I performed LAPAROSCOPIC METABOLIC SURGERY (DIABETES SURGERY - SLEEVE GASTRECTOMY WITH DUODENOILEAL INTERPOSITION ) on Mr. Srinivas Natukula on 11th March 2015. Please listen to his review - Dr. V. AMAR, www.drvamar.com
Sleeve Gastrectomy with Duodenoileal Interposition (SG DII) is also known as Diverted Sleeve Gastrectomy with Ileal Interposition (DSG II). It is a very effective metabolic surgery to resolve type II diabetes.
It is a modification of Biliopancreatic Diversion with Duodenal Switch (BPD DS). In both procedures, there is gastric sleeve, 1st part of duodenum is transected, food empties into terminal ileum. But the difference is that common channel is only 100 cm in BPD - DS, where as in SG DII, it is very long since food empties into jejunum 50 cm from DJ flexure. So addition of one extra anastomosis (ileojejunostomy) converts BPD DS into SG DII, of course with slight modifications in the lengths of each intestinal limbs.
It is a scientifically proven, safe and highly effective method for resolution of type II diabetes. Weight loss and resolution of type II diabetes after bariatric/ metabolic surgery is due to hormonal changes and not due to food restriction or malabsorption.
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