Transit bipartition, also known as diabetes surgery among the public, is one of the most effective applications in the surgical treatment of type 2 diabetes and obesity. The aim of Transit Bipartition is to change the location of the area at the end of the small intestine using the Laparoscopy (closed surgery) technique. With this method, there is no change in the size of the intestines. In order to increase the passage of undigested food, it is carried from the last part of the small intestine (ileum) to the exit part of the stomach. The targets of metabolic surgery are hormonal changes and the advantages of these changes. In cases with obesity, sleeve gastrectomy surgery is performed first. In this way, a large part of the stomach, which contains the Gherlin hormone, which is primarily responsible for hunger, is removed. By removing approximately 80% of the stomach, gastric emptying accelerates and the food is digested very little and reaches the small intestine in a short time through the newly opened pathway.
Two thirds of the ingested food passes through the new pathway created by Transit Bipartition. The stomach, which becomes smaller and faster with gastric sleeve surgery, delivers the undigested food to the small intestine through the new path opened by the diabetes surgery. In this way, GLP-1 hormone is released. GLP-1 hormone increases insulin release and effectiveness. In this way, Type 2 diabetes provides 90-95% recovery. As the stomach shrinks, calorie intake is limited and a feeling of satiety is reached quickly. In this way, almost all patients lose up to 80% of their excess weight within the first year. Insulin, the release and effect of which increases with diabetes surgery, breaks insulin resistance, which is one of the main causes of obesity and diabetes.
HOW IS IT DONE?, WILL I HAVE PAIN?, HOW MANY DAYS SHOULD I LIES?
This surgery can be performed laparoscopically, that is, closed, like obesity surgeries. It is performed under general anesthesia, and it is a procedure that takes approximately 3-5 hours. It can be done with tools inserted through holes drilled in the abdomen. If everything goes well after the surgery, they start drinking water on the first day, and they switch to liquid foods on the 2nd or 3rd day. If there are no additional problems, the patient is discharged in an average of 3-5 days. They can return to work after resting at home for approximately 10 days. This surgery is of course a serious surgery and It carries some risks, but its benefits to diabetic patients are much greater. Considering the profit and loss relationship, this surgery is a miraculous event for diabetic patients. With this surgery, diabetic patients can most likely get rid of diabetes, excess weight, if any, and other diseases caused by diabetes.
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