| Duodenal-Jejunal Bypass ~ a Potential Cure for Type 2 diabetes ???
Posted: 4/22/2008 12:28:41 PM | The April 20, 2008 broadcast of 60 minutes (CBS) aired the following segment:
It's pretty well known to doctors that the most successful treatment for obesity is surgery, especially the gastric bypass operation. But here's something the medical world is just realizing: that the gastric bypass operation has other even more dramatic effects. It can force type 2 diabetes into almost instant remission and it appears to reduce the risk of cancer.
Surgeons have been performing bariatric, or weight loss operations since the 1950s, but they're much safer than they used to be. They're typically done laparoscopically now, where doctors use tiny surgical tools and video cameras instead of making big, deep incisions.
Despite the increase in obesity, only a small number of people have had the gastric bypass operation.........
Studies confirm that about 80 percent of diabetics go into complete remission following the operation. Obesity is considered one of the major causes of type 2 diabetes, but here's something odd: when you have the gastric bypass operation, your diabetes goes away long before you lose the weight..........
This spontaneous remission puzzled Italian surgeon Francesco Rubino, now at New York Presbyterian Weill Cornell Medical Center. "We wanted to know what is making diabetes remit. We thought it could have been something to do with the small bowel," Dr. Rubino says.
So he began performing the bypass on diabetic rats, and realized that when he disconnected the top of the small intestine, an area called the duodenum, the diabetes disappeared. Then, he reversed the operation.
When he reattached it, the diabetes came back.
This was a pivotal discovery. By merely blocking food from traveling through the duodenum, Rubino sent diabetes into remission, proving the effect was independent from weight loss. This meant diabetes could essentially be removed with a scalpel.
Dr. Rubino says this operation has been performed on humans.
60 Minutes joined him in Sao Paulo, Brazil, where clinical trials have begun on diabetics who are not obese, to determine if the "diabetes surgery" is safe and effective.
As of now, if you have diabetes and are not obese you can't have the bypass surgery. Under guidelines written by the National Institutes of Health 17 years ago in 1991, only the severely or morbidly obese are eligible for any bariatric operation. If you're just mildly obese, you can't get it..........
The NIH told 60 Minutes there's no plan to revise the guidelines, but they are currently studying the benefits and risks of bypass surgery.
http://www.cbsnews.com/stories/2008/04/17/60minutes/main4023451.shtml
Clinical trials are underway in a number of areas ~ here's one in New Rochelle, New York
Study of Duodenal-Jejunal Bypass (DJB) as a Potential Cure for Type 2 Diabetes Mellitus
This study is currently recruiting participants.
Verified by Sound Shore Medical Center of Westchester, February 2008
Premise: Complete resolution of Type 2 Diabetes Mellitus with normalization of blood glucose and HbA1c in the abscence of medication support is possible with a surgical procedure named the "Duodenal-Jejunal Bypass (DJB)" a modification of an established duodenal switch procedure and is performed utilizing the laparoscopic approach.
Hypothesis: The duodenum plays a major role in glucose homeostasis through mechanisms largely unknown at this time. Evidence of this hypothesis comes from accumulated data in bariatric surgery patients who underwent Roux-en-y Gastric Bypass or Biliopancreatic Diversion (BPD) with or without a Duodenal Switch. Current evidence strongly supports this hypothesis with a long term (over 10 years) Type 2 Diabetes Mellitus(T2DM) resolution rate of 84-86% following the gastric bypass and over 95% for the duodenal switch.
The clinical resolution of T2DM is defined as independence of all anti-diabetic medications and maintaining a HbA1c less than 6.0. Recent rodent experiments by Francesco Rubino and subsequent human case reports by Cohen et al. supports the validity of this hypothesis. The modified procedure involved a roux-en-y bypass of the duodenum and 30-50cm of proximal jejunum, unaltering the stomach and pylorus resulted in resolution of T2DM with no weight loss in all subjects.
http://clinicaltrials.gov/ct2/show/NCT00562029?cond=%22Diabetes+Mellitus%22&rank=39
Wow ~ in my opinion, this research could rewrite the books on our current understanding of Type 2 diabetes. I find this fascinating and will be following published outcomes with interest ! Till then, I welcome your thoughts..... | |
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| Duodenal-Jejunal Bypass ~ a Potential Cure for Type 2 diabetes ???
