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In Transit Bipartition operation, also known as sugar surgery; After the sleeve gastrectomy, the last part of the small intestine is combined with the stomach and a second route is created. In this way, the passage of nutrients through the entire small intestine is ensured. With the sleeve gastrectomy procedure, the part that secretes the hormone that creates the feeling of hunger secreted from the stomach dome is deactivated. By ensuring that the good hormones secreted from the last part of the small intestine meet the food at the stomach exit, both a feeling of satiety and blood sugar are regulated.
First, sleeve gastrectomy is performed. Then, 100 cm from the junction of the small intestine with the large intestine, and then 150 cm in addition to this, the small intestine is cut from the 250th cm. The cut lower end is joined to the formed tube stomach and the upper end is joined to the 100th cm marked before. This operation is applied to Type 2 Diabetes patients whose blood sugar cannot be regulated despite all standard treatments and obesity patients with advanced insulin resistance.
The patient stays in the hospital for a total of 5-7 days with the preoperative hospitalization. From the second week following the surgery, it is possible to return to daily life. Since there is no malabsorption in transit bipartition, 95% of the patients do not need supplementation in the postoperative period. It is necessary to comply with the nutrition program recommended by the surgeon.