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Ileal Transposition

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Ileal Transposition Surgery in Koramangala, Bangalore

Aureo de Paula, a Brazilian surgeon, introduced the ileal transposition procedure. The goal of the procedure is to leave insulin resistance hormones aside and increase the sensitivity hormones. Bariatric surgeons perform ileal transposition through a keyhole incision. 

What do we need to know about ileal transposition?

Doctors remove Insulin resistance hormones such as ghrelin, GIP (gastric inhibitory polypeptide) and glucagon from the first part of the digestive system, and they exchange with the sensitive hormone GLP-1, which is released from the L cells in the last part of the intestine. GLP-1 is a hormone that increases the effects of insulin and stimulates insulin production by the pancreas. Your doctor may achieve blood sugar control in patients within 10 days to 6 months.

The procedure causes a sharp rise in the body’s insulin shortly after eating, controlling postprandial (after meal) sugar. It also increases the insulin sensitivity of target cells, allowing for better control of fasting sugar levels that depend on the liver.

You can visit bariatric hospitals in Bangalore. Or you can search online for a bariatric surgeon near me.

What are the types of ileal transposition?

There are two types of ileal transposition: conventional and non-conventional. Conventional ileal transposition is more straightforward, with diabetes resolution rates of up to 90%. The second one controls diabetes and other metabolic syndromes by over 95% with complex diverted ileal transposition. 

What are the symptoms that can lead to ileal transposition?

Your early signs and symptoms can include frequent urination, increased thirst, feeling tired and hungry, vision problems and slow wound healing associated with obesity.

What are the main causes of ileal transposition?

Type 2 diabetes associated with high obesity is the main cause of bariatric ileal transposition. Obesity and type 2 diabetes will shorten life expectancy, decrease quality of life and increase healthcare costs. Obesity and diabetes are on the rise. Recent data proves that reduction of body weight improves glycemic control, mortality and morbidity. Some genuine diabetic conditions cause excessive weight gain and hence, they have to undergo ileal transposition.

Ileal Interposition is a metabolic surgery technique used to surgically treat overweight diabetic patients. Although traditional bariatric surgery treats diabetes in obese individuals, some procedures, such as ileal interposition, treat diabetes even in patients who are not overweight. Surgeons perform ileal transposition through laparoscopic or key-hole route and they expect this to help glycaemic control in selected type 2 diabetes patients.

When do you need to see a doctor?

If your body mass index (BMI) is in the range of 30-40 and your blood glucose levels are high despite treatments, you should see a doctor.

You can request an appointment at Apollo Spectra Hospitals, Koramangala, Bangalore.

Call 1860 500 2244 to book an appointment.

What are the benefits of ileal transposition?

Ileal transposition offers two important advantages and one disadvantage. The first benefit is that doctors can perform it on patients with a wide range of BMI, and the second is that it does not need any extra vitamin supplementation, except for patients who need iron, B12 vitamin, or vitamin D supplementation before surgery.

What are the potential risks, complications and activities after ileal transposition?

Many surgeons have noted the risk of infection, excessive bleeding, blood clots, breathing problems and leaks in your GI tract after ileal transposition. There can be minor complications such as vomiting, esophagitis, bowel obstruction, gout and urinary tract infection. Your doctor recommends that you resume physical activity following surgery to maintain a high metabolism rate.


Doctors refer to diabetes caused by obesity as “diabesity”. Ileal transposition surgery is a type of metabolic surgery used to treat diabetic patients who are overweight.  It involves many stages, requiring extensive preparation and technological experience on part of surgeons.

What is the relationship between obesity and diabetes?

Obesity raises the risk of having type 2 diabetes, the most prevalent type of diabetes. In this disease, the body produces enough insulin, but the body cells have become highly resistant to insulin’s beneficial effects.

What is the goal of the ileal transposition procedure?

The ileal transposition procedure aims to reduce resistance hormones while increasing sensitivity hormones.

How long does it take to recover from surgery?

Normally, recovery on the same day of the surgery. Surgeons encourage patients to walk by evening. Some patients, however, will return to work two weeks after leaving the hospital. Your doctor can prescribe a specific diabetic diet. Your doctor can observe a remarkable glycemic improvement after ileal transposition.


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