Transit Bipartition Surgery

This advanced surgical technique combines a sleeve gastrectomy with a unique modification of intestinal transit to enhance weight loss and metabolic benefits.

How It Works

Unlike other similar procedures, this surgery creates a second outlet by connecting the distal part of the small intestine directly to the lower stomach. This allows food to pass through both pathways of the digestive system:

• Approximately 1/3 of food follows the natural route through the duodenum.

• The remaining 2/3 bypasses the upper small intestine and moves directly to the last portion, enhancing metabolic effects.

Who Is a Candidate?

✔️ Type 2 Diabetes: This procedure is specifically designed for patients with type 2 diabetes and is not suitable for type 1 diabetes.
✔️ Adequate Insulin Production: Patients must have sufficient insulin reserves. If insulin production is absent or nearly depleted, the surgery is not viable.
✔️ Body Mass Index (BMI): Candidates must have a BMI of 35 or higher to ensure the procedure’s effectiveness.
✔️ Good Overall Health: Patients must meet minimum heart and lung function criteria to safely undergo surgery.

Available Techniques

• Transit Bipartition

• One-Anastomosis Transit Bipartition (OATB, SASI, Loop Bipartition)

Why Consider This Surgery?

This innovative approach helps patients achieve significant weight loss, improved metabolic health, and better diabetes control, making it a powerful option for those struggling with obesity and related conditions.

https://pubmed.ncbi.nlm.nih.gov/38944551/