Initial Experience with Laparoscopic Loop Duodenojejunal Bypass with Sleeve Gastrectomy in Korean Obese Patients

Abstract

Laparoscopic loop duodenojejunal bypass with sleeve gastrectomy (LDJB-SG) has theoretical advantages compared with laparoscopic Roux-en-Y gastric bypass. We performed 7 cases of LDJB-SG from May 2019 to September 2019. All procedures were successfully completed by laparoscopy. The mean operative time was 282.9 (210~335) minutes and the mean estimated blood loss was 82.9 (20~150) ml. There was no intraoperative complications, however, there was 1 case of postoperative anastomotic leakage. The average length of postoperative hospital stay was 5.3 (3~12) days. The mean body weight at baseline was 117.1 (88.4~151.1) kg, and was decreased to 90.4 (69.4~130.9) kg at postoperative 3 month. The mean of HbA1c at baseline was 7.6 (5.5~9.4) %, and was decreased to 5.3 (4.8~5.6) % at postoperative 3 month. Although LDJB-SG is a technically demanding procedure, it can be a feasible and safe procedure if the learning curve can be overcame.

Is the Sleeve Gastrectomy Sufficient or Does it Require Additional Surgical Procedures?

“…Even at the 3-year follow-up, remission was >90%, indicating that diabetes remission was sustainable after sleeve gastrectomy loop duodenojejunal bypass (SG LDJB). A Korean study suggested that sleeve DJB can be a feasible and safe procedure for Korean bariatric patients [ 23 ]. Another Korean study showed excellent weight loss results with %TWL of 27.5% and a discontinuation rate of diabetic medication of 91% at 6 months postoperatively [ 24 ].…”