 The biggest recent advancement in the medical world is Control of Diabetes (Type 2) by Laparoscopic (Key-hole) Surgery. A team of specialists from Hyderabad led by Dr Surendra Ugale is the first in India to have performed Ileal Transposition Surgery (small intestinal switch) for control and finally cure of diabetes.
Dr Ugale is the first Indian surgeon to have had the privilege of being trained by the world pioneer of this procedure, Dr Aureo de Paula of Brazil, to gain experience in Diabetic Surgery. Dr Aureo has been performing this surgery for the last 6 years, and has presented his work internationally, showing excellent results.
The first surgery in India was performed on 18th Feb. 2008at Kirloskar Hospital's Laparoscopic Surgery Centre, at Bashir Bagh, Hyderabad, on a 56-year-old lady.
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Pituitary gland surgery may help some diabetics
As India achieves the dubious distinction of becoming the diabetes capital of the world, there might be relief in sight for a small number of diabetics who could be completely freed of this ailment through a small surgery on the pituitary gland.
According to doctors, there are a number of diabetics whose erratic sugar reading is caused by a tumour in the pituitary gland, housed just behind the nose.
The tumour in the gland can jeopardise the sugar control function of the gland. These patients just need to undergo endoscopy to get rid of the tumour and their diabetes could be gone for ever, they said.
Dr Ashish Srivastava, senior neurosurgeon, BLK Memorial Hospital, said there would be a small number of such diabetics but if they are difficult to diagnose because general physicians hardly think "out of the box".
Endoscopy is a minimal access surgery which is done with the help of telescope.
In fact, hyperthyroidism and hypertension are also caused by a type of tumour of pituitary gland and all these could be a part of what is called the Cushing's Syndrome.
Srivastava said inclusion of this aspect in the treatment protocol of diabetes is desirable. "Endoscopy of pituitary gland is a settled minimal access surgery with high percentage of success. Less trauma, less stay in the hospital, are the high points of this latest mode of surgery," he added.
The hormone, whose secretion is must for sugar control, gets disrupted due to pituitary tumour.
Dr R K Singhal, Senior Consultant and Ex-President of Association of Physicians of India, emphasises, "of all the myriad causes of diabetes, Cushioning Syndrome and Pituitary related diabetes is the only one which is completely curable.
Across the world, every ten seconds, one person dies of diabetes. Every 10 seconds, two people develop diabetes. Diabetes currently affects 246 million people worldwide and is expected to affect 380 million by 2025.
In 2007, the five countries with the largest numbers of people with diabetes are India (40.9 million), China (39.8 million), the United States (19.2 million), Russia (9.6 million) and Germany (7.4 million).
By 2025, the largest increases in prevalence of diabetes will take place in developing countries.
Each year a further seven million people develop diabetes and 3.8 million deaths are attributable to it. And many die from cardiovascular disease made worse by diabetes-related lipid disorders and hypertension.
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