How Transit Bipartition (Roux-En-Y Anastomosis) performed?
The transit Bipartition procedure performed under general anesthesia using the laparoscopic technique. Five small incisions (length between 5 and 12 mm) are made for the insertion of laparoscopic surgical instruments. Using these tools, the upper part of the stomach will be used to create a small pouch (30ml to 50ml in size). The little pouch transforms into a new, smaller, stomach, and is completely separate from the rest of the stomach. This stomach is then joined to the jejunum which is in the middle portion of the small intestine. Bypassing the first part of the intestine, bypassing the duodenum. The rest of the stomach and duodenum remain in the body but no longer in use for food digestion. The mentioned operation above approximately takes between two to three hours.
What are the Risks?
In addition to limiting food intake, gastric bypass surgery reduces intestinal absorption of nutrients, resulting in weight loss; Instead of following the usual route, food bypasses part of the stomach and the front of the small intestine. If suggested dietary guidelines not followed, long-term deficiencies of vitamin B12, and other vitamins, dumping syndrome can also occur. Dumping syndrome can cause abdominal cramps and diarrhea. Excessively fatty foods may also not well received in your body. As years go by weight gain may occur, especially if postoperative recommendations on dieting and exercising not followed.
The reported risk for gastric bypass surgery is the same as any surgery risk in an obese patient. There is a risk of premature death of 0.5% or less. These risks and complications decrease with the experience of the surgeon and the medical history of the patient. Surgical complications such as bleeding or bowel leakage can observed in less than 2% of all patients who have undergone this surgery. A detailed discussion of the surgical risks before the surgery should be in the discussion with you before the surgery with your surgeon. As a result, Gastric Bypass is not a suitable treatment for every patient. First of all, you may need to be assessed in detail.
In addition, the success of the operations is related to the patient’s long-term follow-up with the health professionals and taking into account the recommendations and warnings. Life change is an absolute must for success.