The term ileal interposition is the process of replacing the last part of the small intestine and the initial part with the most brief expression. This surgery functions on the principle of disabling the hormones that cause insulin resistance and increasing hormone levels that increase insulin sensitivity.
From the beginning Ileal Interposition operation is a surgical treatment method developed for the treatment of Type 2 Diabetes. The definition of metabolic syndrome includes Type 2 Diabetes, hypertension, hyperlipidemias (high cholesterol and triglyceride) and excess weight. It is possible to treat all the components of Metabolic Syndrome with Ileal Interposition surgery.
Ileal Interposition surgery is not an obesity surgery as a starting point. It is an operation aimed at treating all of the health problems within the scope of Metabolic Syndrome, especially Type 2 Diabetes.
Ileal Interposition surgery does not make absorption restrictions or absorption disorders. Patients with ileal interposition surgery switch to liquid food from the 3rd day after surgery. They can continue their lives in six months to 1 year with a completely free diet without taking vitamin or mineral supplements.
Patients who are eligible for surgery usually leave all diabetes, blood pressure and cholesterol medications they use after Ileal Interposition surgery. After the operation, they are observed in terms of the course of these diseases in the hospitalization process. The vast majority of patients are discharged without using any of these medication.
In some, it functions on the principle of increasing the levels of hormones that increase the sensitivity of the medications in gradually decreasing doses, ranging from a few weeks to a few months, until the metabolic effect is expected to settle. All of these medications are discontinued when measurements are normalized.
There are two different versions of Ileal Interposition surgery. These are: diverted ileal interposition and non diverted ileal interposition.
Who Is Eligible For Ileal Interposition Surgery?
Typically, people who can have ileal interposition surgery:
- Should have type 2 diabetes.
- Although type 2 is diabetes, any type of diabetes surgery cannot be applied to patients who have insufficient insulin reserves. Insulin reserve is a technical term for the ability of the pancreas to produce insulin.
- Patients who are about to undergo ileal interposition surgery should have previously tried diet, exercise, and pharmacological treatments. In other words, ileal interposition surgery is the last option in diabetes cure.
- Overweight and diabetes often exist together. In this case, ileal interposition surgery is not appropriate. The ileal interposition surgery is applied to those who are not overweight but have diabetes.
The main goal of ileal interposition surgery is not weight loss, but diabetes elimination. Some weight is lost during the operation, but it is not serious to harm a person’s health. After surgery, the need for insulin is reduced by ninety-five percent success. Control over the sugar entering the body is ensured one hundred percent. In other words, the operation is suitable for patients who cannot get rid of diabetes and are not overweight.
Recovery After Ileal Interposition Surgery?
The process of physical recovery in patients who had closed surgery is:
- After the operation, the patient is transferred to intensive care with the imposition of internal and external sutures. Here you can move your arms and legs and change lying position.
- A patient hospitalized for a day in intensive care is transferred to a regular ward with a reduced risk of complications. From the second day the patient stands and walks.
- Typically, a patient for four to five days is discharged. After discharge, the patient should return home and continue to rest.
- Usually closed sutures are removed on the seventh day and sometimes on the tenth day.
- Patients can spend time in their home life without the slightest pain, provided they get some rest from the second week.
- After the third or fourth week, depending on the situation, patients can return to office work.
- Starting from the third month, there is no harm in returning to work that requires physical activity.
- From the third month, the level of insulin secretion rises sharply. At the same time, the receptors are in equilibrium. From the sixth month, the patient begins to experience the slightest problems with diabetes.
- If there is tissue damage, they will begin to heal from the third month.
Ileal Interposition Surgery Diet, Nutrition, Eating Plan
In addition to dietary periods after surgery, you should pay attention to the following:
- Even if you do not need it, you should drink at least two liters of water a day.
- You should refrain from core foods and foods with pulp for about three months.
- You should stop eating refined sugar altogether.
- To support weight loss, you should reduce your carbohydrate and fat intake and supplement the decreasing amount with protein.
- It will be beneficial to increase the number of meals and consume less food at each meal.
- During the hard period, food should be chewed thoroughly.
- Consumption of foods containing fiber should be increased.
If you do not pay attention to the nutritional process after the operation, the weight cannot be reduced as much as planned. In addition, a moderate weight gain process is introduced starting from the second year. It is imperative that you develop a healthy eating habit so that after ileal surgery the tip of your intestines does not act like your stomach.
How Much Does A Ileal Interposition Surgery Cost?
Due to ethical rules of competition between institutions and awareness of internet pollution, our prices for ileal interposition operation are not listed on our website. Because our goal is to provide you with the highest quality and most accurate medical information and services. Thus, we can provide the necessary information about which medical operation will be the right choice for you. Contact us for details. Our consultants who are experts in their fields are ready to help you.
Prof. Dr. Alper Çelik
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