Transit Bipartition

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Gastric Transit Bipartition Surgery in Turkey

Gastric transit bipartition, also known as loop transit bipartition, is an innovative weight loss surgery that’s gaining attention, especially for its effectiveness in managing type 2 diabetes.

While it shares some similarities with gastric bypass, this procedure goes a step further by altering both the stomach and intestines. The surgery creates two pathways from the stomach to the intestines—a longer, normal pathway and a shorter, newly created one. This dual-route approach helps regulate digestion and offers a powerful tool in the fight against obesity and diabetes.

Average Length of Stay:

7 Nights

Operation Duration:

2 - 4 Hours

Anesthesia:

General

Recovery Duration:

7-10 Days

Expected Weight Loss:

60%-80% of excess weight

What Is Gastric Transit Bypass Surgery?

Transit bypass surgery (TB), also known as sleeve gastrectomy with transit bipartition, is a weight loss procedure that also effectively manages type 2 diabetes. It involves reducing stomach size, removing the area that produces the hunger hormone ghrelin, and creating a shorter digestive pathway. This pathway helps regulate hunger and control food intake while the longer pathway ensures the absorption of essential nutrients. With a smaller stomach and controlled digestion, TB surgery offers a comprehensive solution for both weight loss and diabetes management.

How Is Gastric Transit Bipartition Surgery Performed?

Step-by-Step Surgical Process

1 Step: Preparation Phase

2 Step: Main Surgical Phase

3 Step: Connection and Closure Phase

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Who Is Qualified for TB Surgery?

What are the Possible Complications and Risks of Gastric Transit Bipartition Surgery?

Infection & Healing

Breathing & Digestion

Advantages and Disadvantages of Transit Bipartition Surgery

+PROS

Can lead to up to 80% excess weight loss
Highly effective for managing Type 2 Diabetes Mellitus (T2DM)
Better absorption of micronutrients compared to some other bariatric surgeries
Most effective for severe acid reflux, bile reflux, and GERD.
Procedure can be reversed (rarely performed).
Improves or cures obesity-related health conditions (e.g., sleep apnea, high cholesterol, heart disease).

-CONS

It’s not a reversible procedure
It’s a complex and major surgery
Recovery time can be lengthy
Requires a strict diet to ensure success
Involves significant lifestyle changes
There's a possibility of side effects and complications

Reasons to Choose Turkey for Gastric Transit Bipartition Surgery

Multilingual Staff

Translation services offered by many medical facilities in Turkey play a major role in eliminating any language barriers between bariatric patients and healthcare providers. Effective communication established with international patients will minimize any misunderstandings while ensuring a positive and safe medical tourism experience in Turkey.

Experienced Surgeons

Many Turkish surgeons have international training and certifications, bringing a depth of expertise to various weight-loss procedures such as gastric transit bipartition surgery. International patients can rest assured that they will be receiving world-class medical care and successful outcomes.

Shorter Waiting Times

Unlike many countries such as the UK where waiting lists for weight loss surgery can be very long, in Turkey, gastric transit bipartition surgery can often be planned and arranged faster. Being able to start your weight-loss journey without a long wait is one of the greatest advantages Turkey’s healthcare system has to offer!

Advanced Medical Infrastructure

Within the past 2 decades Turkey has made significant progress in improving its medical infrastructure. The country has achieved this by increasing the number of high-quality medical facilities equipped with state-of-the-art technology, enhancing organizational credibility and reliability through accreditation, and ensuring that patients will receive top-notch medical care throughout their gastric transit bipartition journey in Turkey.

Save up to 70% by undergoing Gastric Transit Bipartition Surgery in Istanbul, Turkey!

The following table illustrates a cost comparison between Turkey and other countries:

Gastric Transit Bipartition Surgery/All-Inclusive Package

Preoperative examination, assessments, and consultations (blood tests, X-ray, endoscopy, etc.)
All medications and 3-night hospital stay
5-night hotel stay with nurse care and bariatric chef service
Airport-hotel-hospital transportation
One-year dietitian support and post-op follow-up
Medical interpreter for assistance during your stay

What are the Pre-Op Preparations for Gastric Transit Bipartition Surgery?

