Firstly What is transit bipartition? To answer the question, it's a surgical procedure performed on individuals with obesity and diabetes, also known as diabetes surgery. The procedure, which lasts 1.5 hours, is performed laparoscopically. During the surgery, the stomach is reduced in volume by being reshaped into a tube. A portion of the small intestine is cut and reduced in size and connected to the stomach. This stimulates small intestine hormones, thereby controlling diabetes. Following this information, let's move on to details such as who is a candidate for transit bipartition, how transit bipartition surgery is performed, and its advantages and disadvantages.
Who is a candidate for Transit Bipartition Surgery?
Transit bipartition The surgery can be performed on individuals over 18 years of age who have type 2 diabetes, a body mass index of 30 or higher, and whose health is compromised by both obesity and diabetes.
How is Transit Bipartition Surgery Performed?
How is transit bipartition surgery performed? This question is frequently asked by patients considering surgery. The first stage of the surgery is sleeve gastrectomy, where the stomach's volume is slightly increased. Then, a passage is created from the lower part of the stomach to a portion of the junction of the small and large intestines.
Before Transit Bipartition Surgery
Transit bipartition surgery The digestive system is essentially redesigned during the procedure. Before the operation, the patient's medical history is examined to determine if there are any contraindications. To assess the condition of the organs and tissues, chest X-rays, ECGs, ultrasounds, endoscopy of the stomach and intestines, and urine, blood, and hormone tests are performed. If the patient has a specific health condition, the doctor may also order additional tests related to that condition.
Before surgery, smoking, alcohol, and all blood-thinning medications should be discontinued. A special dietary program should be followed, avoiding any foods that could disrupt blood sugar balance.
Postoperative
After the operation, the patient stays in intensive care for one day. The next day, the patient is transferred to the ward, feels no pain, and can walk. They are discharged after 4 or 5 days, and the stitches are removed on the 10th day.
Patients who have undergone surgery should rest at home for 2 or 3 weeks. They can return to desk work that doesn't involve strenuous physical activity after the third week. It is possible to perform tasks requiring exertion from the second month onwards. After the sixth month, there is no longer any problem with performing heavy work.
Transit bipartition surgery The procedure involves intervention in the stomach and intestines, i.e., the digestive system. Hormonal balance and eating habits change with the operation. The person does not feel as hungry as before and their appetite decreases. Portion sizes also decrease because the stomach volume is reduced. A liquid diet is followed for the first two weeks after the procedure. Meat, chicken, and bone broths are ideal to prevent calcium and protein loss. After two weeks, pureed foods should be consumed, and meat-type foods should be blended if possible. Solid foods can be introduced later with the doctor's approval. Low-fat and gas-producing foods should be preferred. Portions should be kept small, and food should be chewed thoroughly. Drinking plenty of water is important, and the diet should be determined under the supervision of a dietitian.
Advantages of Transit Bipartition Surgery
It is a frequently preferred method both in our country and around the world, and it yields very successful results. diabetes surgery, The stomach's volume is reduced by balancing the pressure inside the stomach. The integrity of the stomach and duodenum is preserved.
After the surgery, the patient can quickly return to their daily life with the doctor's approval. Since the digestive system is preserved, there are no absorption problems. Therefore, the patient usually does not need to take supplements such as minerals, calcium, and vitamins. By eliminating the obesity problem, type 2 diabetes is also treated.
Disadvantages of Transit Bipartition Surgery
If patients' general health is not adequately assessed and all necessary tests are not performed in detail before surgery, a number of complications may occur after the operation. As with any surgery, there are risks such as leakage, blood clots, infection, and bleeding.