In the case of sleeve gastrectomy + transit bipartition operations, the stomach is narrowed longitudinally as it is in the operation of sleeve gastrectomy. Thus, the restrictive effect and the ghrelin effect are utilized. As second stage, from the first part of the small intestine, the newly formed miden is anastomosed to the antrum from 200 cm. In this case, 1/3 of the food and 2/3 of the natural way pass through the new way. Approximate weight loss of patients is around 70-75%. With this operation, successful results were obtained on diabetes. On average, the effect on DM is 86%. Vitamin and mineral supplements are less needed in patients than in other bypass operations.
