Surgery better than standard treatment for Type 2 diabetics India has a new dubious distinction now – Diabetic capital of the world! A recent report tells about the dramatic rise in diabetic cases in India, amounting to nearly 25% of cases in the world. The most prevalent is the Type 2 diabetes, which constitutes 95 per cent of the diabetic population in the country. It was a dream for people that May be scientists will someday find a cure of this deadly disease.
Finally there is a good news for over 37 million diabetic population in India . It is being realized world over that diabetes may be disorder of upper intestine and surgery can correct it said noted laparoscopic surgeon Dr. Arindam Ghosh ,Senior Consultant G.I. Surgery. SPS Apollo Hospital is Launching surgery program for Permanently Curing Diabetes through Laparoscopic Gastrointestinal Surgery. This will revolutionize the diabetes treatment in India.
STUDYS IN SUPPORT
Diabetes Surgery works much better than standard medical therapy as a treatment for Type 2 diabetes in obese people. A study, of 60 patients, showed that 73 percent of those who had surgery had complete cure of diabetes, meaning all signs of the disease went away. By contrast, the cure rate was only 13 percent in those given conventional treatment, which included intensive counseling on diet and exercise for weight loss, and, when needed, diabetes medicines like insulin, metformin and other drugs.
A team of French, Italian, and Brazilian doctors operated on seven people with Type 2 diabetes who are of normal weight or moderately obese to test the results. Nine months after surgery, the many patients no longer needed insulin injections. They experienced dramatic reductions in their blood sugar and insulin levels in the month following surgery – before any weight loss took place.
Growing evidence shows that surgery may effectively cure Type 2 diabetes — an approach that not only may change the way the disease is treated, but that introduces a new way of thinking about diabetes, said Dr. Arindam Ghosh.
Scientists had accidentally found that upper small intestine — the duodenum and jejunum of diabetic patients may be the site where an abnormal signal is produced, causing, or at least favoring, the development of the diabetes disease. "When we bypass the duodenum and jejunum, we are bypassing what may be the source of the diabetes problem" Said Dr. Ghosh.
"It’s the best therapy for diabetes that we have today, and it’s very low risk. Dr. Ghosh has already organised lectures in various cities like Amritsar, Jalandhar, Ludhiana etc. At Ludhiana his lecture was attended by eminent and distinguished Surgeons and Physicians of the city. Till now Surgical Gastroenterology department SPS Apollo Hospitals has done many operations for severe Obesity that includes Gastric banding and Gastric bypass procedures. The team of Dr Arindam Ghosh & Dr Rajan Damathia ,at SPS Apollo Hospitals has started Modern Laparoscopic surgery with staplers and highest order infrastructure. Now there are available a number of gastrointestinal operations designed to treat Type 2 Diabetes. Like many great Discoveries this too was serendipitous i.e discovered by chance. People who were being treated by laparoscopic weight loss surgery got rid of their Diabetes much before weight loss. This observation usurped in to the discovery of the fact that it is not the pancreas only that is at fault in diabetes but the Gut is also involved.
In terms of treatment complications of diabetes-like stroke, heart attack, kidney failure, blindness,loss of limb etc this surgery offers tremendous benefits. It will prevent the complications and cut the costs. A few prototype surgeries that are in vogue are Duodenojejunal Bypass ,Ileal Transposition, Restrictive Gastric Bypass etc.The hope for many unfortunate diabetes patients is here now finally.
This "Metabolic surgery" in principle is to bypass the part of the intestine to present the Food early in contact with distal part of the intestine. The scene gets changed immediately with resultant normalization of blood sugar. Hormones like GLP (Glucagon-like peptide) , GIP , PYY etc are Responsible for this beneficial effect along with stimulation of insulin. The surgery is new yet simple.
