Transit bipartition surgery is the most frequently used surgical method in patients with Type 2 diabetes. As a result of conducted studies, the incretin effect of the hormones secreted from the last part of the small intestine has been noticed. The basic principle of transit bipartition surgery has been based on this.
It has been aimed that the hormones, such as GLP-1, which are secreted from the last part of the small intestine and effectively control the blood sugar during the transition from the stomach to the small intestine, encounter these hormones without giving carbohydrates the opportunity to rapidly raise blood sugar levels. This is why, in 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 procedure. Unlike ileal interposition surgery, this surgery preserves the natural transition way of the digestive system.
In order to be suitable for this surgery, the patient does not need to be obese. If it is decided that the surgery is suitable as a result of all the examinations, the preparations for the operation are made. Transit bipartition surgery is not suitable for all patients with Type 2 diabetes. First of all, the patient must have a sufficient body insulin reserve. It is important that patients have previously fulfilled lifestyle changes and compliance with medical treatment requirements for diabetes control but have not been successful, and that they are ready and willing to cooperate as required in the postoperative period.
Transit bipartition surgery can be examined in two parts: 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 pathway. Thus, two separate routes are created for the transition of foods from the stomach to the intestines. Controlling the diabetes, which is the main purpose of transit bipartition surgery, is achieved with this surgical technique.
What are the Advantages of This Surgery?
❖ Problems related to vitamin and mineral deficiencies continue for six to eight months. However, after eight months, there is no need to take vitamin or mineral supplements regularly.
❖ As in bypass surgery, no part of the digestive system is disabled. Only the stomach volume is reduced.
❖ Hospitalization and recovery times are very short. The laparoscopic method enhances this advantage.
In order to regulate the digestive system habits in the period of about 1 month after the surgery, the transition from liquid foods to soup, puree and finally solid food is applied step by step. All this information is explained in detail by our dietitian and our team. Diabetes does not disappear immediately, but it provides protection from its negative effects from the very first days. The settling of the effects of the surgery takes about 6-8 months. After the first year, diabetes is brought under control.
