Metabolic surgery in Type-2 Diabetes..

[DRH-sangli]

I saw an article in Times of india, Mumbai edition dated 26.11.2022..

( see below)..

More information from internet-

The term ileal interposition is the process of replacing the last part of the small intestine and the initial part with the most brief expression. This surgery functions on the principle of disabling the hormones that cause insulin resistance and increasing hormone levels that increase insulin sensitivity.

drcelikinternational.com/me... Interposition

The term ileal interposition is the process of replacing the last part of the small intestine and the initial part with the most brief expression. This surgery functions on the principle of disabling the hormones that cause insulin resistance and increasing hormone levels that increase insulin sensitivity.From the beginning Ileal Interposition operation is a surgical treatment method developed for the treatment of Type 2 Diabetes. The definition of metabolic syndrome includes Type 2 Diabetes, hypertension, hyperlipidemias (high cholesterol and triglyceride) and excess weight. It is possible to treat all the components of Metabolic Syndrome with Ileal Interposition surgery.Ileal Interposition surgery is not an obesity surgery as a starting point. It is an operation aimed at treating all of the health problems within the scope of Metabolic Syndrome, especially Type 2 Diabetes.Ileal Interposition surgery does not make absorption restrictions or absorption disorders. Patients with ileal interposition surgery switch to liquid food from the 3rd day after surgery. They can continue their lives in six months to 1 year with a completely free diet without taking vitamin or mineral supplements.Patients who are eligible for surgery usually leave all diabetes, blood pressure and cholesterol medications they use after Ileal Interposition surgery. After the operation, they are observed in terms of the course of these diseases in the hospitalization process. The vast majority of patients are discharged without using any of these medication.In some, it functions on the principle of increasing the levels of hormones that increase the sensitivity of the medications in gradually decreasing doses, ranging from a few weeks to a few months, until the metabolic effect is expected to settle. All of these medications are discontinued when measurements are normalized.There are two different versions of Ileal Interposition surgery. These are: diverted ileal interposition and non diverted ileal interposition.

[sandybrown]

Hi,

Thank you for this post. Some thing new to learn and understand.

[DRH-sangli Star in reply to sandybrown]

It hope this laparoscopic surgery would provide a big relief to those having uncontrollable type-2, and having some complications..This is being done in Hinduja Hospital in Mumbai and I saw Advt today ( 28 Nov 2022), by WockHardt Hospital also.. I am sure these must be being done by others at many places.

[sandybrown in reply to DRH-sangli]

Googled for UK, NHS, there is no information but a lot of advert for this type of surgery.

I need to look into the procedure first. Do please provide more information if you find it. Thanks.

[DRH-sangli Star in reply to sandybrown]

sure

[sandybrown]

Was looking for a photo for explanation.!

photo

[DRH-sangli Star in reply to sandybrown]

excellent

[DRH-sangli Star]

youtu.be/4rVxnCyCsrc(Not working as expected?)

See video regarding diabetic surgery

[GVGnanasooriyam]

It looks very interesting!

The Type-2 has been in our vocabulary for donkeys’ years. Innumerable varieties of drugs one after the other for Type-2, and the marketing strategies of the drug companies to convince theirs is the best, made the medical professionals as well the patients to near psych level!

In the context of this scenario, a question arises as to why it took such a long time to come out, especially from India?

[DRH-sangli Star in reply to GVGnanasooriyam]

It appears to a out of box solution like metabolic surgery for a diabetic.. This may avoid all medicines and it’s side effects in future..

[sandybrown in reply to GVGnanasooriyam]

The link below give history on surgery, take a look at the starting time.

diabetes.org.uk/resources-s...

[DRH-sangli Star]

very good information. It appears efforts of surgery are being made for a long time.However, I have not seen data on Whether there is good improvement through surgery or not .But efforts are praiseworthy.

[sandybrown]

For those who are interested in digestive system!

The below link give some information.

cpp.edu/~honorscollege/docu...

[GVGnanasooriyam in reply to sandybrown]

It would be of great help to those interested in this subject if an English version too is added!

[sandybrown in reply to GVGnanasooriyam]

If you look at the document, it is in English!!

Digestive Tract Comparison

"Human/Dog Digestive system or Simple Monogastric Digestion

Mouth • A specialized region of the digestive tract designed to break up large particles of food into smaller, more manageable particles

• Saliva is added to moisten food and begin carbohydrate breakdown by amylase in humans. • There are four main types of teeth in the human or dog: incisors, canines, premolars and molars. •One reason dog and cat canines are much larger than ours is that they need to be able to rip and tear through tough raw meat. Humans have evolved to eat easier to chew, cooked meat. • While chewing, food is transforme into what is called a bolus, a food ball, and then forced down the throat by the tongue. Pharynx

• The pharynx is the shared tube of the respiratory and digestive tracts. • It houses the epiglottis, a flap that closes off the tracheal opening while swallowing so food does not enter the respiratory tract while swallowing. Esophagus

• An thick and muscular organ of transport. • Contracts rhythmically to transfer the bolus from the mouth and pharynx to the stomach through peristalsis Stomach

• The bolus enters the stomach by passing through a valve-like cardiac sphincter.

• The stomach is highly elastic, able to stretch to many times its original empty volume in order"

[DRH-sangli Star in reply to sandybrown]

very well described