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- Title
Laparoscopic Single-Anastomosis Duodenal-Jejunal Bypass with Sleeve Gastrectomy (SADJB-SG): Short-term Result and Comparison with Gastric Bypass.
- Authors
Lee, Wei-Jei; Lee, Kuo-Ting; Kasama, Kazunori; Seiki, Yosuke; Ser, Kong-Han; Chun, Shu-Chun; Chen, Jung-Chien; Lee, Yi-Chih
- Abstract
Laparoscopic duodeno-jejunal bypass with sleeve gastrectomy (DJB-SG) has been introduced as a novel metabolic surgery from Asia recently. It provides benefits of avoiding the risk of remnant gastric cancer, minimization of malnutrition from duodenal switch. Here, we introduce the technique of single-loop anastomosis duodeno-jejunal bypass with sleeve gastrectomy (SADJB-SG) and compare with other gastric bypass surgeries. Fifty morbid obese patients underwent our novel procedure, laparoscopic SADJB-S from 2011 to 2013. Operative complication, weight loss, and diabetes remission were followed. All procedures were completed laparoscopically. The mean operative time was 181.7 ± 38.4 min, and the mean hospital stay was 3.8 days. Three minor early complications (6 %) were encountered but no major complication was noted. There was no significant difference in perioperative parameters between the SADJB-SG and gastric bypass except a longer operation time. The mean BMI decreased from 38.4 to 25.4 at 1 year after surgery with a mean weight loss of 32.7 % which is higher than gastric bypass. Laparoscopic SADJB-SG appears to be an ideal metabolic/bariatric surgery, whereas the efficacy is non-inferior to gastric bypass.
- Subjects
ASIA; LAPAROSCOPIC surgery; SURGICAL anastomosis; JEJUNOILEAL bypass; GASTRECTOMY; GASTRIC bypass; COMPARATIVE studies; DUODENAL diseases; THERAPEUTICS
- Publication
Obesity Surgery, 2014, Vol 24, Issue 1, p109
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-013-1067-z