Transit Bipartition Surgery
Transit Bipartition, also known as diabetes surgery, is among the types of metabolic surgery noted for their successful results. As part of transit Bipartition, a two-stage operation, first the stomach is made into a tube shape, and then physical changes in the intestines are made to change the absorption of nutrients.
To prevent the decrease of nutrient absorption, patients are not forced to lifelong vitamins and minerals. They can decrease them after the operation and when compliance is maintained.
Although the success rate of Transit Bipartition surgery is relatively high, it is essential to make the right choice of patients and Surgeons’ experience.
What Is Transit Bipartition Surgery, For Whom Is It Performed?
The type of metabolic surgery performed since 2006 to treat people who have obesity problems and have Type 2 diabetes is called Bipartition. After sugar surgery (diabetes surgery), which is completed in 4 to 6 hours under general anaesthesia, the stomach volume is reduced. This stage of the operation allows the patient to quickly feel satiety and be able to reduce his appetite, even if he eats a small amount.
In the second stage of the process, the last part of the intestines is combined with the reduced stomach, and the role of the intestine associated with the cut stomach is combined with the last part of the intestines. With these changes in both stomach volume and intestinal Anatomy, patients can start using insulin in their own body, experience a drop in blood sugar, and at the same time lose weight quickly. As with all bariatric and metabolic surgeries, patients must adapt to the surgeon’s recommendations in the post-transit Bipartition process.
Transit Bipartition surgery;
- General health condition suitable for anaesthesia and operation,
- As a result of health checks, the problem that prevents the procedure is not diagnosed,
- Body mass index is 30 and above, and also living with Type 2 diabetes,
- Deteriorating health due to type 2 diabetes and accompanying obesity,
- Between the ages of 18 and 65,
- Transit Bipartition surgery can be applied to patients who have realistic expectations about the operation and are aware of the requirements of the postoperative period.
About Type 2 Diabetes
Type 2 diabetes, one of the most common chronic diseases worldwide, is a disease that leads to the body’s inability to use insulin as it should, and blood sugar levels rise. This disease, which has been identified with adults in the past years, also affects people at an earlier age with an increase in the incidence of childhood obesity. If type 2 diabetes is not controlled, it can damage the heart, blood vessels, eyes, kidneys, nerves, skin, hearing, and brain, threatening a person’s life. Obesity is a severe risk factor in the formation of Type 2 diabetes.
How Is Transit Bipartition Surgery Performed?
Transit Bipartition is a closed technique performed under general anaesthesia. It is executed from 4-5 millimetre incisions opened from the abdominal area. The operation consists of two primary stages that interfere with the stomach and intestines. In the first stage, the stomach is turned into a thin tube so that the tube has a slightly wider structure than the stomach surgery, the large part of the stomach that is cut is not removed outside the body.
In the second stage, the first and middle parts of the intestines are separated from the last part; the new stomach is created, and the previous 250-centimetre part of the small intestine is called the ileum where insulin release occurs, are combined. Finally, the first and middle part of the small intestine, connected to the idle stomach, is integrated with the last 150 centimetres.
How Many Hours Does Transit Bipartition Surgery Take?
The duration of Transit Bipartition surgery is 4-6 hours. Patients are expected to be hospitalized for an average of 4 days. In addition to general health checks in this process, leakage testing is performed, and discharge procedures are started if no problems are detected.
What Are The Risks Of Transit Bipartition Surgery?
As with any surgical operation, transit Bipartition surgery is known to have certain risks. Although the chances of Metabolic Surgery vary according to variables such as patients ‘ weight, chronic diseases, and age, both preoperative controls are complete, and patients adapt to what they need to pay attention to before transit Bipartition is effective at minimizing risks. Possible risks after Transit Bipartition can be listed as follows: bleeding, infection, intestinal obstruction, embolism, leakage.
Considerations after Transit Bipartition Surgery
After sugar surgery, a transformation begins, in which new and radical changes will occur in patients’ lives. Patients should rest early, follow the recommended nutrition programs and begin simple exercises at the recommended intensity. It is important to stop smoking and alcohol habits that hinder wound healing perfessentialRoutine checks are not neglected. Blood values are closely monitored are among the requirements of the process. Compliance with the rules of the procedure after sugar surgery affects both the success of the operation and the rate of improvement of the patients ‘ health status.
