title: Laparoscopic single-anastomosis duodenal-jejunal bypass with sleeve gastrectomy (SADJB-SG): short-term result and comparison with gastric bypass.
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.
authors.affiliation: Department of Surgery, Min-Sheng General Hospital, No. 168, Chin Kuo Road, Tauoyan, Taiwan, wjlee_obessurg_tw@yahoo.com.tw.
authors.forename: Wei-Jei
authors.initials: WJ
authors.lastname: Lee
authors.forename: Kuo-Ting
authors.initials: KT
authors.lastname: Lee
authors.forename: Kazunori
authors.initials: K
authors.lastname: Kasama
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Seiki
authors.forename: Kong-Han
authors.initials: KH
authors.lastname: Ser
authors.forename: Shu-Chun
authors.initials: SC
authors.lastname: Chun
authors.forename: Jung-Chien
authors.initials: JC
authors.lastname: Chen
authors.forename: Yi-Chih
authors.initials: YC
authors.lastname: Lee
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D050110:Bariatric Surgery / Q000379:methods*; D004386:Duodenum / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D015390:Gastric Bypass; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000097:blood* / Q000601:surgery*; D016896:Treatment Outcome