Metabolic Surgery for Diabetes

Laparoscopic Ileal Interposition


The Laparoscopic Ileal Interposition procedure is a type of metabolic bariatric surgery. This surgical treatment is used to treat overweight diabetic individuals. Patients with type 2 diabetes who are unable to regulate their blood sugar levels after medication and want to lose weight might explore this option. Patients who have suffered organ damage may potentially benefit from this surgery. For consultation on metabolic surgery for diabetes meet with Dr. Sukhvinde Singh Saggu.

metabolic surgery for diabetes

What is the Procedure for Laparoscopic Ileal Interposition?


  • The term Ileal Interposition, in brief, is a kind of exchange of the initial and final parts of the small intestine and transforming the stomach in banana shape.
  • This procedure is only used to treat Type 2 Diabetes in people who have a Pancreatic Insulin reserve.
  • This is a distinct procedure from obesity surgery.
  • This surgery works by blocking the hormones that produce insulin resistance and increasing hormone levels that enhance insulin sensitivity.
  • Vitamin and mineral deficiencies are not seen and followed as in obesity surgery by-pass procedures since this surgery method is not conducted by intestinal by-pass and there is no need to take vitamins and minerals containing tablets for the rest of one’s life.
  • The liquid ingestion begins on the third day of the ileal interposition procedure.
  • Completely free nutrition may be passed on within 6 months to a year. Diabetes is managed within a few weeks to a few months with this procedure, and pharmacological therapy may be administered at a low dose based on the patient’s health. Because of the use of keyhole surgery (laparoscopy), the recovery process is extremely quick, and discomfort is kept to a minimum.
  • This procedure permanently ends type 2 diabetic mellitus (DM), and diabetes is managed within a few weeks to a few months.
  • The Ileal Interposition with Sleeve Gastrectomy procedure allows for weight reduction and therapy without the need for a diet or sports.

How Does It Work?

The ileum is the small intestine’s distal portion. One method of doing this procedure is to insert an ileum between the stomach and the proximal section of the small intestine. The alternative approach involves connecting the ileum to the proximal region of the small intestine without affecting the stomach’s natural connections.

What is the Result of Laparoscopic Ileal Interposition?

Ileal Interposition may be done on a broad range of BMI individuals. With the exception of individuals who need iron, B12 vitamin, and D vitamin supplementation prior to surgery, this technique does not require any extra vitamin supplements.

For more information & consultation on metabolic surgery for diabetes, Meet with Dr. Saggu