English
العربية
Ileal Interposition Surgery in TUrkiye
What are the types of ileal intervention surgery:
1-Ileal interposition with nondiversion
It is one of the effective metabolic surgery methods used in obese patients and patients with metabolic syndrome. The suitability of the patient is investigated through pre-operative examination and examination methods. We see that ileal interposition surgery reduces the possibility of regaining weight after bariatric surgery. It is a method whose metabolic and bariatric efficiency is at the forefront.
In ileal interposition without diversion, partial gastric resection is the displacement of the last part of the intestine and the first part. The difference in this operation from ileal interposition with diversion is that there is no bulbus resection. In this operation, malabsorption and anemia are not observed. Therefore, doudenum functionality is present. There is no malabsorption in this operation. GLP-1 hormone is removed. It creates metabolic efficiency by increasing and decreasing the ghrelin hormone.
Diabetes, a complex metabolic disorder influenced by genetic predisposition, poor dietary habits, and a sedentary lifestyle, necessitates innovative treatments as it progresses. Among these treatments, Ileal Interposition Surgery stands out as a potential game-changer. This surgical intervention aims to address the root causes of type 2 diabetes, offering hope to patients who have found conventional approaches ineffective.
2-Ileal interposition with diversion
Ileal interposition surgery is predicted to be one of the successful operations in type 2 diabetic patients. The patient's suitability for surgery can be determined in a short time according to the examinations performed before the surgery, the patient's nutritional habits and physical examination. With the examinations performed, pancreatic reserve can be evaluated and information can be obtained about the success of the surgery. Ileal interposition surgical procedure. It is difficult in terms of pain, but it is one of the most effective methods in terms of results.
It is a method that prioritizes metabolic efficiency. With this method, partial resection of the stomach, bulbus resection and replacement of the last part and the first part of the small intestine are performed. GLP-1 hormone is produced in the last part of the intestine (ileum). The main goal in this operation is to increase the secretion of the GLP-1 hormone. In this operation, the purpose of gastric resection is not to reduce the stomach volume but to reduce the secretion of the ghrelin hormone. With the ileal interposition operation, hormonal changes are created, tissue resistance in fat and muscle tissue is broken and insulin production of the pancreas increases. This effect is called 'neuro-endocrine break'. This refers to the nervous and hormonal braking system that originates from the intestines and acts on the brain.
Understanding Ileal Interposition
The digestive system, comprising the mouth, esophagus, stomach, intestines, and anus, plays a crucial role in processing food and regulating energy. Ileal interposition surgery seeks to modify the physical structure of the digestive system to combat diabetes effectively. By altering the interplay of stomach and intestine, this surgery holds promise in restoring metabolic balance.
Patient Eligibility Criteria
Ileal interposition surgery is tailored for type 2 diabetes patients who have exhausted non-surgical options without success. It becomes a viable option for those with a body mass index exceeding thirty-five, particularly when bariatric surgery is indicated. The decision to proceed with the surgery is highly individualized, considering the patient's overall health and capacity to undergo the procedure.
Procedure Overview
The surgery, typically lasting 2-4 hours under general anesthesia, involves a multi-step process. First, the stomach's volume is significantly reduced to curb appetite, rendering 90% of it non-functional. Subsequently, the connection between the duodenum and stomach is severed, and the lower part of the intestines, responsible for insulin secretion, is repositioned to facilitate a new connection with the stomach. This intricate process aims to jumpstart insulin secretion post-meals and induce weight loss.
Risks and Advantages
While Ileal interposition surgery poses limited risks, especially when performed on advanced diabetes patients, it offers a range of advantages. Notably, it can be applied to diabetic patients with a low body mass index, broadening its applicability. The simplicity of the procedure and its comprehensive impact on diabetes make it an attractive option. Additionally, any side effects can be managed with simple supplements.
Cost Considerations
The cost of ileal interposition surgery varies based on the patient's condition, the hospital, and the surgeon's expertise. Despite being a health-focused procedure, its relative novelty and the need for specialized surgeons contribute to its pricing. Patients are encouraged to explore pricing policies at different institutions to make informed decisions.
Post-Surgery Care
While ileal interposition surgery marks a significant step towards alleviating diabetes, patients must actively participate in post-surgery care. A specialized diet is crucial during the initial 2 months, progressing from a liquid to pureed diet. Attention to dietary guidelines for 4-8 months is paramount, with patients experiencing diabetes regression, weight loss, and improved overall health within a 5-year timeframe.
Conclusion
Ileal interposition surgery emerges as a transformative solution for type 2 diabetes in Türkiye, offering not just a treatment but a potential cure. As advancements continue, this surgical intervention showcases the ongoing commitment to enhancing the quality of life for diabetes patients