WHAT IS A TRANSIT BIPARTITION?

The so-called transit bipartition procedure is a modern, common and effective metabolic surgery method developed specifically for the treatment of patients with type 2 diabetes by Dr. Santoro in Brazil. This method aims to support weight loss in obese patients with BMI over 30.

In transit bipartition, a tube stomach surgery is performed first and the last part of the small intestine is connected to the lower part of the stomach as a second route. The junction of the stomach and small intestine is where the small intestine joins the large intestine. Therefore, digestion primarily stimulates the small intestine hormones that control diabetes.

The procedure is performed under general anesthesia via laparoscopy, as are other obesity treatments (stomach reduction, gastric bypass, or gastric balloon).  Transit bipartition is a surgical procedure that attempts to compensate for increased consumption of foods with a high glycemic index. After sleeve gastrectomy, this balance is greatly improved by creating a gastro-ileal anastomosis in the lower part of the stomach.

Who Is Transit Bipartition Suitable For?

Such a procedure is suitable for any patient with type 2 diabetes. Although transit bipartition successfully supports weight loss, patients with a BMI between 35 and 40, patients suffering from vitamin deficiency, and severely overweight patients without diabetes disease should first choose sleeve gastrectomy (stomach reduction) as a treatment method.

Transit bipartition is most suitable for the following groups of patients:

• Patients with type 2 diabetes. The treatment is not suitable for type 1 diabetics.
• Patients should still be able to produce their own insulin. In type 2 diabetics, in whom insulin production no longer occurs, Transit Bipartition cannot be performed.
• A BMI of at least 30 should be present.
• Patients must have stable pulmonary and cardiac health.
• Patients’ liver and kidney function should not be impaired.
• There should be no diseases of the digestive system, such as wounds, ulcers or gastritis.
• Cancer patients, pregnant women and women who have recently given birth are not suitable for such a procedure.

A comprehensive medical examination will make a final decision in advance as to whether a patient is suitable for a transit bipartition.

How Is a Transit Bipartition Carried Out?

The first step in a sleeve gastrectomy is to reduce the stomach volume to 25%. With 75% of the stomach removed, the main part to be removed is the fundus, which is the part of the stomach that is largely responsible for hunger hormones.

In the second step, the intersection of the small intestine and the large intestine is determined, which is then directly connected to the stomach. This is intended to stimulate the release of hormones to promote both digestion and the absorption of vitamins, minerals and other important nutrients.

This complex acting procedure is quite a simple method to effectively support weight loss as well as the treatment of diabetes.

Advantages of Transit Bipartition

• The procedure is reversible.
• Due to a low pressure in the stomach, the sleeve gastrectomy procedure can be used. Likewise, the likelihood of gastric outflow is extremely low.
• Endoscopic access to all parts of the small intestine as well as all parts of the digestive system is possible.
• Food continues to pass through the entire digestive tract.
• Since the pylorus, gastric antrum, and duodenum are not damaged, subsequent use of vitamin supplements and nutritional supplements are not required.
• Patients return to normal daily activities after a short period of time.
• Transit Bipartition is a particularly reliable and comprehensive procedure that not only reduces the size of the stomach, but also improves bowel function.

Weight Loss Thanks to Transit Bipartition

The procedure is still quite new, which is why long-term results on weight loss are not yet available. However, based on the results obtained so far, the chances of success are very good. Between 35% and 85% of excess weight can be reduced in this way, which has a particularly positive effect on hormonal mechanisms.

In the first 3 months after the procedure, patients recover quickly and develop new eating habits. Mobility is significantly increased and the accompanying symptoms of diabetes decrease noticeably. After 2 years, there are even no more signs of metabolic disease. However, patients should continue to pay attention to their diet and maintain an active lifestyle.

Diet After a Transit Bipartition

After a successful surgery, the patient receives a diet plan for the first year from his attending physician. This highly effective diet is based on a high-protein, low-carbohydrate diet. Patients must also get into the habit of chewing their food better to facilitate digestion. For the first few days after a transit bipartition, a liquid diet with high nutritional value is suitable for patients. Coffee should be avoided for the first 1 to 2 months after the procedure, as it can irritate the stomach.

Are you interested in a Transit Bipartition in Turkey? Our Care Team will be happy to advise you on the right treatment method and provide you with a free quote.