Ileal Interposition Surgery

Ileal Interposition Surgery

Ileal interposition is a type of surgery used to improve blood sugar control and insulin resistance in individuals with type 2 diabetes. 

In this procedure, the end part of the small intestine (ileum) is repositioned, and changes are made to nutrient absorption and hormone secretion to manage diabetes. Ileal interposition is a successfully performed treatment method in Turkey, with proven effectiveness and reliability in various clinical studies.

Advantages of Ileal Interposition Surgery

Ileal interposition surgery is a surgical procedure used in diabetes treatment, offers several advantages, including:

• Improvement in Diabetes Control: Ileal interposition surgery can enhance blood sugar control in individuals with type 2 diabetes. By reducing insulin resistance and regulating the glucagon hormone, this surgery can be effective in combating diabetes.
• Reduction in Medication Usage: Many patients may experience a decreased need for diabetes medications or complete elimination of medication after surgery. This can help patients reduce their medication burden and lower treatment costs.
• Weight Control and Loss: Ileal interposition surgery can be effective in maintaining weight control. This is a significant advantage for individuals struggling with obesity.
• Metabolic Effects: The surgery can positively impact body composition by regulating certain metabolic effects. This may include a decrease in fat tissue and an increase in muscle mass.
• Side Effect Profile: The side effect profile of ileal interposition surgery may be milder than some other metabolic surgical procedures. This can contribute to a more comfortable postoperative period for patients.

However, the risks and suitability of ileal interposition surgery may vary from individual to individual. Therefore, a detailed assessment and adherence to the doctor's recommendations are crucial before making a decision.

Types of Ileal Interposition Surgery

• Classic Ileal Interposition (CII): In this method, the end part of the small intestine, the ileum, is cut from the point where the stomach and small intestine meet and repositioned approximately 100 to 150 cm upward. This section is then directly connected to the stomach.
• Second Ileal Interposition (SII): In this technique, the end part of the small intestine (ileum) is initially cut from the stomach and repositioned approximately 60 to 100 cm upward. Subsequently, the section of the intestine above it is reconnected to the intestine. The cut part of the intestine is then reconnected to the stomach.
• Combined Ileal Interposition (CII): This method is a combination of classic and second ileal interposition techniques. The ileum is partially cut and repositioned approximately 60 to 100 cm upward. Then, while one part of the intestine is connected to the stomach, the remaining part is reconnected to the intestine.

Each of these methods has specific advantages and disadvantages. The choice of which method to use depends on the patient's characteristics, the surgeon's preferences, and the goals of the surgery.

Who Is Suitable for Ileal Interposition Surgery?

Ileal interposition surgery is generally considered for individuals with type 2 diabetes, especially those experiencing obesity alongside the condition. The surgical procedure aims to improve type 2 diabetes control and support the health of patients by exerting positive effects on metabolism.

The surgery is often contemplated for individuals with type 2 diabetes who do not respond to other treatments or wish to limit medication use. It may also be considered in individuals with metabolic syndrome, where factors such as obesity, high blood pressure, high cholesterol, and insulin resistance coexist.

The surgery is preferably chosen for individuals with healthy esophageal motility. It can be an alternative solution in cases where other treatment methods do not yield results or when there is a desire to reduce medication usage.

Postoperative Nutrition After Ileal Interposition Surgery

Nutrition after ileal interposition surgery plays a crucial role in successful recovery and weight control. Several important considerations should be observed during this period. Eating meals slowly and attentively can facilitate better adaptation to stomach changes and digestion. Starting with small portions due to the reduced stomach volume after surgery can ensure comfortable digestion and support weight control.

Maintaining a balanced diet is essential. A diet rich in proteins, vitamins, and minerals can support the body against changes affecting nutrient absorption after surgery. Additionally, attention should be paid to fluid intake, and fluid consumption during meals should be emphasized, as it can increase stomach fullness and influence digestion.

Avoiding foods containing sugar and refined carbohydrates is important to control blood sugar. Regular communication with a doctor and a nutrition specialist for the creation and updating of a nutrition plan is necessary. This ensures the continuation of a personalized diet based on the individual's health status and surgical results. Postoperative nutrition after ileal interposition surgery is a crucial factor in supporting health and weight control. For Turkey ileal interposition surgery prices, you can contact Medwide.