Diabetes Surgery

Ashok Agarwal · 02-04-2010, 11:22

Dr. Keith Gersin, North Calorina He is fitting some device in intestine costing 2000 sterling pound for complete recovery of Diabetes 2 and obesity. Can any body pl tell me details. It is published in TOI on 25/1/2010.

Richard157 · 02-04-2010, 15:35

I have never heard of that surgery before. thanks for the information.

IHaveDiabetes · 02-04-2010, 19:50

Here's a link to an article about the procedure that gives a little more details about it (The Hindu : Health : Now, reverse onset of diabetes in 15 minutes). The title of the article, "Now, reverse onset of diabetes in 15 minutes" is misleading. It is not really a surgery to cure or manage diabetes, but an option for weight loss (which will help overweight individuals to lose weight and therefore help them to manage diabetes).

Shanny · 02-04-2010, 20:36

It isn't truly a surgery, in the sense that there is any incision or wound. This EndoBarrier is getting some attention, but I think they need to be very careful what they claim for it. It seems like a practical fairly non-invasive procedure, but when they start saying they're reversing diabetes, I start getting wary. There are already too many of those claims floating around, and they put themselves in some shady company, even if they ARE found to have a safe & reputable product.

Richard157 · 02-04-2010, 21:16

You are right Shanny. A very good point!

Shotts · 05-03-2010, 09:29

Hi, Shanny i agree with you.

nailfungustreatments · 06-09-2010, 06:10

Hi Shanny, Yes your right. But is the treatment works? How can we trust ? Where i can get the complete information about this? Can you please tell me.

onaughmae · 06-09-2010, 11:57

Quote:

Originally Posted by nailfungustreatments

Hi Shanny, Yes your right. But is the treatment works? How can we trust ? Where i can get the complete information about this? Can you please tell me.

As far as I know, it is still in clinical trials. I am sure you can google it for information. Supposedly it works because it doesn't allow the food you eat to come in contact with the small intestine. Of course this would help you lose weight since nutrients from food would not be absorbed. I have to wonder what other issues from malnutrition would occur from this. Seems pretty drastic to me when it would be easier and safer to alter your diet to provide the same results. Instead of putting a barrier there to block all your nutrients from being absorbed...makes more sense to me to just stop eating those things and replace them with healthier choices. I think the claim that it reverses diabetes in 15 minutes seems suspect to me. I guess they get away with that claim because it takes that long to install the device in your body. Seems like it just sort of forces you to keep to the diet changes that diabetics should make anyway on their own. Then I wonder what happens when they remove it? If you haven't changed you eating habits by then I would guess you would be right back where you started from.

marksyd · 06-11-2010, 16:15

Although I do not suffer from Type 2 diabetes (although my associate sitting across the desk from me does), I find it strange that a very significant part of both diabetes sufferers themselves, let alone the North American medical community, cavalierly dismiss bariatric and related surgery as a cure for Type 2 diabetes. A good diet helps, but but obviously is not the definitive answer; stem cell research is only in its infancy.

Let’s be up front: pills, herbs and 'natural' treatments do not work, and are likely scams. Health Canada is very clear: 'Any product that claims to be a miracle cure for diabetes is a fraud that could cheat you of time, money and most importantly, your health... There is no pill, herb or "all natural" health product that will miraculously cure diabetes.'

Let's consider bariatric surgery. In a surprisingly high percentage of cases, severely and generally obese patients undergoing bariatric surgery for weight loss found that as a consequence, their Type 2 diabetes - for those suffering from the disease, as many obese people do - was either eliminated altogether or the symptoms drastically reduced. CBS Sixty Minutes aired a revealing video: The Bypass Effect On Diabetes - in March 2008. Search the net for it; it's definitely worth watching.

There are different surgical procedures involved, such as the gastric sleeve for obese people with Type 2 diabetes and the duodenal exclusion for non-obese people. Both are among the surgeries (gastric bypass, lap-band, etc. are others) that will do more than just put diabetes into remission - both have been proven to eliminate Type 2 diabetes with an 80-90% success rate!

The gastric sleeve (laparoscopic sleeve gastrectomy) is one popular surgical procedure used to cure Type 2 diabetes in obese patients with a BMI of 30-35 and higher. Here the bariatric surgeon will remove approximately 60 to 80% of the stomach along the greater curvature, leaving only a small tube, or 'sleeve' for the new stomach pouch that extends from the natural stomach opening to the natural stomach outlet (pyloric valve).

The procedure helps limit eating by reducing the overall size of the stomach and helps control hunger by removing the part of the stomach that produces the hunger-stimulating hormone Ghrelin.

Non-obese patients undergoing duodenal exclusion (duodenal exclusion with a loop duodenojejunostomy) surgery to cure their Type 2 diabetes do not have their stomach touched. In this procedure, the surgeon will remove or bypass part of the upper small intestine or duodenum, so that food from the stomach goes directly into the lower small intestine - most importantly, removing the duodenum from the nutrient flow.

Stomach volume is kept intact, maintaining the caloric ingestion so that in many instances, the patient undergoing duodenal exclusion will lose less than 5% of her/his pre-op weight. This eliminates potential nutritional zig-zags and drastic dietary changes that may follow other types of bariatric surgery.

Both these surgeries are done laparascopically in Costa Rica (and elsewhere) by internationally trained surgeons in internationally accredited full service hospitals, and are performed specifically to cure Type 2 diabetes – unlike the U.S., Canada and some European countries where this surgery is restricted.

Sabrina · 06-11-2010, 20:06

Do you work in healthcare, perhaps in the bariatric surgery industry?

From my understanding, weight loss will help most with diabetic control, so why not just eat a healthy diet, exercise,lose weight and gain control of diabeties? Having a radical surgery making it impossible to eat a normal amount of food sounds way too drastic for the average person. Some people have serious complications from the surgery alone. I had a friend who had it done, lost weight, then had gallbladder issues, kidney stones and now has gained a good bit of his weight back. He is not diabetic.

I have read on other sites where members have had this surgery hoping that it would lead to remission of diabetes, but they still require medications or insulin.

This would not be something i'd promote except in cases of extreme obesity, like the 500 lb people you see on TV.

I watch biggest loser on TV and they lose a lot of weight and get off their diabetic medications.

I am of a very normal weight, i'm 5 ft 7 and weigh 130 lbs, yet I have type 2 diabetes. It is not just heavy people who suffer with diabetes.