Partial Shunting

During the surgery, the ileum, the final third of the small intestine, is excluded from the digestive process. This part of the digestive tract absorbs 90% of fats.

The surgeon cuts the ileum, closes its distal end, and creates an anastomosis at the junction with the large intestine. As a result, food bypasses the section where fatty acids are absorbed, significantly reducing the number of calories that enter the body. At the same time, the level of low-density lipoproteins (LDL) in the patient's body decreases significantly (by 35-38%).

As a result of excluding the ileum, the excretion (elimination) of bile acids is increased fourfold, leading to faster conversion of cholesterol into bile acids and compensatory acceleration of cholesterol synthesis. At the same time, the liver cells' need for cholesterol increases.

Results of the Surgery:

Thanks to partial ileoshunting, it is possible to get rid of excess weight and achieve sustained remission in people suffering from hypercholesterolemia (characterized by high LDL levels) and diabetes. Significant improvements are observed in 45-75% of diabetic cases. Partial shunting: pros and cons The main effect of the surgery is the normalization of fat metabolism in the body, which allows for the correction of dyslipidemia and diabetes.

The disadvantages include:

• the need for regular (every 3 months) vitamin B12 injections;
• the risk of severe diarrhea (which is successfully treated);
• impaired calcium absorption.