Transit bipartition is a metabolic surgical method that involves reducing stomach volume and connecting a selected section of the small intestine to the digestive system through an additional pathway.

This method aims not only to reduce food intake but also to support blood sugar and weight management through metabolic and hormonal mechanisms originating from the intestines.

Transit bipartition may be considered particularly for patients with Type 2 diabetes and obesity who meet the necessary medical criteria. However, not every patient with Type 2 diabetes is a suitable candidate for this surgery.

The surgical decision should be based on the patient’s overall health condition, body mass index, duration of diabetes, metabolic characteristics, pancreatic function, accompanying medical conditions, and previous treatments.

The surgical plan for transit bipartition generally consists of two main stages. In the first stage, stomach volume is reduced. Then, a selected section of the small intestine is arranged to create a new connection with the stomach.

As a result of this arrangement, part of the food continues through the natural digestive pathway, while another portion passes through the newly created intestinal connection. The aim is to both limit food intake and support metabolic mechanisms.

In suitable patients, transit bipartition may aim to:

• Support weight management
• Contribute to improved blood sugar control
• Support the reduction of insulin resistance
• Contribute to improvements in metabolic health indicators
• Support the management of certain obesity-related health conditions

It is important to remember that outcomes may vary depending on the patient’s initial health status, metabolic characteristics, postoperative nutrition program, and long-term follow-up.

Metabolic surgery is not limited to the surgical procedure itself. Preoperative evaluation is important for selecting appropriate patients and creating a personalized treatment plan.

Depending on the patient’s needs, the following may be planned:

• General health assessment
• Blood tests
• Evaluation of blood glucose and metabolic parameters
• Endocrinological assessment
• Nutritional assessment
• Gastrointestinal system evaluation
• Cardiology assessment
• Anesthesia assessment
• Necessary imaging and other diagnostic tests

The required tests are not the same for every patient. The specialist physician determines the necessary examinations according to the patient’s current health condition.

Metabolic surgery requires coordinated management of the preoperative evaluation, surgical process, and postoperative follow-up stages.

Depending on the patient’s needs, the process may involve different specialties such as General Surgery, Endocrinology and Metabolic Diseases, Internal Medicine, Anesthesiology, Gastroenterology, Cardiology, and Nutrition and Dietetics.

Medipol Health Group hospitals are among Arvinda’s healthcare service partners. Their healthcare infrastructure, which brings multiple medical specialties together within the same system, allows patients to be evaluated by different specialists when necessary.

Arvinda supports a more organized healthcare journey in Türkiye by managing the coordination, planning, communication, and logistical processes involved in international patients’ access to healthcare services.