Diabetes Surgery in Dubai- Get the best Diabetes treatment in Dubai by Dr. Girish Juneja who is a well-experienced laparoscopic surgeon with more than 25 years of experience. Diabetes affects all organs in the body like eye, brain, heart, kidney, limbs vessels.

The biggest recent advancement in the medical world is Control of Diabetes (Type 2)in obese people by Laparoscopic (Key-hole) Surgery. It reduces the size of the stomach using laparoscopic (“keyhole”) surgery and stomach stapling. Recent research shows that the procedure can resolve or greatly improve Type 2 diabetes in obese patients and even in some diabetic patients who are not obese.

A number of procedures for weight-loss surgery (termed ‘bariatric surgery‘) have been developed which can work by reducing the functional size of the stomach (‘restriction’), reducing the capacity of the gut to absorb calories (‘malabsorption’) or by a combination of the two. The well-documented improvement in diabetes following such surgery has been seen , these results are partly due to weight loss & partly due in part to the altered transit of food through the gut (hormonal). It is therefore possible that different procedures would give different degrees of improvement. This is what Associate Professor Markku Peltonen at the National Institute for Health and Welfare, Finland and colleagues from the University of Gothenburg, Sweden, set out to investigate using data from the large ‘Swedish Obese Subjects’study.

2010 severely obese patients (with BMI>34 in men and >38 in women) recruited to the study went on to receive bariatric surgery: 376 gastric banding, 265 gastric bypass (GBP), and 1369 vertical banded gastroplasty (VBG — see below for descriptions). They followed 74% of these patients at both 2 and 10 years and measured improvements in diabetes via blood glucose and insulin levels before and after surgery. The degree of weight loss was categorised as more than 30kg, 30-25kg, 25-20kg and 20-15kg. Improvements in blood glucose and insulin were then compared between the three different surgical procedures accounting for the degree of weight loss.

After 10 years, the researchers found there was no significant difference in the changes to insulin and glucose levels between the three surgical groups when the extent of their weight loss was taken into account. This was true for patients with and without diabetes at baseline. The average 10 year weight losses were 18kg, 20kg and 29kg for the banding, GBP and VBG groups respectively (p<0.001). In a further analysis patients that lost the same amount of weight improved their blood glucose and insulin levels to similar degrees, regardless of the type of surgery.

The researchers conclude that the remarkable improvements in diabetes following weight loss surgery are not a direct result of the procedure itself. More research now needs to take place to investigate why bariatric surgery can cure diabetes in these patients, and why some patients respond better than others.In summary ,one can say that weight loss & changes in gut hormones after bariatric surgery together play a role in controlling / improving diabetes mellitus type 2 .

Dr. Girish Juneja has a wide range of experience for diabetes and obesity surgery & has a special interest in bariatric Surgery. He received his diploma in minimal surgery from Strasbourg, France.

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