Are You a Good Candidate for Metabolic Surgery?

by Columbia Surgery on April 12, 2013

Metabolic syndrome is one of the fastest growing obesity-related health concerns in the United States. Currently over 50 million people can be diagnosed with metabolic syndrome. But as metabolic syndrome is still a relatively new term, many people are not yet familiar with what it means to them and its associated increased risk for the development of more serious, chronic conditions.

What is Metabolic Syndrome?Metabolic Syndrome

Metabolic syndrome is the combination of several medical problems associated with morbid obesity. In addition to obesity, these conditions include:

      • high blood pressure
      • glucose intolerance/insulin resistance
      • excess body fat
      • high cholesterol

In addition to the above conditions, people with metabolic syndrome are twice as likely to develop heart disease, and five times as likely to develop diabetes, compared to those who don’t have metabolic syndrome.

How is Metabolic Surgery Used in the Treatment of Metabolic Syndrome and Other Related Diseases?

Metabolic surgery is the treatment of metabolic abnormalities with surgical alteration of the gut anatomy, leading to improvement in the metabolic syndrome, fatty liver disease, and type 2 diabetes. Operations include bariatric surgeries such as:

      • Sleeve Gastrectomy
      • Roux-en-Y Gastric Bypass
      • Biliopancreatic Diversion/Duodenal Switch

For certain cases, studies have shown that surgically induced weight loss has been more successful than medical treatment in managing these diseases. Some of the success of the operations is due to the associated weight loss caused by the surgery but some of these operations induce changes in gut hormones, which is believed have a role in the development of type 2 diabetes.

What Do I Need to Know about Metabolic Surgery?  Who Can I Talk to if I Have Just Been Diagnosed with Metabolic Syndrome and am Considering Metabolic Surgery?

Join us April 19th at 2:00 PM/ET for our next Blog Talk Radio episode with:

Melissa Bagloo, MD

Melissa Bagloo, MD

      • Melissa Bagloo, MD, Assistant Professor of Clinical Surgery at NewYork-Presbyterian/Columbia’s Center for Metabolic and Weight Loss Surgery

How do I Participate in this Program? What will be Discussed?

Dr. Bagloo will be on the air answering your questions about metabolic surgery and how it benefits metabolic syndrome. Topics to be addressed include:

      • What are the risk factors and symptoms of metabolic syndrome?
      • What are my treatment options for metabolic syndrome and why should I consider metabolic surgery?
      • What are the different metabolic surgery options available and how do I know which one is right for me?
      • How quickly can I expect to see results from metabolic surgery?

To submit a question for Dr. Bagloo before the show, visit our question submission form or tweet an “@” reply to @columbiasurgery.

We are sorry, but this Blog Talk Radio show has already occurred. You can listen to an archived copy of this program in the player embedded below this message. Since this a recording, no one is available to answer calls or emails.

Listen to internet radio with ColumbiaSurgery on BlogTalkRadio


For patients with type 1 diabetes, a pancreas transplant can mean a life free from testing blood sugar, taking insulin, and the constant threat of dangerous fluctuations in blood glucose. In February 2013,  NYP/Columbia’s Kidney and Pancreas Transplant Program performed three pancreas transplants within 36 hours. Read about two such patients whose lives had revolved around maintaining good control of their diabetes for decades. After their pancreas transplants, they are gratefully adjusting to a new, insulin-free lifestyle.

See separate stories on everydayhealth.com and NY1.com.

Dictionary Series - Health: diabetes


What’s Your Diabetes Story?

October 31, 2012

TweetDo you have diabetes? If so, you can participate in a huge awareness and fundraising campaign sponsored by the American Diabetes Association. People are invited to post photographs on the American Diabetes Assocation Facebook page that capture what living with diabetes on a daily basis looks like. The photos, along with comments, are building a […]

Read the full article →

Everything You Need to Know About Pancreas Transplants: Part I

April 25, 2012

TweetWho Might Need a Transplant? Most candidates for a pancreas transplant fall into three main categories, all of which are related to diabetes, according to Lloyd E. Ratner, MD, Director of the NewYork-Presbyterian/Columbia Renal and Pancreatic Transplant Program. Most candidates have type 1 diabetes and kidney failure. They either need or already have had a […]

Read the full article →

Everything You Need to Know About Pancreas Transplants: Part II

April 25, 2012

TweetThree scenarios for getting a new pancreas are possible. You may receive both a pancreas and a kidney at the same time from the same deceased donor. You may first receive a kidney from a living donor, and then later have a pancreas transplant from a deceased donor. The small percentage of patients with hypoglycemic […]

Read the full article →

Study Begins to Explain Why Surgery Cures Type 2 Diabetes

June 9, 2011

TweetThe April 27, 2011 issue of Science Translational Medicine included a study titled “Differential Metabolic Impact of Gastric Bypass Surgery Versus Dietary Intervention in Obese Diabetic Subjects Despite Identical Weight Loss.” Melissa Bagloo, MD, Assistant Professor of Clinical Surgery at the Center for Metabolic and Weight Loss Surgery, NYP/Columbia, explains the context and importance of […]

Read the full article →

Vascular & Wound Innovations CME: Complex Reconstruction of the Diabetic Foot

April 25, 2011

TweetThe 2011 Vascular CME, Innovations in Complex Vascular & Endovascular Interventions, will include special sessions on management of non-healing wounds. Nationally recognized faculty from NewYork-Presbyterian Hospital will address topics including: Medical and surgical treatment of the infected foot with soft tissue and bone involvement, including antibiotic selection, surgical debridement, and reconstruction; Current approaches in management […]

Read the full article →

Diabetic Foot Ulcers Facts from Dr. Felix R. Ortega

October 25, 2010

Tweet As a follow-up our post on Screening for Diabetic Foot Ulcers, Director of the Wound Healing Center at NewYork-Presbyterian Hospital/Columbia University, Dr. Felix R. Ortega provided us with these facts on diabetic foot ulcers: Approximately 15% of New Yorkers have diabetes. 45% of New Yorkers with diabetes have very poor control of their blood […]

Read the full article →

Screening for Diabetic Foot Ulcers

October 8, 2010

TweetAbout one in every six patients with diabetes will develop a foot ulcer, and of those, one in four will require amputation. Beginning with even a small skin injury, a diabetic foot wound can worsen to include deeper layers of skin, muscle, and bone. Given the seriousness of diabetic ulcers, one might think that screening […]

Read the full article →