Your doctor will provide you with specific instructions regarding timing and preparation, but here’s a general overview of what you can expect in the lead-up to your surgery:

Before the Surgery

Post-Op Care

Immediate Post-Op Care

You’ll be in the hospital for about three days where the staff will take excellent care of you. You’ll receive IV drips to manage any pain and start on a liquid diet.

First Weeks After Surgery

For the first six weeks, you’ll gradually move from a liquid diet to pureed and then soft foods. It’s also important to slowly increase your activity level. Start with short, gentle walks and gradually extend the distance. You might also add some low-intensity yoga as you feel more comfortable.

First 3 Months

You’ll transition to solid foods and return to your daily routine. It’s essential to stick to your diet and keep increasing your activity level.

Dietary Advice
Your diet will progress through four stages: liquid, pureed, soft, and solid. Move gradually between stages, mixing pureed with soft foods when transitioning. Avoid alcohol and tobacco for six months, and consult your dietitian before reintroducing them. Choose natural sweets or stevia over refined sugars.

Activity Advice
Light activities like walking and yoga aid recovery and relieve gas and soreness. As you strengthen, gradually add weightlifting to build muscle and reduce fat, helping minimize saggy skin. Exercise, along with surgery and diet, is key to your success.

Gastric Transit Bipartition Recovery/What to Expect After Gastric Transit Bipartition Surgery

Importance of Early Mobility

Walking as soon as possible after surgery is highly recommended. Early mobility helps prevent blood clots and promotes faster healing, making it an integral part of the recovery process.

Energy Levels and Rest

It’s common to feel tired and exhausted during the initial days post-surgery. This is largely due to the surgical procedure and the lower caloric intake from the liquid diet. As your body heals, energy levels will gradually improve, so adequate rest is also crucial during this phase.

Dietary Guidelines

Patients will be provided with specific dietary guidelines by the dietitian, including what to eat, what to avoid, and appropriate portion sizes. The diet will be divided into four stages: clear liquids, full liquids, pureed-soft foods, and solid foods.

Diet Progression

The first ten days after gastric bypass surgery are critical. Patients are required to follow a clear liquid diet during this period to protect the stomach. As patients progress through each dietary stage, they will gradually reintroduce new foods into their diet. This slow and controlled progression is essential for stomach healing and overall recovery.

Frequently Asked Questions

How Does Gastric Transit Bipartition Differ from Other Bariatric Surgeries?

Gastric Transit Bipartition sits somewhere between a gastric sleeve and a gastric bypass. It starts with a sleeve gastrectomy, where the stomach is reduced in size. However, unlike other bariatric surgeries, Transit Bipartition creates two distinct pathways from the stomach. This means you can continue to absorb important micronutrients (vitamins and minerals), which isn’t always the case with a gastric bypass. Additionally, the new pathway helps improve glucose metabolism.

What Is the Expected Weight Loss After Surgery?

After the surgery, you can expect to lose about 60-80% of your excess body weight. For example, if you have 50 kg of excess weight, you could potentially lose up to 40 kg. To get a more accurate estimate of your potential weight loss, you can use a body fat calculator.

Is Gastric Bipartition Surgery Considered Major Surgery?

Yes, it is considered major surgery. You’ll be under general anesthesia, and the procedure is performed laparoscopically through several small incisions. While laparoscopic surgery generally has fewer risks compared to open surgery, it still carries some potential for complications.

Will There Be Changes in Bowel Movements?

As you adjust to your new diet and gradually transition to different types of food, you might experience some changes in bowel movements, such as constipation or softer stools. However, most patients don’t have significant issues with their bowel habits. If you notice anything unusual or concerning, be sure to contact your doctor right away.

How Can You Know If You Are Experiencing Complications?

If you notice any of the following symptoms, it’s important to contact your doctor right away:

Fever
Swelling or redness
Unusual drainage from your stitches
Persistent nausea or vomiting
Blood in your stool or ongoing diarrhea
Severe pain
Difficulty breathing

Your doctor can provide guidance and help address any concerns you may have.

Thinking about Gastric Transit Bipartition Surgery?

Please fill out the form to learn if you are a good candidate for weight loss surgery!

We are committed to protecting your privacy.