Transit Bipartition in Turkey: The tube stomach is supposed to stop the disease in special diabetes patients. This surgical procedure is usually performed minimally invasively through the abdominal wall.
Some patients suffering from morbid obesity also suffer from type 2 diabetes. Both diseases belong to the so-called multiple chronic metabolic diseases – lipometabolic disorders also fall under this category. Consequently, the entire body suffers from this influence: from the individual organs, through the joints that have to bear the entire load, to the psyche, which must never be ignored within this context! As a result, obese people are often excluded from society, find poor connections or a job, and they rarely escape this problems without professional help. We at Aesthetic Travel in Antalya would like to help you to get your life back under control. With the help of metabolic surgery, especially the transit bipartition to Santoro, both we and our entire team of doctors in Turkey would like to help you to have stable health. Just talk to us!
Metabolic surgery is a surgical intervention on an anatomically functionally normal organ system or organ in order to exert a positive influence on health through specific biological metabolic processes. Obesity surgery is also part of metabolic surgery – especially because it is efficient in reducing weight. In combination with a secondary disease (e.g. diabetes), such an intervention also promotes to stop the disease. This means that these gastric operations primarily serve to regulate the metabolism, which can significantly improve the general quality of life and prolong life expectancy.
In addition to a duodenojunal bypass and ileum interposition, transit bipartition in Turkey is also part of metabolic obesity surgery. The focus here is on the treatment of patients suffering from a serious chronic diseases, such as type 2 diabetes mellitus. From a medical point of view, many positive effects are achieved with this procedure; patients are also highly satisfied with the results here in Turkey. Do you have any questions? – No problem. We at Aestehtic Travel in Antalya will be happy to advise you!
In German, transit bipartition means “intestinal division” – a procedure in which the intestine is effectively diverted. At the beginning, a tube stomach surgery is performed. In a further step, a connection is established between the lower small intestine and the lower part of the stomach. The small intestine near the connection to the large intestine (about 80-200 cm of the proximal) is severed and divided into two parts. Then the upper end – coming from the stomach – is connected to the large intestine. The distance varies from patient to patient, as each body is individual. Due to the intestinal bifurcation of the intestine, the food can now either pass the normal way (~ 1/3) via the pylorus, duodenum and small intestine, or it can pass directly (~ 2/3) to the lower end of the small intestine. Here hormonal mechanisms are activated, which both lead to a premature feeling of satiety and accelerate the improvement of the metabolic situation in the body. Since the food is also digested in the normal way, this new process does not cause malabsorption!
In a transit bipartition (intestinal bifurcation), a tube stomach operation is performed first, during which a large part of the stomach is removed. Then a connection is established between the lower small intestine and the lower part of the stomach without severing any part of the intestine. Thus, the food can go two different ways, whereby with this new method usually no digestive disturbances occur. This procedure is not only performed for overweight patients, but also for type 2 diabetes patients.
First, the tube stomach operation is performed. This requires extensive pre-checking to rule out the presence of inflammation or tumours. Liver, pancreas and gall bladder are also examined. The procedure is performed under general anesthesia and takes about one hour. It is performed as a keyhole operation, which means that several skin incisions of about two centimetres in size are made through which the camera and instruments are inserted. With a so-called stapling device, the majority of the stomach is cut off and the resulting suture is sealed at the same time. Only then does the actual transit bipartition begin by connecting the lower part of the small intestine to the lower part of the stomach. You must expect to stay in hospital for three to five days for a follow-up checkup.
The operation is not only suitable for patients with a BMI over 40, but also for people suffering from type 2 diabetes who have a BMI over 35. However, patients whose overweight results mainly from eating too many high-calorie foods, such as sweets or alcoholic beverages, are unsuitable for this procedure and should inform themselves about other methods.
As this is a relatively new method, long-term results are not yet available. However, it can already be observed that the chances of success are very high. You can lose between 33 and 83 percent of your excess weight and also positively influence and regulate the hormonal mechanisms in the long term.
Since the intestines can no longer absorb sufficient vitamin B12 after a gastrointestinal operation, it is now necessary to supply this vitamin artificially. The risks of complications during and after the procedure depend very much on the individual state of health of the patient and, therefore, vary from person to person.
You need to change your diet permanently. For this purpose a nutritional consultation together with a structured nutrition plan is recommended. Within the first one to two weeks after the operation, you may only eat liquid or passed foods. After that, everything is basically allowed again. However, you should avoid too much fat. Basically, you can eat any food that is divided into five to seven small meals a day.
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