Ileal Transposition

Ileal Transposition Surgery in Chembur, Mumbai 

Bariatrics is a subset of medical science that involves the diagnosis and treatment of excess weight and obesity. Surgical procedures performed to reduce weight, directly or indirectly, are called bariatric surgeries. They are carried out to prevent and treat exacerbation of health issues that arise from obesity, such as type 2 diabetes mellitus, high blood pressure, etc.

Ileal transposition is a metabolic surgery that is used to treat overweight diabetic patients through the interposition of their intestinal parts. The small intestine comprises three parts; the duodenum is the first part, the jejunum is the second, followed by the ileum. Ileal transposition involves removing a section of the ileum and placing it in the proximal (initial) parts of the small intestine.

Ileal Transposition - Overview

To achieve weight loss, as well as to treat metabolic syndromes like Type-II diabetes, ileal transposition surgery is effective. Sleeve gastrectomy is a necessary procedure for ileal transposition. It involves reducing the size of the stomach to 15% of its original size, which resembles a sleeve/tube.

Two types of ileal transposition surgeries are performed, depending on the diagnosis and individual requirements of the patient.

1. Duodeno-ileal transposition - A 170cm section of the ileum is cut and connected to the initial section of the duodenum. The other end of the ileum is connected to the proximal small intestine, as this results in better weight loss and gets the blood sugar level in control. Patients are at risk of an iron deficiency due to the bypass procedure.
2. Jejuno-ileal transposition - The ileum is cut and placed between the proximal small intestine and jejunum, thus preserving the entirety of the small intestine. This surgery ensures weight loss, but it is not as effective as the duodeno-ileal transposition for blood sugar level control.

Who qualifies for ileal transposition?

A person qualifies for ileal transposition surgery if he/she is:

1. A diabetic patient with normal body weight, who has been suffering from type 2 diabetes for more than a few years, and has not responded to any of the medications or lifestyle changes. Their condition is progressively worsening and/or life-threatening.
2. A diabetic patient who fails to achieve blood sugar level control, and might face organ damage (eye, kidney, etc.)
3. An obese progressive diabetic with steady deterioration, high BMI, and health complications such as organ damage/failure (heart, kidney)

If your diagnosis or physical conditions resemble the description mentioned above, you should consult an ileal transposition surgeon near you.

You can request an appointment at Apollo Spectra Hospitals, Chembur, Mumbai.

Call 1860 500 2244 to book an appointment.

Why ileal transposition is conducted?

Ileal transposition is conducted to control diabetes among patients and to get their blood sugar levels under control. Since it is a bariatric procedure in itself, this surgery assists in weight loss among obese and overweight patients.

Also, it regulates early-phase insulin secretion and prevents diabetes after the surgery is performed. Type 2 diabetes and the comorbidities that accompany it are treated effectively through ileal transposition.

Benefits of ileal transposition

Some of the significant benefits of ileal transposition are:

• Reduces fat mass
• Enhances glucose metabolism in obese patients
• Improves lipid metabolism
• Improves fibroblast growth factor 21 (metabolic regulator)
• Higher incretin secretion
• Improves glucose tolerance

What are the risks or complications of ileal transposition

Ileal transposition is a complicated surgical procedure that requires teams of surgeons with adequate experience. It requires advanced technological equipment, longer hospitalization, and is expensive. Certain clinical protocols must be adhered to, and bariatric surgeons with expertise are required.

Even though the risk of mortality is low, complications like infection, venous thromboembolism, hemorrhage, and bowel obstruction exist. Anastomosis leak, narrowness, ulceration, dumping syndrome, and absorptive or nutritive disorders are some of the technical risk factors associated with ileal transposition.

Conclusion

Ileal transposition surgery is an effective bariatric surgery and potentially life-saving procedure for diabetic patients with little hope for improvement. Patients have reported improved quality of life, blood sugar control, and reduction in obesity.

If you are a type 2 diabetic who finds it difficult to get your weight/blood sugar level in control, ileal transposition could be the solution for your ailment. If you require consultation or a second opinion for ileal transposition surgery in Mumbai,

request an appointment at Apollo Spectra Hospitals, Chembur, Mumbai.

Call 1860 500 2244 to book an appointment.

References

Ileal Transposition (IT) Surgery by Experts | Apollo Spectra

Ileal Interposition Surgery – Poland International

Ileal transposition Surgery | Centre for Metabolic Surgery - Best bariatric Surgery in India (obesity-care.com)