How Should Nutrition Be After Transit Bipartition?
After Transit Bipartition, patients should adopt a diet appropriate to their feeding periods as a necessity rather than a preference. Liquid diet period, pure diet period and substantial diet period should be followed in nutrition after Transit Bipartition. The liquid diet period continues for the first 15 days after the operation. During this period, clear liquids should be consumed. When selecting fluids, foods with a high protein value and do not contain fat and sugar should be preferred. It is necessary to avoid liquids that tire the stomach, Disturb and increase the release of acid. It is essential that all nutrients are passed through the blender during the purée diet period after Transit Bipartition. The mash period should be continued between 15-30 days after the operation. Solid-liquid separation should also be learned as of this period.
After sugar surgery, the solid nutrition period begins a month after the operation. In addition to foods during this period, both liquid and pureed nutrition period, solid foods can also be consumed in small pieces. The most important habit that needs to be acquired is the thorough chewing of nutrients. Foods high in protein, fat-free and sugar-free should be prioritized. Dietary guidelines after gastric reduction surgery also apply to transit Bipartition. Patients should not eat until their stomachs are full, meals should be kept small, and calories of preferred foods should be followed. Otherwise, there may be an inability to lose weight at the expected rate.
Exercise and Sports after Transit Bipartition
To improve the results of Transit Bipartition surgery, both proper nutrition and regular exercise are required. A sedentary lifestyle is one of the essential factors in the formation of excess weight. In the postoperative period, patients must start exercising in accordance with their recovery processes, weight and general health status; gradually increase their exercise intensity. In this way, the weight loss process can be supported, and the overall health status can also improve. 4-6 weeks after the operation, with the approval of the surgeons, you can switch to brisk exercises. In the beginning, walking will be the most ideal, gradually increasing the duration and pace of walking. Excessive strain until the body acquires the necessary conditioning can lead to different health problems or disability formations that vary in scale.
What Are The Advantages Of Transit Bipartition Surgery?
Transit Bipartition surgery provides an essential opportunity to both lose weight and improve Type 2 diabetes. During the operation, nutrient absorption is not reduced, and the cut part of the stomach is not removed from the body. The continuity of stomach acids is ensured, and the natural digestive tract is maintained. The absence of any intervention in the duodenum makes it possible to withdraw the endoscopy in the post-operation process. One of the essential advantages of Transit Bipartition surgery is that there is no need to be in the morbid obesity class for eligibility for the operation. Unlike other procedures where nutrient absorption is reduced, there is no requirement to use vitamins and minerals for life after sugar surgery.
Is there any pain after Transit Bipartition surgery?
As after all surgeries, it is possible to encounter pain problems in the process after transit Bipartition. But the issue of pain can be minimized if the adjustment to what needs to be considered after sugar surgery is achieved and painkillers prescribed by doctors are used. However, it will be helpful not to ignore that each patient’s pain threshold may be different.
Return To Work After Transit Bipartition Surgery
In the process of returning to work after sugar surgery, variables such as the general health status of patients and how much effort their work requires are influential. Patients can return to their working lives after ten days if there is a job with limited mobility, and after about 3-4 weeks if there is a job with intense effort.
Is it inconvenient to lift weights after Transit Bipartition?
Yes, lifting weights can increase intra-abdominal pressure and lead to bleeding. For this reason, patients are not recommended to lift weights until full recovery occurs.
Does Diabetes start again after Transit Bipartition surgery?
The answer to this question may vary depending on how well patients adapt to the requirements of the postoperative process. Patients experience a marked change as they lose weight after transit Bipartition and the body begins to use insulin. As a result of studies, it shows that patients with Type 2 diabetes regress and undergo remission after transit Bipartition. But continuing an unhealthy diet and not exercising can lead to a return of Type 2 diabetes complaints.
Transit Bipartition Surgery Prices
Transit Bipartition surgery prices may vary according to the expertise, experience, past achievements of the surgeon operating; with the hospital where the operation will be performed, the fee policy and the hospitalization process. During the operation planning process, patients are informed in detail about the wage policy.
Transit Bipartition Success Rate
Transit Bipartition surgery performed by experienced surgeons in the field to selected patients is quite successful. In the five years, 86% of patients are observed to recover from Type 2 diabetes.
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