Metabolik Cerrahi (tur. Metabolic Surgery) is one of the leading medical institutions in Turkey and Europe for metabolic surgery. It conducts nearly 300-400 of the most challenging operations for type 2 diabetes. Alper Celic, the Chief Surgeon, worked in the clinics in Japan, Brazil, and India. He is one of the few physicians who can provide such surgeries as Ileal Interposition and Transit Bipartition and conduct them with the minimum complications. He also owns the Surgical Review Corporation Certificate by the American Society which recognizes him to be the “Doctor of Excellence in Bariatric and Metabolic Surgery.”
Surgical treatment of type 2 diabetes eliminates the causes of its occurrence. The surgeries are based on the peculiarities of the small intestine anatomy. Mainly, on its distal part where hormone, responsible for the sensitivity of cells to insulin, is produced. The purpose of the surgical interventions is to increase the production of this hormone.
Ileal Interposition
During the operation, the surgeon switches place the end (distal) and initial (proximal) parts of the small intestine.
In some cases, ileum (distal part of the small intestine) is placed between the stomach and the proximal part of the small intestine.
Transit Bipartition
The surgery is technically more complicated. The small intestine is cut into two parts. The initial site is sewn closer to the large intestine. The remaining free end of the small intestine is stitched with the stomach (so-called gastroileal anastomosis). Thus, the stomach retains two outflow pathways.
Transit bipartition was designed to counterbalance a hormonally hyperactive proximal gut and a hypoactive distal gut, which causes the obesity and metabolic syndrome.
Unlike the previously designed malabsorptive surgical techniques, nutrient transit is maintained in the duodenum minimizing malabsorption.
The advantage of Transit Bipartition operation: The malabsorption syndrome - a malabsorption of nutrients, does not develop. 95% of patients do not need to maintain a lifelong intake of natural supplements in the form of vitamins.
All surgeries are performed laparoscopically allowing to leave the Hospital in 5 days and quickly return to the ordinary way of life. Over 90% of the patients have stabilized the level of glucose after the operative interventions.
Besides surgeries, Metabolic Cerrahi specialists exert half-yearly post-procedure control to detect if any additional medical therapies are needed.