Ileal Transposition Surgery in Tardeo, Mumbai
Introduction
People who are obese, i.e., with BMI more than 35 and have unsuccessfully tried to decrease their BMI by regular exercise, have to go through a surgical procedure called Bariatric surgery. This surgery helps to make changes in your digestive system to help you lose weight. Ileal Transposition is a type of Bariatric Surgery. The ileum (the last part of the small intestine) is transposed into the jejunum (the middle part of the small intestine) behind the stomach. This surgery doesn’t lead to gastric restriction or alteration in the gastrointestinal tract. Ileal Transposition leads to enhanced secretion of hormones like GLP-1 in your body that decrease blood glucose level and stimulate insulin secretion.
What Are the Causes of Obesity?
There are many causes other than lifestyle disorders leading to obesity in people. Some of those reasons are:
- Inheriting the condition from parents and other members
- An unhealthy diet with high calories
- Certain diseases like arthritis, diabetes mellitus, and Cushing syndrome
- Social and economic issues – lack of access to healthier food
- Age
- Lack of physical activity
- Pregnancy
- Abruptly quitting tobacco
- Lack of sleep and stress
Who Needs to Undergo Ileal Transposition?
Ileal Transposition is the best procedure to reduce obesity since it is associated with other health problems like:
- 35 or higher BMI values
- Type II Diabetes
- Non-alcoholic Fatty Liver Disease
- High blood pressure
- Heart disease and stroke
When to See a Doctor
If even after regular exercise, you are still obese and are simultaneously suffering from heart diseases, diabetes, and risk of stroke, you must visit a doctor. After the diagnosis of your vital signs, the doctor will suggest proper treatment for the same.
Request an appointment at Apollo Hospitals, Tardeo,Mumbai.
Call 1860 500 2244 to book an appointment.
Preparing for Ileal Transposition
The night before undergoing Ileal Transposition, you must not eat anything after your dinner. Before the surgery, the doctor will administer you with local or general anesthesia to sedate the pain.
How is Ileal Transposition done?
During the surgical procedure, Ileal Transposition is performed along with sleeve gastrectomy. The incisions are made with the help of a laparoscope. During Ileal Transposition, a 170 cm long incision is made in the ileum. It is reattached to the jejunum part of the small intestine with the help of the sutures. This leads to no change in the length of the small intestine. In Sleeve gastrectomy, nearly 80% of the stomach is removed, thus becoming a tube-like pouch. Due to this, the stomach can hold less food, and it also decreases the level of Ghrelin hormone in the body, decreasing the desire to eat.
Benefits of Ileal Transposition
There are benefits of undergoing Ileal Transposition other than a reduction in body fat, like:
- Stimulation of insulin secretion in the body and thus decreasing blood glucose level
- Decrease in glucose level even with beta-cell impairment
- Proliferative effect on pancreatic beta-cells.
Risks or Complications related to Ileal Transposition
Although Ileal Transposition is a very successful and safe surgical procedure, there are some risks associated with it like:
- Nausea
- Intestinal obstruction
- Internal hernia
- Excessive bleeding
- Blood clotting
- Leakage in the gastrointestinal system
- Infection
- Dumping syndrome leading to diarrhea, flushing, nausea
- Low blood sugar level
- Acid reflux
After Ileal Transposition
After undergoing Ileal Transposition, you need to consume a liquid diet for a week, followed by a semi-liquid diet in the following week. Only during the third week, you can start having small amounts of solid food. After one month of the surgery, a routine gastrointestinal endoscopy is done. The doctor will examine your blood glucose level and blood pressure in the follow-up routine.
Conclusion
Ileal Transposition is one of the Bariatric surgical methods. This surgical method is highly beneficial since it doesn’t alter the gastrointestinal tract if it isn’t performed along with sleeve gastrectomy. You must have a healthy lifestyle with a balanced diet to reduce the risks of obesity.
Source
https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258
https://www.atulpeters.com/surgery-for-diabetes/laparoscopic-ileal-interposition
https://www.sciencedirect.com/science/article/pii/S003193842030161X#
There are many Bariatric surgeries other than Ileal Transposition like Adjustable gastric banding, Gastric balloons, Sleeve Gastrectomy, Roux-en-Y gastric bypass, Bilo-pancreatic diversion, and Bile diversion.
After undergoing Ileal Transposition, the doctor will ask you to come for follow-up visits at intervals of 1, 3, 6, and 9 months. After this, you need to visit the doctor regularly after every six months.
Yes, it is possible that sometimes even after Ileal Transposition, it might not help reduce your weight. This could result from a lack of regular exercise, consumption of fast food, or genetic disorder.
As a result of Ileal Transposition, insulin-producing pancreatic beta-cells are stimulated in your body. Due to this, glucose present in your blood is absorbed by your body itself, thus helping in diabetes.
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