title: Duodenal-jejunal bypass with sleeve gastrectomy versus the sleeve gastrectomy procedure alone: the role of duodenal exclusion.
abstract: BACKGROUND
  Laparoscopic sleeve gastrectomy (SG) has become accepted as a stand-alone procedure as a less complex operation than laparoscopic duodenojejunal bypass with sleeve gastrectomy (DJB-SG).
  
  
  OBJECTIVE
  The aim of this study was to compare one-year results between DJB-SG and SG.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A total of 89 patients who received a DJB-SG surgery were matched with a group of SG that were equal in age, sex, and body mass index (BMI). Complication rates, weight loss, and remission of co-morbidities were evaluated after 12 months.
  
  
  RESULTS
  The mean preoperative patient BMI in the DJB-SG and SG groups was similar. There were more patients with type 2 diabetes mellitus (T2DM) in the DJB-SG group than in the SG group. The mean operative time and length of hospital stay (LOS) were significantly longer in the DJB-SG group than in the SG group. At 12 months after surgery, the BMI was lower and excess weight loss higher in DJB-SG than SG. Remission of T2DM was greater in the DJB-SG group. Low-density lipoprotein, total cholesterol, and metabolic syndrome (MS) improved after operation in both groups.
  
  
  CONCLUSIONS
  In this study DJB-SG was superior to SG in T2DM remission, triglyceride improvement, excess weight loss, and lower BMI at 1 year after surgery. Adding duodenal switch to sleeve gastrectomy increases the effect of diabetic control and MS resolution.
authors: Department of Surgery, Min-Sheng General Hospital, Taiwan. Electronic address: wjlee_obesssurg_tw@yahoo.com.tw.
authors: Wei-Jei
authors: WJ
authors: Lee
authors: Department of Surgery, Min-Sheng General Hospital, Taiwan.
authors: Abdullah M
authors: AM
authors: Almulaifi
authors: Department of Surgery, Min-Sheng General Hospital, Taiwan.
authors: Jun-Juin
authors: JJ
authors: Tsou
authors: Department of Surgery, Min-Sheng General Hospital, Taiwan.
authors: Kong-Han
authors: KH
authors: Ser
authors: Department of International Business, Chien Hsin University of Science and Technology, Taiwan.
authors: Yi-Chih
authors: YC
authors: Lee
authors: Department of Surgery, Min-Sheng General Hospital, Taiwan.
authors: Shu-Chun
authors: SC
authors: Chen
mesh_terms: D000328:Adult; D015992:Body Mass Index; D004386:Duodenum / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Duodenal switch; Foregut hypothesis; Laparoscopic duodeno-jejunal bypass with sleeve gastrectomy; Metabolic syndrome; Roux-en-Y gastric bypass; Sleeve gastrectomy