Gastric Transit Bipartition in Turkey: Diabetes/Metabolic Surgery
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Gastric Transit Bipartition in Turkey: Diabetes/Metabolic Surgery
Gastric Transit Bipartition is a metabolic surgery method used for the treatment of type 2 diabetes patients. This method also helps obese patients with a body mass index above 30 to lose weight. This method, developed by Dr. Santoro in Brazil 10 years ago, is widely used in the world today.
In this method, one third of the small intestine is connected to the stomach as an alternative route. This way, the nutrients passing through the end of the small intestine trigger the secretion of the small intestine hormones that are necessary to control diabetes. This method is performed laparoscopically under general anesthesia, like Gastric Bypass, Sleeve Gastrectomy and other bariatric surgery methods.
What is Gastric Transit Bipartition and Why is it Done?
Gastric Transit Bipartition is a surgical technique designed to solve the diabetes problem caused by the increase in the consumption of high glycemic index foods. In this technique, as in the Sleeve Gastrectomy method, a large part of the stomach is removed and the stomach volume is reduced. This process reduces the secretion of ghrelin, which is known as the hunger hormone, and suppresses the patient’s appetite. Then, a piece is cut from the junction of the small intestine and the large intestine and connected directly to the stomach.
This process allows the nutrients to skip a large part of the small intestine. This increases the secretion of GLP-1, PYY and other hormones that regulate diabetes. Finally, the initial part of the small intestine is connected to the end of the cut piece. This process reduces the secretion of GIP hormone. GIP hormone stimulates insulin secretion and causes insulin resistance in diabetes patients.
This process is an effective, simple and algorithmic surgery for both diabetes treatment and weight loss surgery. To have surgery with this method, you need to have no heart disease and be over 18 years old.
Who is Suitable for Gastric Transit Bipartition?
Gastric Transit Bipartition is an ideal metabolic surgery method for type 2 diabetes patients. However, this method is not only for diabetes patients, but also for overweight or obese patients. Patients with a body mass index between 30 and 35, who do not have a health problem such as diabetes or vitamin deficiency, can prefer the Sleeve Gastrectomy method instead of Gastric Transit Bipartition. Patients with a body mass index above 45 can choose the Gastric Transit Bipartition method, whether they have diabetes or vitamin deficiency. To decide which method is more suitable for you, please contact us.
What are the Advantages of Gastric Transit Bipartition?
- This method treats both diabetes and obesity at the same time. More than 90% of patients do not need diabetes medications after surgery. Also, more than 80% of patients reach their ideal weight after surgery.
- This method is a reversible and correctable procedure. If the patient’s health condition changes or is not satisfied with the results of the surgery, this procedure can be reversed or modified.
- This method minimizes the risk of stomach leakage. Since the pressure inside the stomach is low, the possibility of perforation or tearing in the stomach wall is very low.
- This method reduces the risk of vitamin and mineral deficiency. Since the lower part of the stomach, the pyloric muscle and the duodenum are preserved, the digestion and absorption of nutrients continue. Therefore, patients do not need supplements such as iron, calcium, B12 vitamin, D vitamin and B1 vitamin.
- This method provides endoscopic access to the gallbladder, pancreas and bile ducts. This way, any problem that may occur in these organs can be easily diagnosed and treated.
