. Slippage can lead to vomiting, nausea and other side effects and may require surgical removal of the band and/or replacement.
• The procedure is surgical in nature. That means, as with all surgeries, there are risks involved.

People who are ready to look into weight loss surgery will find the lap band is a highly popular option. As with all surgical procedures, however, it isn’t without its share of risks and rewards. Be sure to consult with a licensed bariatric surgeon to explore all available weight loss options.