SUR­GI­CAL SO­LU­TION

Health & Nutrition - - HEALTH FLASH - Dr Ab­hay Agrawal Obe­sity & Bari­atric sur­geon

Di­a­betes Mel­li­tus (DM 2) is an epi­demic on the rise. 80 % of pa­tients with DM 2 are obese or over­weight, and weight re­duc­tion is one of the most ef­fi­cient ways to achieve con­trol of this ill­ness. Re­search shows that there are in­testi­nal hor­mones that have a strik­ing ef­fect on the pan­creas and in­sulin se­cre­tion, es­pe­cially in re­sponse to food in­take. On the ba­sis of this, Brazil­ian sur­geon Dr Aureo de Paula, de­vised a la­paro­scopic op­er­a­tion that is prov­ing to be help­ful in con­trol­ling di­a­betes, and avoid­ing fu­ture di­a­betic com­pli­ca­tions. Here, a long seg­ment of the il­ium (end­ing por­tion of small in­tes­tine) is shifted to the up­per small in­testi­nal area, where food par­ti­cles reach­ing im­me­di­ately af­ter the meal can cause an im­me­di­ate se­cre­tion of a hor­mone, GLP-1, which acts on the B-Cells of the pan­creas to se­cret in­sulin, to im­me­di­ately con­trol blood sugar. If there is no in­take of food, this will not hap­pen, so there is no dan­ger of low blood sugar (hy­po­glycemia). This op­er­a­tion, called the Ileal Trans­po­si­tion, is an ideal for sur­gi­cal cure of di­a­betes in non-mor­bidly obese pa­tients also, as there is no mal ab­sorp­tive el­e­ment lead­ing to the weight loss. Pa­tients can stop all medicines within a few months, at times even within two to four weeks post the surgery. The only life­style change re­quired is that, pa­tients need to con­sume smaller por­tions of food at one time to en­joy a dis­ease-free, longer and health­ier life.

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