After sleeving the stomach by removing a portion of it, we cut the small intestine close to the transition to the large intestine (cecum). The distance from the cecum (and thus the length of the bypassed portion) will depend on several patient characteristics.
We then connect the portion that has been cut (and is attached to the cecum) to the stomach, creating another exit for the food to pass through. The longer portion of the small intestine is then attached to the bypassed bowel, so that the food exiting the pylorus will go through the entire small intestine as well as the bypassed intestine. The food passing through the bypassed intestine will have a shorter journey in the digestive system, and its nutrients will be absorbed less.
Weight loss surgeries have two main effects: restriction and malabsorption. Restriction refers to the reduction in quantity of food that can be ingested, while malabsorption refers to the lower absorption of nutrients that is enabled by surgeries that shorten the length of the intestine, thus giving less time to the body to take nutrients out of the food.
With a sleeve bipartition, we achieve restriction by sleeving the stomach, and we ensure a good level of malabsorption by choosing the right length for the bypassed intestine and letting a part of the food still go through the complete digestion process. Other bypass surgeries do not allow this, and their malabsorptive effect might be too intense.
Moreover, contrary to other bypass procedures, the sleeve bipartition allows the food to go through every portion of the intestine, avoiding “blind loops” and blind loop syndrome.
One of most important changes you have to make is always have a small mouthful of food at a time. Chew it at least ten times before swallowing and avoid over filling your small stomach. Stretching the esophagus and the newly shaped stomach will decrease restriction, which is one of most important effects of bariatric surgeries. Apart from weight regain, stretching your stomach will lead to long-term unfavorable changes, that will make losing weight more challenging, even with revision surgeries.
Please do your research. Although we endeavor to provide you with the best quality information with our website, our guides, our videos and during consultations you should not only depend on our information. One of the important ways to get a better perspective is to talk with previous patients.
The surgery follow-ups are the most important parts of your journey. You might feel that there is no need to attend your follow-up appointments, and you might be doing very well for a few years. But simple recurrent mistakes will eventually catch up and will lead to a rapid weight regain within a short period of time.
It is not difficult to drift back into old habits. Picking up these drifts early is important to avoid major drifts later, as they might need more drastic measures, including revision surgery.
You should always remember that surgery can’t fix everything. The best thing to do if you would like to lose weight is to avoid stretching the stomach. Changing habits is not easy, and it needs significant commitment from your side. You have to make sure that you are ready and willing to make these changes. We highly recommend you practice these changes well before surgery.
The following complications could be encountered by all type of bariatric surgery.