What is Transit Bipartition Surgery?
A Sleeve Gastrectomy is performed:
- The small intestine is then divided into two, form a point 80-200 cm proximal to its junction with the large intestine.
- The cut end is connected to the stomach.
- The upper end (coming from the stomach) is connected to a point 80-150 cm proximal to the junction of the small intestine with the large intestine. This distance may vary from patient to patient.
- By this means, approximately 1/3 of foods taken orally pass through the duodenal (the natural path), whereas 2/3 pass through the last part of the small intestines.
Its advantages:
- Its healing rate in Type 2 diabetes is higher than that of all other procedures.
- Its leakage rate is lower than that of other procedures.
- Since stomach pressure in this procedure is lower than that in sleeve gastrectomy, it is less likely to involve an enlargement in the stomach volume over time.
- It makes all parts of the small intestine endoscopically accessible.
- Since the entire digestive system is used, it is almost unlikely to cause vitamin, mineral, iron and calcium deficiencies.
Its disadvantages:
Its long-term outcomes are not yet known because it is a relatively newer procedure that other procedures.
Its complications:
Its complications and complication rates are similar to that of other surgical procedures.
