Transit Bipartition
Unfortunately, the number of people suffering from obesity and diabetes has dramatically risen globally. Both of these diseases are considered to be the result of compromised metabolism and excess fat reserves; patients suffering from obesity are at great risk of developing diabetes. Carrying extra weight and diabetes negatively affect the function of vital organs in an extreme way, which can lead to high blood pressure and cardiovascular diseases etc. If these conditions are not treated, it may result in serious health consequences for the patient and a loss of operability.
Transit Bipartition (in other terms; transit displacement, transit surgery)- is one of the standard metabolic surgery operations recommended for patients suffering from type 2 diabetes and obesity. The main advantage of this procedure is its non-invasiveness (performed via laparoscopy), which preserves the integrity of the stomach and duodenum, maintaining an optimal level of digestibility of vitamins and minerals. With a relatively short, approximate surgery time of 90 minutes patients lose their weight effectively, and eventually their life quality improves substantially.
Transit Bipartition - Indications
In order to determine the suitability of the transit Bipartition procedure, it is essential that each patient is examined. This procedure is suggested for the case types mentioned below:
- Patients with a mass index of more than 30,
- Patients suffering from type 2 diabetes,
- Patients with a risk of obesity who suffer from type 2 diabetes,
- Patients without contraindication towards Transit Bipartition,
- Patients who wish to lose weight with the aid of a minimally invasive surgical method.
Transit Bipartition - Advantages
Prior to surgical interference patients are examined in order to avoid contraindications and potential inflammation, as well as control the function of organs such as the heart, lungs, liver, and kidney.
Transit Bipartition cannot be employed with the following types;
- Patients With type 1 diabetes,
- Patients with diseases of digestion systems such as ulcers or gastritis,
- Patients with oncological illnesses,
- Pregnant and feeding mothers.
The surgery lasts for about 1-1.5 hours and is performed under general anesthesia via laparoscopy (small incisions over the abdomen), after which patients may rapidly return to their lives.
During surgery, a piece of the stomach is removed, and a new connection is established. After the surgery, approximately one-third of the food will pass through the duodenum; the remaining food will pass through the small intestine and stomach's new connection. Secretion of the hormone ghrelin ceases resulting in patients experiencing less hunger leading to the inevitable significant decrease in food portion size.
During the post-surgery period, patients should consume liquid meals for the first two weeks, afterwards, they can switch to soft food. After surgery, patients should remain at the clinic for 3 to 5 weeks for condition monitoring.
Patients suffering from obesity lose up to 80 percent of their extra weight. The maintenance of the integrity of organs such as the stomach and duodenum is an indisputable advantage with endoscopic procedures.
Additional advantages with transit Bipartition are mentioned below;
- There is no need to take additional vitamins as food is digested perfectly,
- Less than 7 percent of patients may be exposed to the 120 g/l hemoglobin level,
- Low intragastric pressure,
- Significant positive changes to the quality of life,
- Long-lasting maintenance of new body weight,
- Patients feel healthy and even report the disappearance of certain associated symptoms,
- Surgery Reversibility.
Transit Bipartition is usually accomplished by experienced surgeons making it one of the safest surgical methods.
However, like any surgical procedure Transit Bipartition has its potential disadvantages, which may be related to inefficient preoperative examinations, the insufficient experience of the surgeon, as well as risks inherent to surgical interferences. Patients are also supposed to take vitamin B12 pills.
Following surgery, patients are required to completely alter their lifestyles, adopt new positive habits and observe diets with optimal nutrition while avoiding unhealthy food options. They are supposed to eat regularly like 5-7 times a day, consuming small portions.
In some clinics after transit surgery patients are provided with monthly nutrition plans, and they are asked to avoid drinking beverages such as coffee, alcohol, or soft drinks. During the first month after surgery, it is extremely ill-advised to engage in intensive aerobic exercise and lift weights, have sex, or plan a pregnancy. After surgery patients are allowed to engage in light physical exercises such as walking or swimming.
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