Ileal Transposition

Ileal Transposition Surgery in Kondapur, Hyderabad

The pre-requisite of ileal transposition involves having a pancreas that contains B-cells to secrete insulin. As Type-1 diabetic patients have pancreases with all B-cells destroyed, they are not eligible for the procedure.

What is Ileal transposition?

An ileal transposition is a surgical approach to regulate the blood sugar levels of Type-2 diabetes patients who have high blood sugar that is out of control. When no medicines work, the doctor advises the patient to go for Ileal transposition.

Who are the candidates who can undergo ileal transposition?

• The person has to have Type-2 diabetes.
• People who are suffering from diabetes for over three years.
• If medicines, diet, and exercises are unable to control the blood sugar levels of the patient.
• Ideally, the patient should be below the age of 65.
• This procedure is best for healthy people. Thin to medium-shaped people can undergo the ileal transposition.
• When the organs of the body are at risk of getting damaged due to uncontrolled blood sugar.

When to visit a doctor?

• You should see a doctor if you cannot control your blood sugar and it is getting severe.
• When your diabetes medicines, exercises, and diet fail to regulate the sugar level, visit a doctor at Apollo Kondapur.

Request an appointment at Apollo Spectra Hospitals, Kondapur

Call 1860-500-2244 to book an appointment

How to prepare for the ileal transposition procedure?

• The doctor will ask the patient to go for a routine physical examination.
• The patient will have to undergo all the diabetes blood tests. These tests include lipid profile, serum insulin, blood-sugar fasting and pp (post-prandial), and HbA1c.
• Your doctor will ask you to get additional tests done like a kidney functioning test, X-rays of the chest, lung functioning tests, blood count, USG of the lower abdomen, and electrocardiogram.
• Your doctor will ask you to go for a dental and ophthalmic screening to evaluate the gravity of the condition.
• After all the tests, the patient will get admitted to the hospital three days before ileal transposition.

How do surgeons perform the procedure of ileal transposition?

• Your doctor will give you general anaesthesia for the surgery.
• The surgeon will make a small incision in the abdomen and perform the procedure with the help of a laparoscope.
• The surgeon will bring the end part of the ileum of the small intestine to the stomach.
• He will also cut a part of the ileum and place it in the jejunum (second part of the small intestine).
• With this surgery, the end part of the ileum falls midway within the jejunum. The adjacent section of the ileum gets linked to the large intestine.
• As the surgeon maintains the length of the intestine, the food entering the body does not need to change its course.

What does recovery look like after ileal transposition?

• The patient may require to stay in the hospital for a maxi of four days.
• After six hours of the IT surgery, the patient can drink water.
  He can have other forms of liquid only after two days. He will not be allowed to consume food for a week or ten days.
• The patient will be able to go to work after two weeks.
• The doctor will ask the patient to cut down carbohydrates and have food rich in lead proteins and unsaturated fat.
• Along with a diabetic diet, the patient will need to follow a liquid diet for some time.
• The patient should eat at intervals of three to four hours. The quantity of the food he eats should be less.

What are the complications associated with ileal transposition?

• Allergic reaction due to general anaesthesia
• Gastro-intestinal problems (vomiting and nausea)
• Infection in the surgical site
• Bleeding
• In rare cases, the patient can have internal intestinal herniation.
• There can be leakage from internal organs.

The success rate for ileal transposition is 80-100 per cent. This rate is so because the procedure is safe and skilled doctors perform it. It effectively controls blood sugar right from six months of the surgery. High-quality post-operative care has also added to the success rate of the process.