A Feasibility Study of Novel “Laparoscopic Sleeve Gastrectomy with Loop Gastroileal Bypass” for Obesity: An Indian Experience

Vennapusa, Amar; Panchangam, Bhargav R. K.; Madivada, Mukharjee S. S.

doi:10.9738/intsurg-d-18-00007.1

Cited by 20 publications

(14 citation statements)

References 23 publications

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“…In the literature, GI anastomoses have been performed using LS in most of the studies, and there are no data on the use of CS [7,8,12,13]. Although different brands of LS were used in previous studies, a length of 60 mm was mostly preferred.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of efficiency for gastroileostomy anastomosis in laparoscopic transit bipartition with sleeve gastrectomy between linear and circular staplers.

Gulaydin¹,

Ersöz²,

Derici³

et al. 2021

Videosurgery and Other Miniinvasive Techniques

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Introduction: The use of Transit Bipartition with Sleeve Gastrectomy (SG + TB) to treat obesity and type 2 diabetes related to it has been increasing, but there are many challenges related to the procedure. The anastomosis diameter of gastroileostomy (GI) performed using linear staplers is an important factor affecting the postoperative metabolic status. Aim: We aimed to compare linear-stapled (LS) and circular-stapled (CS) GI in SG + TB in terms of early and late perioperative and postoperative status. Material and methods: This retrospective study included 24 patients who had undergone SG + TB between January 2018 and June 2019 to treat obesity and/or type 2 diabetes. GI was performed using linear staplers in 13 (SG + TB-LS group) and circular staplers in 11 patients (SG + TB-CS group). Operative time, hospitalization duration, complications, body mass index, haemoglobin A1c, albumin, haemoglobin, etc. were compared between the 2 groups before and 12 months after the surgery. Results: The operation time was shorter in the SG + TB-CS group than in the SG + TB-LS group. The surgical treatments were successful in both groups in terms of weight loss and diabetes remission. Although not statistically significant, malnutrition and anaemia were slightly higher in the SG+TB-LS group than in the SG + TB-CS group during the follow-up process. Conclusions: Both anastomosis types were found to be safe for SG+TB, and the risks of postoperative complications were low and comparable in both groups. However, the diameter of the anastomosis should always be the gold standard in the CS technique, while it may be too wide or too narrow in the LS technique.

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Section: Discussionmentioning

confidence: 99%

Comparative evaluation of efficiency for gastroileostomy anastomosis in laparoscopic transit bipartition with sleeve gastrectomy between linear and circular staplers.

Gulaydin¹,

Ersöz²,

Derici³

et al. 2021

Videosurgery and Other Miniinvasive Techniques

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“…Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most widely practiced bariatric surgeries. In the recent past, mini-gastric bypass (MGB) became popular because of its effectiveness (12) .…”

Section: Discussionmentioning

confidence: 99%

Dilemma of Local GIT Hormones after Bariatric Maneuvers

Mahran

El-Sharkawy

Mohammed

et al. 2020

Minia Journal of Medical Research

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Introduction: Lifestyle modification strategies (diet and exercise) currently form the main treatments for obesity. However, results are generally disappointing and the majority of people who attempt lifestyle modification regain any lost weight within 5 years. Aim of the Work: The aim of this study was To assess the effects of bariatric procedures (sleeve gastrectomy, mini-gastric bypass, sleeve gastrectomy with loop bipartition) on local GIT hormones, (secretin hormone, ghrelin hormone, peptide YY, glucagon-like peptide 1). Patients and Methods: Prospective randomized study which was carried out in the department of General Surgery, Minia University hospital during the period from February 2018 to February 2019. Results: 56 Cases, 48 females and 8 males, were collected with age ranging from 20 to 50 years old and body weight ranging from 100 to 200 Kg, and subjected to laparoscopic sleeve gastrectomy, mini gastric bypass and sleeve gastrectomy with loop bipartition. Conclusion: The effect of bariatric surgery upon glucose tolerance is likely to be related to increased production of the incretin hormone, GlP-1, which has a profound insulinotropic action, coupled to the improved insulin sensitivity resulting from weight loss.

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“…Complete diabetes remission was defined as HbA1c < 6% with complete cessation of insulin or oral hypoglycemic agents [ 7 , 8 ]. Partial diabetes remission was defined as HbA1c ≥ 6% and < 6.5% in the absence of antidiabetic medications.…”

Section: Methodsmentioning

confidence: 99%

Safety and feasibility of laparoscopic sleeve gastrectomy with loop duodenojejunal bypass for obesity

Vennapusa

Panchangam²,

Kesara

et al. 2021

J Minim Invasive Surg

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Purpose: Laparoscopic sleeve gastrectomy (SG) with loop duodenojejunal bypass (LDJB) is a combination of SG and one anastomosis gastric bypass surgeries. This study was intended to evaluate the safety and feasibility of SG-LDJB surgery.Methods: This was a retrospective study analyzing SG-LDJB surgery using 250-cm length biliopancreatic limbs that was performed between May 2013 and December 2017 in 113 Indians with obesity. All demographic, clinical, operative, and follow-up data were analyzed for weight loss and diabetes remission efficacy. Weight-loss success was defined as percentage of total weight loss (%TWL) ≥ 25%. Diabetes remission was defined as hemoglobin A1c < 6% without the need for antidiabetic medications. Safety and feasibility were analyzed in terms of intraoperative and postoperative complications and serum albumin, iron, and calcium levels. Results:The %TWL was 35.0% and 31.0% at the 1-year and 3-year follow-ups, respectively. The weight-loss success rate was 91.3% and 78.1% at the 1-year and 3-year follow-ups, respectively. Sixty-six out of 113 patients had type 2 diabetes. Diabetes remission was 80.0% and 75.4% at the 1-year and 3-year follow-ups, respectively. Major perioperative complications occurred in 0.9% of the patients. The 30-day mortality rate was zero. None of the patients had serum albumin levels of <3 g/dL at the 1-year and 3-year follow-ups or symptoms of hypoproteinemia. Conclusion:SG-LDJB surgery using a 250-cm biliopancreatic limb is a safe and effective procedure to treat obesity. It is technically complex but has the advantages of endoscopic access to the stomach and negligible postoperative complications or hypoproteinemia.

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A Feasibility Study of Novel “Laparoscopic Sleeve Gastrectomy with Loop Gastroileal Bypass” for Obesity: An Indian Experience

Cited by 20 publications

References 23 publications

Comparative evaluation of efficiency for gastroileostomy anastomosis in laparoscopic transit bipartition with sleeve gastrectomy between linear and circular staplers.

Comparative evaluation of efficiency for gastroileostomy anastomosis in laparoscopic transit bipartition with sleeve gastrectomy between linear and circular staplers.

Dilemma of Local GIT Hormones after Bariatric Maneuvers

Safety and feasibility of laparoscopic sleeve gastrectomy with loop duodenojejunal bypass for obesity

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