Dr Sérgio Santoro devised the bipartition transit procedure with the aim of being a purely metabolic technique, stimulating the distal ileum early, causing satiety and controlling comorbidities associated with obesity such as diabetes, and without excluding intestinal loops, with food passing through the duodenum ensuring better absorption of nutrients. We will present the case of a patient with BMI 36, diabetic, hypertensive, dyslipidemic, hepatic steatosis and functional constipation, who opted for proximal bipartition in order to "potentiate" the sleeve.
Patient 32 years old, BMI 35.8, diabetic on dapaglifozin and metformin, hypertensive on losartan and hydrochlorothiazide, dyslipidemic n rosuvastatin, bowel movements every 3/4 days. Weight loss attempts for over 3 years with glp1 analogues. Endoscopy with fundic gland polyps.
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