Posted: 4/22/2008 12:45:47 PM | | I'm sorry, I never reply to posts on here but this information is idiotic. It's not your fault, it's the medical establishment. One of the results of Gastric Bypass is the complete inability to handle or process most carbohydrates. The post-op protocol calls for abstinence from carbs, permanently. This puts the patient on the Atkins diet! It has long been known that low carb or no carb diets can put Type II into immediate remission. So - the surgery is totally superflous! Skip the knife, ditch the carbs and heal yourself! There is just no need to cut your stomach open. | |
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| Duodenal-Jejunal Bypass ~ a Potential Cure for Type 2 diabetes ???
Posted: 4/22/2008 1:53:11 PM |
So - the surgery is totally superflous! Skip the knife, ditch the carbs and heal yourself! There is just no need to cut your stomach open.
A duodenal - jejunal bypass leaves the stomach intact ~ and the laparoscopic technique used means that only tiny incisions are made. Also, the clinical trial cited in my opening post does not allow the inclusion of morbidly and clinically obese participants. Inclusion criteria states that the body mass index must be LESS than 35.
Not ALL type 2 diabetics are overweight so I would surmise that "ditching the carbs" may not be entirely efficacious for them. | |
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| Duodenal-Jejunal Bypass ~ a Potential Cure for Type 2 diabetes ???
Posted: 6/28/2008 6:08:48 AM | If you want to cure Type 2 Diabetes, just stop eating fried foods! Well, there's more to it than that, but seriously, diabetes is the cell's inability to receive insulin because the receptors are clogged by fatty oil. There are good oils, but most oils in the American diet are the bad kind. Sugar is only a problem when glucose cannot nourish the cell because the insulin enzyme can't break through the receptor in the cell wall to nourish the cell. Too much glucose outside the cells can create havoc in the body, leading to all those symptoms one experiences with a high sugar rate.
The best diet for Type 2 Diabetes is the Pritikin Diet.
By the way, that same principle applies with cancer, except it has to do with trophoblastic cells (the kind that grows hair, fingernails, repairs wounds and develops fetuses--rapid growth cells). T-cells are controlled by B-17 in the diet--found in the seeds and kernels of apples, pears, peaches, apricots, etc. (but you must eat the seed/kernel with the fruit or you can poison yourself). A lack of B-17 in the body can result in out of control T-cells, which (if the immune system is healthy) can result in benign tumors or (if the immune system is unhealthy) malignant tumors. L-tryptophane (found in bananas and turkey) is essential to create the enzyme trypsin to unlock the receptors of the T-cells and allow the B-17 to do its job--destroy the cell without harming the rest of the body. I learned this from some of my customers who were treated at the Cantreras Cancer Clinic in Mexico. That's why the AMA got the government to successfully ban Laetrile (B-17) and L-Tryptophane in the US. They make too much money off of cancer. And don't get me started on AIDS!!! | |
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| Duodenal-Jejunal Bypass ~ a Potential Cure for Type 2 diabetes ???
Posted: 7/30/2008 12:34:16 PM |
The best diet for Type 2 Diabetes is the Pritikin Diet.
And Exersize,...dont forget about the exersize,......
You can substitute basicly any Diet plan,...in place of the "Pritikin Diet",... plan,..and it will work,....maybe not as good ,..but Exersize,..with any Diet plan, will give you better results, than No Diet plan,...and No Exersize.
Walking,..for 30 to 45 min's,..is a great way to get back into shape, its low impact,..you can set your own pace, and increase your pace as you improve,...
The benifits of Brisk Walking are Great,.Lower Blood Pressure,.Lower Blood Sugar,..
weight loss,..increased metabolism,..increased strength and staminia,..
And feeling better,....and sleeping better !
The Pritikin Diet is basicly what the Dr's have been telling me to do,.....cut out fried foods and red meat,..and increase eating fruits and veggies, and whole grains,....
And Exersize ! | |
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