Transit Bipartition Surgery

Transit Bipartition Surgery in Turkey

What is Transit Bipartition Surgery?

Transit bipartition surgery is an advanced surgical procedure performed on patients who are not overweight but suffer from type 2 diabetes. This surgery represents one of the latest and most evolved methods in metabolic surgery. The primary objective is to impact nutrient absorption and reduce the amount of consumed food to aid in controlling blood sugar levels.

The surgical process begins by determining the stomach volume, rendering approximately seventy percent of the stomach volume inactive. Even if the patient is not overweight, this procedure is carried out to control blood sugar levels effectively.

A portion of the stomach, responsible for secreting a hormone that stimulates appetite, is extracted. The remaining stomach mass is closed using stapling at incision points to prevent leakage. In the subsequent stage, interventions are made in the intestines. Although the incision may vary from patient to patient, it is performed according to specific measures.

A mark is made between 130 and 150 centimeters from the lower part of the intestines. The intestines are divided into two by going 100 – 120 centimeters upwards from the marked point. The upper end of the lower part of the intestine is connected to the bottom of the stomach as a secondary pathway. The part of the intestine that has already emerged from the stomach is connected to the lower part of the intestine from the first marked point. Thus, two distinct intestinal tracts are formed, converging as they approach the anus, but their upper sides are quite far apart.

Who Can Undergo Transit Bipartition Surgery?

Transit bipartition surgery is not suitable for all diabetes patients. The success of this procedure is linked to its application on patients who meet specific criteria, and therefore, it is not recommended for patients who do not meet these conditions. There are also other surgical options that can be considered based on the body's conditions.

Transit bipartition surgery is exclusively performed on type 2 diabetes patients who have sufficient insulin production capacity and adequate reserves. The body mass index (BMI) should range between 20 and 30, with the general patient profile falling within the range of 25-30.

Due to metabolic issues associated with diabetes, surgery suitability may be reduced. It is expected that patients have earnestly attempted all non-surgical options without success before considering this surgical option.

In addition to these conditions, a thorough medical examination is conducted to complete the understanding of the patient's condition and determine their eligibility for surgery. Therefore, individuals should not decide on their suitability for surgery based on information obtained from any source, as eligibility is determined solely through a detailed medical assessment.

Effects of Bipartition Bypass Surgery on Digestion and Blood Sugar Levels

Bipartition bypass surgery follows a comprehensive approach aimed at improving the digestive system and regulating blood sugar levels. In this context, the following surgical regimen demonstrates effective impacts:

• Reducing Food Quantity: Food consumption is reduced by approximately 50% to 80%, contributing to weight control and overall health improvement.
• Division of Intestinal Channels: Sixty percent of the food passes through the new intestinal channel, while 40% moves through the old intestinal channel, creating a balance in digestion distribution.
• Effects on Digestion and Blood Sugar: The division of food into two different pathways accelerates the digestion process, reducing the amount of mixed sugar in the blood.
• Increased Insulin Secretion: The rapid transfer of food to the lower part of the intestines increases insulin secretion, playing a significant role in regulating sugar levels.
• Achieving the Primary Goal: The surgery aims to achieve complete removal of diabetes, facilitated by the intestinal flow chart. The primary focus is on improving digestive functions and regulating blood sugar levels.

 Advantages of Bipartition Surgery

• Improved Vitamins and Minerals: Problems related to vitamin and mineral deficiencies persist for a short period (6-8 months), after which the need for regular supplementation diminishes.
• Full Activity of the Digestive System:Every part of the digestive system remains functional, ensuring long-term results very close to a natural state.
  
  
• Quick Recovery: Short recovery time, notably evident in closed surgery and minimal surgical incisions.

Disadvantages of Bipartition Surgery

• Slight Weight Gain: There is a slight possibility of weight gain after 5-8 years, dependent on the patient's lifestyle, which can be overcome with a healthy lifestyle.
• Rare Fatality Rate: In approximately two per thousand cases, death may occur during surgery, a rare occurrence that requires special attention and careful monitoring.
• Potential Risks: Nutrient Deficiency: There may be a deficiency in vitamins and minerals in the initial stage, but this can be overcome with proper nutrition.

After Transit Bipartition Surgery

Following transit bipartition surgery, diabetes and all metabolic issues related to diabetes regress. Within a year, all these problems are completely healed in ninety-five percent of the patients. At the end of a one-year period, the patient attains a standard of living equivalent to a normal person. Since the stomach is reduced, the patient has no appetite for consuming food. Additionally, due to regulated absorption, the blood sugar level is low, and the insulin amount is as much as possible. After the bipartition bypass surgery, a special diet is applied for about 6-7 weeks.

Post-Transit Bipartition Surgery Diet

The diet plays a crucial role after transit bipartition surgery. After this type of surgery, the patient undergoes significant adjustments in the structure and function of the digestive system. For this reason, it is essential for the patient to follow a specific and gradual diet to ensure proper results and reduce the risk of leakage and other complications.

• Liquid Period: In this stage, the patient consumes easily digestible liquids such as juices and broth. The aim is to avoid overloading the digestive system and ensure proper nutrition.
• Mash Period: The diet transitions to the consumption of soft mashed foods, including soft grains and mashed vegetables. The goal of this stage is to gradually introduce solid food while maintaining the integrity of the surgical procedure.
• Solid Period: Afterward, the patient gradually returns to regular food intake. The precise dietary list is determined in collaboration with a nutrition specialist, focusing on meeting the body's essential nutrient needs.

Transit Bipartition Surgery in Turkey: Advantages

Turkey is one of the leading medical destinations globally, offering high-quality advanced medical services and an experienced medical team. When considering Transit Bipartition Surgery, Turkey has several advantages:

• Advanced Medical Technology: The healthcare sector in Turkey invests in the latest medical technology. Hospitals and medical centers provide state-of-the-art equipment to ensure the highest quality of service.
• Specialized Medical Teams: The availability of specialized and qualified medical teams ensures optimal results in Bipartition Surgery. The surgical team and necessary support staff work together to ensure a comprehensive medical experience.
• Competitive Costs: Turkey is an economically viable medical destination, providing high-quality services at competitive costs compared to many other countries. This makes it an attractive option for patients seeking economical choices.
• Advanced Consultations: The expert team in Turkey offers advanced consultations for patients before and after surgery, helping them understand the procedure and accurately determine expectations.
• Excellent Touristic Experience: Patients can enjoy an excellent tourist experience in Turkey, exploring the country's beauty and rich history while undergoing treatment. This adds a unique dimension to the overall medical journey.