Surgical procedure devised for Type 2 diabetes

Hyderabad: A new procedure which requires
surgical intervention through Ileal Transposition (or small
intestinal switch) can effectively control Type 2 diabetes, a
Brazilian surgeon claimed here on Saturday.

Dr. Aureo Ludovico de Paula, is in the city to address
the first international conference and live workshop on this
procedure along with his Indian counterpart Dr Surendra Ugale.

Ugale who is also the organising secretary of the
workshop said, "the new research has shown that there are some
intestinal hormones which have a great effect on the pancreas
and insulin secretion especially in response to food intake.

Dr Paula has devised a laparoscopic operation which he claims
is proving to be a cure for Type 2 diabetes."

Paula said, "the surgery can control diabetes without
insulin, arrest the metabolic syndrome of the body organ
deterioration, thus avoiding future diabetic complications."

The doctor who has performed 700 surgeries with 95
percent remissions said the operation involves a long segment
of ilium (ending portion of small intestine) which is shifted
to the upper small intestinal area, where food particles will
reach it very soon on eating a meal.

This causes an immediate secretion of good hormone GLP-1
which acts on the B cells of pancreas to secrete insulin and
control blood sugar.

The fall out is a biochemical process that facilitates
insulin secretion in the presence of undigested food and
controls Type 2 diabetes, a metabolic disorder that is marked
by the failure to absorb sugar and starch due to lack of the
hormone insulin, Paula said.

Type 2 diabetes is the most common form of diabetes. In
this disease, either the body does not produce enough insulin
or the cells ignore it.

Ugale explained that Type 2 Diabetes affects several
organs. The solution therefore is to stimulate these hormones
in lower intestine that in turn secrete GLP which in turn
stimulates the pancreas to stimulate the insulin and get fresh
beta cells.

He said patients who already have diabetes for ten years
and using medication, and are suffering from five associated
diseases are ideal candidates for this kind of surgical
intervention which costs around Rs 3.5-4 lakhs.

The surgery not only controls high blood pressure but
also improves kidney cholesterol nerves reduces excess weight
and also one need not take any medicines. He also can eat
normally post surgery including sweets.

However, doctors insist that first of all in any patient
they would advise lifestyle changes, exercise followed by
medication, if there is diabetes and if the patient is not
doing well only then surgery is advised.

Presently a centre in Mumbai and Hyderabad are performing
this surgery. A centre has also come up in Coimbatore.

Over hundred doctors from all over the country and
endocrinologists are participating in the two-day seminar
beginning today.


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