Bariatric & Metabolic Surgery
Ileal Interposition
Ileal interposition with BMI-adjusted sleeve gastrectomy A long segment of the last part of the small bowel is cut and joined very close to the stomach. Undigested food now first enters to ileum to stimulate increased secretion of incretin hormone called GLP-1, which in turn stimulates beta cells in the pancreas to secrete increased amounts of insulin.
Advantage
- Type 2 diabetes control is possible with normal BMI individuals too (non-obese patients)