Surgical treatment of diabetes type-2 is a new event in medicine. It was found that by-passing the upper gastrointestinal tract (stomach, duodenum and jejunum) leads to diabetes type-2 remission. This was first observed in diabetic overweight patients that were treated with gastric by-pass to reduce the severe obesity.


Decreasing body weight by itself helps in treating the diabetes type-2 but doctors noticed that diabetes resolves itself even before body weight gets back to normal. Experiments with animals proved that by-passing the duodenum and jejunum causes diabetes type-2 remission and reconnection of the intestines brings back diabetes type-2. There is still no relevant explanation how bypassing of the duodenum and jejunum treats diabetes type-2 and that’s why there are many skeptics about the surgical treatment of diabetes type-2.


More scientific researchers are necessary to explain the etiology of diabetes type-2 and the role of the duodenum and jejunum. That’s why surgical treatment of diabetes type-2 is still not recommended as a routine procedure although positive results are obvious. Long term consequences (nutrient deficiencies) from by-passing are another problem that requires critical evaluation.


For now, severely obese patients are candidates for surgical treatment of diabetes but in the near future less-obese or non-obese diabetic patients will be also treated surgically.


If your aunt is obese she can try it.