Laparoscopic Ileal Interposition Surgery offers excellent treatment for Type-2 Diabetes: Dr. Surendra Ugale

Brazilian Surgeon Dr. Aureo Ludovico de Paula who shot into fame for the pioneering Diabetic Surgery conducts workshop in Hyderabad; About 25 Laparoscopic surgeons from across India participate

Hyderabad… 11 February 2012: The pioneer of recent biggest advancement in the medical world in Control of Diabetes (Type 2) by Laparoscopic (Key-hole) Surgery Dr Aureo Ludovico de Paula of Brazil visits Hyderabad, India and conducts workshop on Ileal Interposition as part of Dia-Surg 2012, a three-day workshop at Hyderabad. Dr. Aureo is the pioneer of the procedure — “Ileal Transposition Surgery (small intestinal switch)” for control and finally cure of diabetes. Speaking to media on the sidelines, Dr. Aureo said that the Ileal interposition surgery offers great help in diabetic patients and curbs diabetic complications such as damage to eyes, kidneys, nerves, etc.

Diabetes prevalence is rising world over and India is no exception. The International Diabetes Federation (IDF) estimates the total number of people in India with diabetes to be around 6.2 crores in 2012, rising to 8.7 crores by 2030. In Asian countries there is disproportionately high incidence in young to middle-aged adults unlike the west, where older persons are mostly affected. Indians have high incidence of diabetes due to genetic reasons and abdominal obesity. The prevalence is more here due to population growth, lifestyle changes, physical inactivity and increase of obesity. Laparoscopic Ileal Interposition, a pioneering diabetic surgery which controls diabetes without insulin offer hope for those suffering.

Dia-Surg 2012, an International Workshop on Ileal Interposition for Type-2 Diabetes was held at Kirloskar Hospital, Hyderabad. The three-day workshop held from 9th February concluded today. 25 Laparoscopic surgeons doing advanced Laparoscopy surgery from across India and Endocrinologists, Physician’s from India and UK were specially invited to participate in the workshop informed Dr.Surendra Ugale, Organising Chariman of the Dia-Surg 2012 addressing the media. Dr Aureo de Paula of Brazil, the world pioneer of procedure — “Ileal Transposition Surgery (small intestinal switch)” for control and finally cure of diabetes was in city for the workshop and taught the surgeons the nuances of this surgery.

Addressing a press conference, Dr. Aureo de Paula, who devised a Laparoscopic operation that is proving very helpful in controlling diabetes without insulin, arresting the metabolic syndrome of body organ deterioration thus avoiding future diabetic complications said, a long segment of ilium (ending portion of small intestine) is shifted to the upper small intestinal area, where food particles will reach immediately after the meal. This causes an immediate secretion of a ‘good’ hormone, GLP-1, which acts on the B-Cells of pancreas to secrete Insulin, to immediately control blood sugar. If there is no intake of food, this will not happen, so there is no danger of low blood sugar (hypoglycemia), he informed.

This operation is called Ileal Interposition (small intestinal switch) and can be done for persons of normal weight also. They can stop all medicines within 6 months, at times even two to four weeks after the surgery, Dr. Aureo added.

After training in Brazil, we started this procedure from February 2008 here in Hyderabad informed Dr. Surendra Ugale, Organising Chariman of the Conference Dia-Surg 2012 addressing the press. Dr. Surendra Ugale is the first Indian surgeon to have had the privilege of being trained by Dr. Aureo de Paula. “Dr Aureo is a very skilled surgeon, as if he was born with the laparoscope in his hand, and a great human being”, says Dr Ugale. A team of specialists from Hyderabad led by Dr Surendra Ugale is the first in India to have performed Ileal Transposition Surgery for control and finally cure of diabetes. The first surgery in India was performed on 18th Feb. 2008 at Kirloskar Hospital’s Laparoscopic Surgery Centre, at Basheerbagh, Hyderabad, on a 56-year-old lady. Since then 75 such surgeries have been performed.

The patients on whom we have operated have already stopped their medicines for Diabetes, High Blood Pressure (Hypertension). Good improvements are seen in their Triglycerides, Cholesterol, kidney function and leg pains thus proving this to be a true metabolic surgery. This is a physiological operation which maintains normal access to stomach and bile duct for future endoscopic vision if necessary. Since there is no loss of intestinal length and no diversion of food, there are no long-term side-effects, no nutritional deficiency. The only changes in life is that, they have to consume smaller quantity of food at one time, but can live a disease free, longer and healthier life. This is a decision the diabetic person has to make: “Eat to live or live to eat”, said Dr. Surendra Ugale. Ileal Interposition surgeries are being performed in India at Hyderabad, Mumbai and Coimbatore. On an average this kind of surgery costs about Rs four lakhs in India, said Dr. Ugale.

Dr. Aureo de Paula has been performing these surgeries for the last 9 years and has presented his work internationally, showing excellent results. He alone has performed over 900 such surgeries in the last nine years with utmost safety and excellent results of 95% remissions. His results have been published in number of articles in internationally reputed Journals like Surgical Endoscopy, etc. He has been invited to various conferences throughout the world to present his successful path breaking work in surgical treatment of Type-2 diabetes.

Dr. Aureo is a humble South American, from Goiania in Brazil. He is an extremely skilled surgeon and is invited all over the world for his pioneering work in surgical treatment of Type-2 Diabetes, which is increasing all over the world. He also regularly operates in other cities like Sao Paulo and Rio de Janeiro in Brazil. Before starting Ileal Interposition surgery he was an authority in transhiatal oesophagectomy for Chaga’s disease which is common disease in Brazil and has conducted many International conferences on the subject attracting surgeons from US too.

Besides Dr. Aureo de Paula, ten other surgeons in Brazil have also been performing these kinds of surgeries. In all, 2000 people have been operated in the world.

India being the Diabetic Capital of the world, (and Hyderabad being India’s diabetic capital), this procedure should be able to do a lot of good for Indian diabetics. By the year 2025, India will be home to more than 80 million diabetics and most of these will be Type-2 Diabetics. A disaster which can be avoided if measures are taken earlier. We need to create more awareness to prevent diabetes, said Dr. Ugale. Diabetes prevention is simple and cost-effective IDF says. Every year about 4 million people die from diabetes. More than half of these deaths could be prevented.

Other international faculty who participated in this workshop and seminar were Dr. Alper from Turkey & Dr. Ashish Kumar from UK.

For more information, Dr. Surendra Ugale can be reached on his Email: [email protected] or on 9703684164

Issued by: Solus Media, Devraj Solanki, Mobile: 9393355987