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Ileal Transposition

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Ileal Transposition Surgery in Karol Bagh, Delhi

Ileal transposition is a metabolic or bariatric procedure that is used in the treatment of diabetic (type 2) patients. This procedure is more commonly used for patients who are obese or overweight.

The main purpose of an ileal transposition is to help a patient in losing weight. Ileal transposition can be done through two different methods and both of them begin with a sleeve gastrectomy.

To know more, consult a bariatric surgeon near you or visit a bariatric hospital in New Delhi.

What is ileal transposition?

Ileal transposition was developed to help in the research and study of body weight reduction without the interference of the restrictions or malabsorptive aspects of the other bariatric surgeries. During the process, a part of the small intestine, known as the ileum, is cut off and then interposed in between another part of the intestine known, as the jejunum. In this procedure, no part of the small intestine is removed from the body. For further information, look for ileal transposition specialists near you.

The beginning of the surgical procedure involves a sleeve gastrectomy. A sleeve gastrectomy is a surgical procedure that focuses on weight loss. In the procedure, a part of the stomach, about 80%, is removed from the body. This removal is ensured along the greater curvature of the stomach. After the process is completed, one can get an ileal transposition.

What are the types of ileal transposition?

There are two types of ileal transposition:

  • Diverted (duodeno-ileal interposition): During this procedure, once the sleeve gastrectomy is completed, the connection between the stomach and the duodenum is closed. Then a part of the ileum, about 170 cm, is cut off and then connected to the first part of the duodenum. That part of the duodenum is at the end of the stomach. The other end of the ileum is then connected to the proximal part of the intestine. Hence, after the procedure is complete, the ileum is interposed between the stomach and the proximal part of the intestine. The duodenum and the proximal part of the small intestine are not usable anymore, and hence, the patient is required to go through bypass surgery. After this procedure is completed, the patient will have less body weight and controlled blood sugar. But they can suffer from an iron deficiency in the body. This will be because of the bypass surgery.
  • Non-diverted (jejuno-ileal interposition): During this procedure, sleeve gastrectomy is done, and then a part of the ileum, about 200 cm long, is cut off. This part is then interposed to the proximal part of the small intestine. Since the stomach is left unbothered in this procedure, food continues to pass through the intestine. There is no malabsorption as the duodenum absorbs food normally. The hormones released by the duodenum play a major role in controlling and changing blood sugar. Hence, in this procedure, the weight is controlled but the blood sugar is not managed as effectively as the diverted procedure.

Who qualifies for an ileal transposition?

An ileal transposition is done to control the blood sugar and weight of a person. This will be recommended to a patient by a doctor or a surgeon when the person is obese or overweight and suffers from type 2 diabetes. This is not a procedure that will be recommended to someone who has a low body mass index. 

Request an appointment at Apollo Spectra Hospitals, Karol Bagh, New Delhi.

Call 1860 500 2244 to book an appointment.

Why is ileal transposition conducted?

This procedure helps in controlling blood sugar by regulating hormone secretions. If you are a type 2 diabetic patient who is overweight and can’t control blood sugar even after proper medication or treatment, this procedure will be suggested. This may also be regarded as an option if the medication starts harming organs. Contact bariatric surgery doctors near you for this.

What are the risks?

There can be several risks such as:

  • Bleeding
  • Infection
  • Chances of Hematoma
  • Problems in eating food

Contact bariatric surgery doctors in Karol Bagh for details.


How long is the recovery period after an ileal transposition?

Patients can resume their work after 2 weeks of bed rest.

What will be the diet recommendation after the surgery?

You will be on a liquid diet for 1 to 2 days, then 3 to 4 days of soft food, and then you can switch to solid foods.

Will a patient need physical therapy?

You will be recommended light physical exercises you can do every day to regain your physical strength.


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