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Ileal Transposition

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Ileal Transposition Surgery in C-scheme, Jaipur

Ileal transposition is performed to treat overweight diabetic patients. This technique was developed in 1999 by Brazilian surgeon Aureo De Paula. The ileum is the distal part of the small intestine. It is responsible for further digestion of the food coming from the stomach. It absorbs the nutrients and the water so that it can be used by the body. The nearest part of the small intestine is the duodenum. It is responsible for the breakdown of the food. The jejunum is the third part of the small intestine that is located between the ileum and the duodenum.

Ileal Transposition is the surgical translocation of the ileum between the stomach and the duodenum or by placing the ileum to the duodenum. This surgery involves reducing the size of the stomach by sleeve gastrectomy. Sleeve Gastrectomy is the surgery for weight loss.

What Is the Procedure for Ileal Transposition?

A patient is given general anaesthesia and is placed in the supine position as the surgery involves operating in the lower part of the abdomen. Initially, sleeve gastrectomy is performed in a standard manner. In non-obese patients, a loose sleeve gastrectomy is performed to restrict the food intake and adjust the BMI. There are two techniques for the transposition at Apollo Spectra, Jaipur:

  • Diverted interposition: From the second level of the duodenum, the connection between the stomach and duodenum is closed. The 170cm segment of the ileum is created and then connected to the first segment of the duodenum. This preserves the last 30 cm of the small intestine. The other end of the ileum is connected to the proximal part of the small intestine. Thus, the ileum is interposed between the stomach and the duodenum. This is also called Duodeno-ileal transposition.
  • Non-diverted interposition: In this technique, the 200 cm segment of the ileum is created. It is then interposed to the proximal part of the small intestine. During this, the 30 cm part of the small intestine is preserved. This is also called Jejuno-ileal transposition.

Who Are the Right Candidates for Ileal Transposition?

The right candidates for ileal transposition at Apollo Spectra, Jaipur include the following:

  • People who have uncontrolled sugar levels despite other treatments
  • People who have an impending danger to the other organs such as kidney, eyes, or heart
  • Over-weight diabetic people
  • People who have wide range of BMI
  • People who have higher c-peptide levels

What Are the Benefits of Ileal Transposition?

The benefits of undergoing Ileal Transposition are as follows:

  • It can be performed with a broad range of BMI (Body mass index)
  • The operation does not necessitate any additional vitamin supplement
  • The operation leads to the release of higher secretion of incretin hormones that results in a beneficial metabolic effect
  • Improves glucose tolerance
  • Improve insulin resistance
  • Decreases fat mass
  • Does not lead to malabsorption

What Are the Side Effects of Ileal Transposition?

The side effects of Ileal transposition include the following:

  • Vomiting
  • Esophagitis: Inflammation that causes damage in the tissues of the esophagus
  • Bowel obstruction
  • Gout: A form of arthritis characterized by severe pain, redness, and tenderness in joints
  • Urinary tract infections
  • Nutrition disorders
  • Venous Thromboembolism
  • Haemorrhage
  • Anastomosis leak
  • Narrowness
  • Dumping syndrome

Request an appointment at Apollo Spectra Hospitals, Jaipur

Call 1860 500 2244 to book an appointment.

Ileal interposition aims to increase the insulin sensitivity hormones and to leave the resistance hormones aside.

How much it costs for Ileal transposition?

Cost can vary between 10,000- 20,000 USD depending on various factors like longer hospitalization, use of latest equipment, and longer operation times. Visit Apollo Spectra, Jaipur to know the exact cost.

What is the diet Recommendation for ileal transposition?

This includes a liquid diet for 1-2 days after surgery, a soft diet for another 2-3 days & then a normal diet. It is strongly recommended that a diabetic diet is followed.

What is the physical activity recommendation for ileal transposition?

Patients are strongly advised to resume physical activity after surgery to ensure maintenance of body metabolism at high levels. All recommendations concerning after surgery include:

  • Long walks: 10 days later
  • Aerobic activities like swimming: 20 days later
  • Weight training etc.: 30 days later
  • Abdominal exercises: 3 months later


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