Early Results of Laparoscopic Sleeve Gastrectomy With Loop Bipartition

Arslan, Ergin; Sipahi, Mesut; Banlı, Oktay

doi:10.1097/sle.0000000000000541

Cited by 14 publications

(16 citation statements)

References 11 publications

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“…Our results demonstrated a similar T2DM remission rate (71%) with the same operation. We had reported this rate as 66.6% at the 3-month evaluation 16 …”

Section: Discussionmentioning

confidence: 84%

Laparoscopic Sleeve Gastrectomy With Transit Loop Bipartition and Transit Bipartition in Type 2 Diabetic Patients With Obesity: A Retrospective Analysis

Demir

Arslan²,

Sarıyıldız

et al. 2023

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Aim: We aimed to compare 1-year postoperative results of patients with obesity and type 2 diabetes mellitus (T2DM) who underwent laparoscopic sleeve gastrectomy with transit bipartition (LSG-TB) and transit loop bipartition (LSG-TLB) and mini gastric bypass (MGB). Patients and Methods: This is a retrospective comparison of 2 novel bariatric surgery techniques with MGB. Primary outcome measure of the study was a rate of T2DM remission. Secondary outcomes included excess body mass index (BMI) loss, improvement in hepatosteatosis, and duration of operation. Revision surgery needs were also assessed. Results: Overall, 32 patients underwent the LSG-TLB, 15 underwent LSG-TB, and 50 underwent MGB. Mean age and sex distribution were comparable for all groups. Presurgical BMI was similar in MGB and LSG + TB groups, whereas LSG + TLB group had significantly lower BMI values compared with the MGB group. In both groups, BMI values reduced significantly compared with respective baseline values. Excess BMI loss was significantly higher in patients who underwent LSG-TLB compared with patients treated with LSG-TB and MGB. Bariatric surgery procedures lasted shorter in LSG-TLB than in LSG-TB. However, the shortest of all was MGB. The remission of T2DM rates were 71% and 73.3% in LSG-TLB and LSG-TB groups, respectively (P > 9.999). The rate of revision surgeries was comparable in both groups. Conclusion: In conclusion, LSG-TLB took less time and provided significantly higher excess BMI loss compared with LSG-TB. T2DM remission and improvement rates were similar in both groups. LSG-TLB seemed like a promising bariatric surgery technique in patients with obesity and T2DM.

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“…Our results demonstrated a similar T2DM remission rate (71%) with the same operation. We had reported this rate as 66.6% at the 3-month evaluation 16 …”

Section: Discussionmentioning

confidence: 84%

Laparoscopic Sleeve Gastrectomy With Transit Loop Bipartition and Transit Bipartition in Type 2 Diabetic Patients With Obesity: A Retrospective Analysis

Demir

Arslan²,

Sarıyıldız

et al. 2023

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…This was in line with the findings of Khalaf et al (8) and Romero et al (10) who found that the average operating time for the SASI operation was 98.8 minutes and 116.3 minutes, respectively (range, 60-270 minutes). The SASJ method was shown to have a significantly longer operating time in different research by Arslan et al (11) with a mean value of 192.8 minutes.…”

Section: Discussionmentioning

confidence: 93%

“…Arslan et al (11) observed a substantial drop in glycosylated haemoglobin levels three months after SASJ surgery, from 9.58 to 6.56%.…”

Section: Discussionmentioning

confidence: 97%

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Laparoscopic Single Anastomosis Sleeve-Jejunal Bypass vs Laparoscopic Mini-Gastric Bypass in Morbid Obese Patients and Resolution of Diabetes Mellitus, A Single Centre Experience

Helmy¹,

Nagy

Afifi³

2022

The Egyptian Journal of Hospital Medicine

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Background: The most effective therapy for morbid obese patients now available is bariatric surgery, which can help patients losing weight effectively and sustainably while also improving their quality of life and comorbidities associated with obesity. Worldwide, the one anastomosis gastric bypass (OAGB) technique is one of the most performed bariatric surgeries. Objective: The study's objective was to compare the outcomes of the OAGB, with those of the single anastomosis sleeve jejunal bypass (SASJ) as a new method in terms of weight reduction, operating time, postoperative complications, and impact on comorbidities three years following surgery. Patients and Methods: This prospective randomized study included a total of 200 morbidly obese patients undergoing OAGB or SASJ for the treatment of morbid obesity and comorbidities, attending at Department of the bariatric Surgery, tertiary care hospital, Ain Shams University Hospitals. The included subjects were divided into two equal groups: 100 each; SASJ and OAGB groups. Results: The operative time was prolonged in SASJ group (104.7 minutes) compared to OAGB group (76.4 minutes). OAGB group had significant lower Body mass index (BMI) mean as well as significant lower body weight mean at all time intervals through the 3 years follow up. OAGB group had 92% resolution of comorbidities while 68% of SASJ group had resolution. Post-operative HbA1c showed rapid improvement in both groups. Concerning the post-operative complications, no statistically significant differences. Conclusion: It could be concluded that OAGB and SASJ bypass are efficient bariatric surgeries for weight reduction and comorbidities resolution with favorable outcomes in OAGB group.

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“…The SG + TB technique was first developed by Santoro et al, and after the publication of the results of 1020 patients in 2012, surgeons in the field of obesity and metabolic surgery became very interested in it [7,8]. This technique serves as an important alternative to ileal interposition surgery, which has greater metabolic effect but is more aggressive [9]. In the present study, we compared the use of LS and CS GI in SG + TB in terms of early and late perioperative and postoperative status.…”

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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Early Results of Laparoscopic Sleeve Gastrectomy With Loop Bipartition

Abstract: TLB-SG is a more effective and simpler method, becoming a candidate for being the most frequently performed surgical operation, in the field of metabolic surgery.

Cited by 14 publications

References 11 publications

Laparoscopic Sleeve Gastrectomy With Transit Loop Bipartition and Transit Bipartition in Type 2 Diabetic Patients With Obesity: A Retrospective Analysis

Laparoscopic Sleeve Gastrectomy With Transit Loop Bipartition and Transit Bipartition in Type 2 Diabetic Patients With Obesity: A Retrospective Analysis

Laparoscopic Single Anastomosis Sleeve-Jejunal Bypass vs Laparoscopic Mini-Gastric Bypass in Morbid Obese Patients and Resolution of Diabetes Mellitus, A Single Centre Experience

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

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