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Ileal Transposition

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Ileal Transposition Surgery in MRC Nagar, Chennai

Overview of Ileal Transposition

Ileal transposition is a surgical procedure of interposing the last part of the intestine called the ileum between the upper two jejuna in the intestine above the stomach. It is a method done as a treatment of diabetes mellitus and is one of the effective surgeries to combat it.

The surgery is a precise one and does not involve the removal of any other parts of the alimentary canal or any type of bypass surgery. To know more about the procedure contact your nearest ileal transposition hospital.

About Ileal transposition

In the Ileal transposition surgery, your doctor will shift a segment of the ileum between the jejunum in order to get maximal meal stimulated Glucagon-Like Peptide-1 Secretion. This reaction when coupled with either a complete or a limited sleeve gastrectomy helps maintain the level of glycemic control in the case of patients with Diabetes mellitus.

What happens before the surgery?

Ileal transposition is done by skilled professionals after appropriate training. It is an intricate procedure and requires trained surgeons to conduct the surgery. Before the surgery, the doctor will ask you to take a few blood tests, physical tests and diagnostic tests. The surgeon will also monitor your vitals, body weight and your height. You will be asked to relax as much as possible before the surgery.

What happens during the surgery?

The procedure is started after the surgeon has gone through your reports and monitored the condition of your disorder.

Either of the following procedures is generally performed -

  1. Diverted (Duodeno-ileal interposition)
  2. Non-Diverted (Jejuno-ileal interposition)

What happens after the surgery?

Initially, you are recommended to drink only water, then the doctor will ask you to switch to semi-solids and eventually you can return to normal food with high nutritional value. You will be put under a diabetic diet and asked to consume easily digestible food with no spice or salt. Your doctor will prescribe a few medicines and will ask you to take walks and exercise to fasten the healing process.

Who qualifies for Ileal transposition?

The following conditions are usually found in patients who are recommended an ileal transposition -

  • Patients with Type 2 Diabetes
  • Patients with Body Mass Index(BMI) 21 - 55 kg/m^2
  • Poor glycemic control (HbA1c > 8%) despite maximal use of Oral Hypoglycemic Agents and Insulin.
  • Postmeal C peptide > 1.0 ng/mL
  • Age 25 - 75 years
  • Stable weight for more than 3 months
  • Patients who are recommended surgery

If you satisfy the conditions for ileal transposition and are considering surgery, consult a specialist near you at the earliest.

Request an appointment at Apollo Spectra Hospitals, MRC Nagar, Chennai

Call 1860 500 2244 to book an appointment.

Why is Ileal transposition done?

The major reasons to perform an ileal transposition are -

  1. Prevents increase of blood sugar in the blood
  2. Stimulates insulin secretion
  3. Causes proliferative effects on pancreatic beta cells
  4. Maintain healthy body weight
  5. Corrects consequences related to type 2 diabetes
  6. Improves glycemic control

What are the benefits of Ileal transposition?

Some of the benefits of ileal transposition are -

  1. Improves glucose tolerance
  2. Improves insulin resistance
  3. Improves Glycemic control
  4. Maintains type 2 diabetes in wider weight range patients even after 14 years
  5. It can be done on people with a wide range of BMI
  6. Ileal transposition does not require any dietary supplementation

What Are the Risks of Ileal transposition?

The following factors are considered a risk when considering Ileal transposition -

  1. Pregnancy
  2. Nephropathy
  3. Previous gastric surgery
  4. Obesity due to organic illness
  5. Already the existing systemic disease
  6. Abnormal or unstable blood levels

What are the complications of Ileal transposition?

The surgery being an invasive operation may involve certain complications. Considering the use of anesthesia during the operation, adverse reactions may develop as allergies, dizziness, nausea, vomiting, or infection might manifest. Some other complications that may arise are -

  1. Infection
  2. Venous Thromboembolism
  3. Hemorrhage
  4. Hernia
  5. Bowel obstruction Anastomosis
  6. Gastrointestinal Leak
  7. Narrowness
  8. Ulceration
  9. Dumping Syndrome
  10. Absorption and Nutrition Disorders
  11. Nausea
  12. Vomiting
  13. Intestinal obstruction
  14. Esophagitis
  15. Gout
  16. Urinary tract infection

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4597394/

https://clinicaltrials.gov/ct2/show/NCT00834626

http://www.unimedtravels.com/ileal-transposition/india

I recently underwent Ileal transposition, what type of food should I consume?

After your surgery, you should always try to consume easily digestible food with high nutritional value. During this time, you should avoid eating unhealthy food, fast food and only consume easy-to-digest food that helps in healing. Low carbohydrate and high protein diets are usually recommended by doctors but you should consult your nearest ileal transposition surgeon.

Is ileal transposition very painful and does recovery take very long?

Ileal transposition is not very painful at the time of surgery but after the surgery, you might feel pain in your lower abdomen. Due to a large number of complications you have to take care of your health during the recovery period. The recovery period is not very long but will require you to stay out of work for 3-4 weeks. The surgery is usually 2-3.5 hours long and the hospital stay is however 2-5 days depending on your condition. Consult your nearest ileal transposition doctor for more information about the procedure.

Is Ileal transposition surgery very costly?

Ileal transposition surgery is a very intricate surgery performed by highly trained professionals. In India, the cost is between 4-6 lakhs for the surgical procedure including the fees of the surgical procedure, surgeon’s fee, hospital stay and all other expenses. The same procedure abroad will cost you thrice the price that you will pay in India. To know more about the procedure visit your nearest ileal transposition hospital.

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