Pancreatico biliary diversion (PBD) is one procedure for treating obesity. Normally the stomach empties into the upper part of the small intestine, where much of its contents are absorbed. In pancreatico biliary diversion the contents of the stomach are rerouted into the lower part of the small intestine and on into the large intestine, where they are not absorbed. Part of the stomach is removed, which encourages the person having had surgery to eat less.
It has been discovered this particular surgery and several other types of obesity surgery can sometimes be curative in Type 2 diabetes. Researchers at the State University of Campinas in Sao Paulo, Brazil, hypothesized that beta cells, the pancreatic cells that release insulin, could be improved by this particular surgery and set out to investigate.
Their study, published in Diabetes Care in October 2013, the publication of the American Diabetes Association, included:
- 31 obese women with Type 2 diabetes,
- 18 obese women without diabetes, and
- 19 lean women without diabetes.
Twenty women with diabetes underwent pancreatico biliary diversion. One month after surgery it was found the beta cells were better able to respond to rising blood sugar levels by releasing insulin. Patients livers were also better able to take in insulin, and their bodies became more sensitive to insulin.
From these results it was concluded improvements in beta cell output, liver absorption of insulin, and insulin sensitivity, all contributed to improved blood sugar control.
Because of the risks associated with pancreatico biliary diversion, only morbidly obese individuals, or those with a body mass index (BMI) of 50 or more, are usually considered for the procedure. After surgery some patients experience:
- nausea,
- weakness,
- sweating,
- fainting, or
- diarrhea shortly after eating, particularly high-carbohydrate foods.
Because absorption of calcium and vitamin D is poor, bones can become fragile, a condition known as osteoporosis. Absorption of other nutrients, including fat, iron, and vitamins A, B12, E, and K can cause offensive odors in stool, and cause various health problems. Vitamin B 12, for instance, is needed for making red blood cells. So is iron. Vitamin K is important for blood clotting. After the procedure patients have to take vitamin supplements for the rest of their lives.
Other dangers are inherent in all types of surgical procedures:
- excessive bleeding,
- infection,
- bad reactions to anesthetic, and
- surgical wounds that accidentally reopen after surgery
are all uncommon but real possibilities. This is why the possible benefits of the procedure must be carefully weighed against the risks.
Type 2 diabetes is not a condition you must just live with. By making simple changes to your daily routine, its possible to protect your heart, kidneys, eyes and limbs from the damage often caused by diabetes, and eliminate many of the complications you may already experience.
For nearly 25 years Beverleigh Piepers has searched for and found a number of secrets to help you build a healthy body. Go to http://DrugFreeType2Diabetes.com to learn about some of those secrets.
The answer isn't in the endless volumes of available information but in yourself.
Article Source: http://EzineArticles.com/?expert=Beverleigh_H_Piepers
Article Source: http://EzineArticles.com/8094667
No comments:
Post a Comment