Hyderabad: A new procedure which requiressurgical intervention through Ileal Transposition (or smallintestinal switch) can effectively control Type 2 diabetes, aBrazilian surgeon claimed here on Saturday. Dr. Aureo Ludovico de Paula, is in the city to addressthe first international conference and live workshop on thisprocedure along with his Indian counterpart Dr Surendra Ugale. Ugale who is also the organising secretary of theworkshop said, "the new research has shown that there are someintestinal hormones which have a great effect on the pancreasand insulin secretion especially in response to food intake.
The fall out is a biochemical process that facilitatesinsulin secretion in the presence of undigested food andcontrols Type 2 diabetes, a metabolic disorder that is markedby the failure to absorb sugar and starch due to lack of thehormone insulin, Paula said. Type 2 diabetes is the most common form of diabetes. Inthis disease, either the body does not produce enough insulinor the cells ignore it. Ugale explained that Type 2 Diabetes affects severalorgans. The solution therefore is to stimulate these hormonesin lower intestine that in turn secrete GLP which in turnstimulates the pancreas to stimulate the insulin and get freshbeta cells. He said patients who already have diabetes for ten yearsand using medication, and are suffering from five associateddiseases are ideal candidates for this kind of surgicalintervention which costs around Rs 3.5-4 lakhs. The surgery not only controls high blood pressure butalso improves kidney cholesterol nerves reduces excess weightand also one need not take any medicines. He also can eatnormally post surgery including sweets. However, doctors insist that first of all in any patientthey would advise lifestyle changes, exercise followed bymedication, if there is diabetes and if the patient is notdoing well only then surgery is advised. Presently a centre in Mumbai and Hyderabad are performingthis surgery. A centre has also come up in Coimbatore. Over hundred doctors from all over the country andendocrinologists are participating in the two-day seminarbeginning today.PTI
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