Bariatric surgery was named in 1953, after the Greek word “βάρΟς” for weight, when Varco first attempted to treat severe obesity with a bypass of the small intestine. Since then, the field has expanded to control diseases that include type 2 diabetes mellitus.

In 1995, Dr. Walter Pories and his research team published an article titled “Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus”. Since then, evidence has accumulated showing that weight-loss surgery can cure/improve several metabolic diseases, especially adult onset or Type 2 diabetes mellitus.

Obesity is tough to combat using behavioral interventions, with studies showing only moderate weight loss and frequent weight regain. Many diabetes patients struggle to control blood sugar and other metabolic disorders, despite a wide range of available pharmacologic options. Metabolic surgery is designed to benefit patients with type 2 diabetes, in whom obesity is often a major underlying factor.

The term "metabolic surgery" indicates a surgical approach whose primary intent is the control of metabolic alterations/hyperglycemia in contrast to "bariatric surgery," conceived as a mere weight-reduction therapy. Metabolic patients tend to be older, male, have a lower BMI, and have diabetes. Bariatric patients tend to be younger, female, have BMIs double the ideal weight for height, and have an average of three to four obesity-associated co-morbid conditions such as pre-diabetes, hypertension, sleep apnea, arthritis, and polycystic ovarian syndrome.

Metabolic surgery is defined as a set of gastrointestinal operations (such as sleeve gastrectomy or Roux-n-Y gastric bypass) performed with the intent to treat diabetes and other metabolic dysfunctions, which include obesity.

In 2009 the American Society for Bariatric Surgery (ASBS) changed its name to the American Society for Metabolic and Bariatric Surgery (ASMBS) to promote information on the beneficial effects of surgeries for weight loss in treating metabolic diseases, especially Type 2 Diabetes Mellitus (T2DM) .

https://www.ncbi.nlm.nih.gov/pubmed/23314274

https://diabetes.medicinematters.com/metabolic-surgery/type-2-diabetes/metabolic-surgery-a-powerful-solution-or-a-last-resort-/12343792

https://weightlosssurgery.ca/surgery-type-2-diabetes/what-is-metabolic-surgery/

So, if you're having weight-loss surgery primarily to treat diabetes or pre-diabetes, or even if you aren't having surgery for that specific reason, you still might want to inform your co-workers or any judgmental extended family members that, "I'm having metabolic surgery next week, so I'll be taking a few days off to recoup."

metabolicpal.com?

Edited July 20, 20188 yr by Missouri-Lee's Summit

@Bajansleeve. I dragged the photo onto my desktop for a closer look from the neck down. It's hard to believe that your doctor had surgery. Won't it be great when someone says the same about us? "You had weight-loss surgery? I never would have guessed. You're just so slim and trim."

@BajanSleeve All I have is a baby-killer possum living under my front-door steps. She's killed three seasons of baby red birds in my bushes. I finally had the bushes pruned down so they wouldn't nest there anymore.

Edited July 22, 20188 yr by Missouri-Lee's Summit

5 hours ago, Missouri-Lee's Summit said:

@BajanSleeve All I have is a baby-killer possum living under my front-door steps. She's killed three seasons of baby red birds in my bushes. I finally had the bushes pruned down so they wouldn't nest there anymore.

I have two dogs that love to eat birds. And its such a stress because I have a fenced off area where the dogs live but there is a big tree right over their pen full of birds nests and the babies regularly fall out or when they are learning to fly fall prey to the dogs. Then the ones that nest on my patio, when the babies are fledglings learning to fly they go and fly over the fence and boom, they become Scobie snacks

When my youngest son was a toddler, he saw a sparrow-hawk grab a small baby bird in our backyard. I thought it would be a disturbing moment for him, but he just turned to me and said, "Look. That big bird is giving that little bird a ride!"

I had this surgery for entirely metabolic reasons. I was also overweight but my reason for checking out the surgery was for health. I was diagnosed last May with chronic kidney disease with a GFR then of 28. I was told dialysis was 2 yrs or less away for me. I also had diabetes and high blood pressure. I had a stroke when I was 50. After my kidney diagnoses researched my options and found UPMC in Pittsburgh was promoting Bariatric surgery as a way to improve or cure all the reasons I needed the surgery. Fast forward to April 27, 2018 and I had my gastric bypass at UPMC. I just had my checkup with my kidney specialist and my GfR is now 87. He says it should improve further but he considers me technically cured of my CKD. My diabetes is in remission always in the normal ranges and my BP is normal. Thanks to this operation I have a bright future!

I had this surgery for entirely metabolic reasons. I was also overweight but my reason for checking out the surgery was for health. I was diagnosed last May with chronic kidney disease with a GFR then of 28. I was told dialysis was 2 yrs or less away for me. I also had diabetes and high blood pressure. I had a stroke when I was 50. After my kidney diagnoses researched my options and found UPMC in Pittsburgh was promoting Bariatric surgery as a way to improve or cure all the reasons I needed the surgery. Fast forward to April 27, 2018 and I had my gastric bypass at UPMC. I just had my checkup with my kidney specialist and my GfR is now 87. He says it should improve further but he considers me technically cured of my CKD. My diabetes is in remission always in the normal ranges and my BP is normal. Thanks to this operation I have a bright future!

I love hearing these outlooks! Congrats!

VSG2017 HW 249 SW 238 CW 167

Thanks! Even though my weight loss is currently stalled the health benefits are way worth it. I am ok if my weight stays where it is as long as I do not regain and my health issues are resolved.