Intestinal Bipartition

Intestinal bipartition is a technical variation of gastric bypass. This procedure was first described in Brazil by Santoro over 10 years ago, but it has gained significant indication in the past five years in Europe.

The procedure involves reducing the size of the stomach and bypassing several meters of the intestine to limit nutrient absorption. The goal is to retain the neuroendocrine benefits while minimizing malabsorption.

Intestinal bipartition is also considered a second-line surgery following a sleeve gastrectomy in cases where a reoperation is deemed beneficial.

The procedure can be performed in one stage (sleeve gastrectomy and intestinal bypass) with promising results for metabolic syndrome, particularly diabetes. Alternatively, it can be performed in two stages (sleeve gastrectomy followed by intestinal bypass or sleeve revision), depending on the patient's condition.