Permanent diabetic surgery

Permanent diabetic surgery

 

Diabetic Treatment

This procedure can be done for persons who have Type 2 Diabetes, who are on oral drugs & or insulin. This procedure will be useful if the C-Peptide blood test is more than one. The HBA1c test gives a person an indication of poor control if level is more than eight. Complications of diabetes will be arrested unless the organ damage has already progressed to a point of no return. So, this surgery can completely control diabetes, arrest the metabolic syndrome of body organ deterioration, thus avoiding future diabetic complications. High blood pressure and high cholesterol /triglycerides are also completely controlled or greatly improved and body loses excess weight which is good for overall longevity with good health.

diabetes

This switch operation causes a surge in the body’s insulin soon after taking food thus controlling post-prandial sugar. It also increases the insulin sensitivity of target cells so that fasting sugar levels dependent on liver are better controlled. Thus this operation controls sugar in the most physiological way by enhancing the effect of body insulin. The progressive destruction of insulin-secreting B-cells in pancreas is arrested. This is a surgery done on the intestinal tract, and not on the pancreas. The procedure is done by key-hole surgery; is practically blood-less; using modern state-of-the-art Stapling Devices and blood vessel self-sealing devices; needs about five days of stay in the hospital for observation, especially of the dropping blood sugar levels .

Diabetes being a medical disease, it was traditionally treated by diet and exercise with mild oral medicines. When this progressed, more drugs were added to control blood sugars; when this went on increasing, insulin injections were added.Diabetes is the cause of cardiac problems and kidney failure in many patients; it is a killer disease with epidemic proportions in the world. The disease keeps on progressing in most people with on-going complications on many organs in the body. It is associated with high cholesterol levels, high blood pressure, fatty liver disease, obesity and polycystic ovary disease causing the Metabolic Syndrome.

METABOLIC SURGERY FOR DIABETES

“Studies have shown that metabolic surgery is superior to medical management in patients suffering from Type 2diabetes and Obesity (especially if BMI is ≥ 30 kg/m2).”
In metabolic surgery we remove part of stomach (Sleeve Gastrectomy) and rearrange small bowel. This leads to changes in several gut hormones that control release of insulin and its action. It cures as a result of several factors, some of them are increased incretins, reduced anti incretins, reduced ghrelin, increased action of leptin, rapid emptying of stomach, calorie restriction and weight loss.

Sleeve gastrectomy component of metabolic surgery results in calorie restriction and weight loss. Weight loss has positive impact on maintaining normal glucose levels in blood. Weight loss increases insulin action, reduces damage to beta cells in pancreas. If surgery is performed on normal weight diabetic patients, weight loss is not much or will not be there.
These can be performed both in obese as well as non obese diabetics

SURGICAL PROCEDURES
LAPAROSCOPIC SLEEVE GASTRECTOMY WITH DUODENOILEAL INTERPOSITION SG
image
– DII): Most effective metabolic surgery.

In this type of surgery, up to 80 percent of left side of the stomach is removed and the first part of the duodenum is disconnected using linear cutter stapler. A significant segment of the ileum is isolated by dividing the ileum proximal to the Junction of the small and large bowels. Bowel continuity is restored by joining the remaining ends of the ileum and all the mesenteric gaps are closed. In this operation Ghrelin hormone – the hormone responsible for hunger production is reduced, as fundus of the stomach is removed.

LAPAROSCOPIC SLEEVE GASTRECTOMY WITH DUODENOJEJUNAL BYPASS (SG – DJB)
It is actually a combination of Sleeve Gastrectomy with roux – en – y gastric bypass.
In this type of surgery, up to 80 percent of left side of the stomach is removed and the first part of the duodenum is disconnected using linear cutter stapler. Jejunum is divided distal to duodenojejunal flexure and Bowel continuity is restored and all the mesenteric gaps are closed.

ELIGIBILITY
Any patient suffering from type 2 diabetes who is fit, aged between 18 to 65 years, duration of diabetes should be > 3 years and < 20 years.

RESULTS OF THE SURGERY
In obese people, because of narrow stomach tube, food intake is restricted, which leads to calorie restriction and weight loss. All these factors contribute to the resolution of diabetes in more than 95 percent of type 2diabetic patients.
In more than 65% patients HbA1C becomes < 6% and in 30% of patients HbA1C level between 6 and 7 % is achieved. Patients are off insulin and tablets.

 

 

Back

Enquire

Our Partner Hospital…

Our Happy Patients

  • Kenneth-Lawrence-OnyemenA big Thank you to Dr Rajeev Sood for treating my ailing and critically sick husband Mr. Lawrence so kindly and diligently at Fortis Hospital, Vasant Kunj. And I appreciate Mr. Rajesh for making our stay and treatment so smooth he is the one who was always there to assist us for the treatment. He guided us so well for the committee of kidney transplant. He helped so much in preparing the legal documents so that we cleared our committee. I refer Med Tour Advisor for renal failure patients as they will assist you well for the complete process of kidney transplant.

    Mr Kenneth Lawrence Onyemen Kidney Transplant Nigeria

  • A big Thank you to Dr Rajeev Sood for treating my ailing and critically sick husband Mr. Lawrence so kindly and diligently at Fortis Hospital, Vasant Kunj. And I appreciate Mr. Rajesh for making our stay and treatment so smooth he is the one who was always there to assist us for the treatment. He guided us so well for the committee of kidney transplant. He helped so much in preparing the legal documents so that we cleared our committee. I refer Med Tour Advisor for renal failure patients as they will assist you well for the complete process of kidney transplant.

    Mr Kenneth Lawrence Onyemen Kidney Transplant Nigeria

  • My Name is Adam ,I am resident of Abuja Nigeria.i met with an accident in January 2013 and my spine got injured in that accident.I went to see my doctor in Nigeria, Dr Abdul and he referred me to Med Tour Ad-visors

    Mr Adam Spine Surgery NIGERIA

  • Mam, we really appreciate your effort towards the comfortable life you given to our baby (favour). With the circumstance that am not with you on that faithful day,

    Baby Flavour VSD TREATMENT NIGERIA

  • I was a very dejected woman as I was married for 8 years and had undergone all sorts of treatments - Innumerable no. of IUIs, Repeated cycles of ovarian stimulation and two cycles of IVF.

    By: Mr. & Mrs. JOHN (Lagos, Nigeria)

  • Life care and Hospitality : They know how to deliver their promise and make someone happy. I came with my daughter for the heart hole surgery in Fortis Hospital.

  • I, John Edward Gillaspy from USA contacted Dr. Deep Goel for my obesity and related health conditions.

    John Edward Gillapsy, USA

  • I came here from Warri Nigeria to operate my 11 years old baby who had a hole in the heart. Mr. Sanyam Goel (Sam) is the one who promised me that everything will be fine before I left Nigeria.

  • First I would thank God for the Miracle. I would like to thank you Sugandha for doing so many thing for us. You help us at every step from the time we landed at the airport.

    Marie & Lydie from Rwanda

  • My Name is Adam ,I am resident of Abuja Nigeria.i met with an accident in January 2013 and my spine got injured in that accident.I went to see my doctor in Nigeria,

    Abuja Ahemad, Nigeria, Africa.

Read More

Med Tour Advisor