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Ileal Interposition In this procedure a segment of ileum is interposed to jejunum or duodenum.This results in rapid exposure of the the ileal endocrine cells to undigested nutrients. This in turn results in marked increase in the synthesis of PYY and GLP-1.These stimulate the pancreas to produce more insulin and improved insulin sensitivity. The ileal interposition is also combined with sleeve gastrectomy.If the ileum is interposed to duodenum it is called as Duodeno ileal Interposition with Sleeve Gastrectomy and if it is interposed to the jejunum it is called as Jejuno ileal Interposition with Sleeve Gastrectomy. https://youtu.be/7IT6Q_6lk6U
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