The transit bipartition surgery is the most frequently used surgical method in the patients with the Type 2 diabetes. As a result of the studies conducted, the effect of the incretin of the hormones secreted from the last part of the small intestine has been noticed. The basic logic of the transit bipartition surgery has been based on this basis. It has been aimed that the hormones, such as GLP-1, which are secreted from the last part of the small intestine and which effectively control the blood sugar during the transition from the stomach to the small intestine, meet these hormones without giving opportunity to rise quickly of the blood sugar level with the carbohydrates. This is why in the transit bipartition surgery, bringing the last part of the small intestine closer to the stomach by proximalizing it constitutes the most important step of the surgery. With the difference of the ileal interposition surgery, this surgery preserves the natural transition way of the digestive system.

In order to be suitable for this surgery, being obese condition of the patient is not required. If it is decided that the surgery is suitable as a result of all the examinations made, the preparations are made for the operation. The transit bipartition surgery is not suitable for all patients with the Type 2 diabetes. First of all, being sufficient condition of the body insulin reserve of the patient is required. It is important that the patients have previously fulfilled the lifestyle changes and compliance with the medical treatment requirements for the diabetes control but have not been successful, and that they are ready and willing to cooperate that will be required in the postoperative period.

The transit bipartition surgery can be examined in two parts, which includes the stomach and small intestine parts. First of all, both the transition speed of the food is increased and the hormone active part of the stomach is deactivated.

On the other hand, in the small intestine part, the area calculated by measuring from the last part of the small intestine, which we call ileum, is mouthed by bringing to the stomach in a way that it will be second way. Thus, two separate routes are created for the transition of the foods from the stomach to the intestines.

Controlling the diabetes disease, which is the main purpose of the transit bipartition surgery, is accomplished with this surgical technique.

What are the advantages of this surgery?

❖ The problems related to the vitamin and mineral deficiencies continue for six to eight months. On the other hand, after eight-month periods, there is no need to take vitamin or mineral supplements regularly.

❖ As in the bypass surgery, there is no part of the digestive system that is disabled. There is only a reduction in the stomach volume.

❖ The hospitalization and recovery time are very short. Applying the laparoscopic method brings this advantage into the open.

In order to regulate the digestive system habits in the period of about 1 month after the surgery, the transition from the liquid foods to the soup, puree and finally solid food is applied in a stepwise manner. All this information is explained in detail by our dietitian and our team. The diabetes does not disappear immediately, but it provides protection from its negative effects from the first days. The settling of the effects of the surgery takes about 6-8 months. After the first year, the diabetes has been taken under control after the 1st year.