Transit Bipartition

What İs Transit Bipartition?

Transit Bipartition is a metabolic surgical procedure primarily used to treat obesity and type 2 diabetes. Developed by Dr. Santoro in Brazil, this surgery combines elements of sleeve gastrectomy with a unique rerouting of the small intestine.

 

 

 

 

 

 

 

 

 

Before Surgery

After Surgery

Here's how the procedure works:

Benefits of Transit Bipartition

There are several key benefits to transit bipartition:

  • Effective Weight Loss: Patients typically lose a significant amount of weight, similar to that seen with other bariatric surgeries such as gastric bypass or sleeve gastrectomy.
  • Improvement in Type 2 Diabetes: The surgery is highly effective in remission of type 2 diabetes. Many patients experience improved blood sugar control and reduced reliance on diabetes medications, with some achieving complete remission.
  • Dual Path Nutrient Absorption: Unlike other procedures that completely bypass the duodenum and jejunum, transit bipartition allows food to travel through both routes, maintaining a more balanced nutrient absorption and lowering the risk of vitamin or mineral deficiencies.
  • No Need for Frequent Supplements: Since nutrient absorption is better preserved, patients generally require fewer supplements compared to those who undergo more traditional bypass surgeries.
  • Laparoscopic Procedure: The surgery is minimally invasive, performed laparoscopically, which means faster recovery, less scarring, and fewer complications than traditional open surgeries.

Who is a Candidate for Transit Bipartition?

Transit bipartition is particularly beneficial for individuals who:

  • Have a BMI over 35 and are considered morbidly obese.
  • Suffer from Type 2 Diabetes: The procedure is especially beneficial for those whose type 2 diabetes has been difficult to manage with medication, diet, and exercise alone. It can help achieve better glycemic control, often leading to a reduction or elimination of diabetes medications.
  • Are between the ages of 18 and 55: The procedure is typically recommended for adults who meet specific health criteria.

Risks and Considerations

While transit bipartition is generally considered safe, there are still potential risks and complications associated with the surgery:

  • Surgical Risks: As with any surgery, there is a risk of infection, bleeding, and complications from anesthesia.
  • Nutritional Deficiencies: Although the risk of malnutrition is lower compared to other bariatric surgeries, patients may still experience deficiencies in vitamins such as B12, iron, and calcium. Regular follow-ups with a healthcare provider and potentially lifelong supplements are necessary.
  • Dumping Syndrome: Like other bariatric surgeries, patients may experience dumping syndrome, a condition where food moves too quickly from the stomach to the small intestine, leading to symptoms like nausea, dizziness, and diarrhea after eating certain foods, particularly those high in sugar or fat.
  • Long-Term Commitment: Success with transit bipartition, like all weight-loss surgeries, requires a long-term commitment to healthy eating and regular exercise. Patients must be prepared to make significant lifestyle changes after the procedure.

Recovery and Long-Term Results

Recovery from transit bipartition is relatively quick due to its minimally invasive nature. Patients typically stay in the hospital for a few days and can return to work or normal activities within a couple of weeks, depending on their job. Full recovery may take several weeks, during which patients will need to follow a specific diet plan:

  • Initial Liquid Diet: For the first week or so after surgery, patients are required to follow a liquid-only diet to allow the stomach to heal.
  • Transition to Soft Foods: Over the next few weeks, patients will slowly reintroduce soft foods and then eventually solid foods under the guidance of a dietitian.
  • Ongoing Support: Long-term success is achieved with the help of a comprehensive support team, including doctors, dietitians, and mental health professionals. Regular follow-up appointments ensure that the patient is losing weight healthily and maintaining proper nutrient levels.

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