Early Results of Laparoscopic Sleeve Gastrectomy With Loop Bipartition

Surg Laparosc Endosc Percutan Tech. 2018 Dec;28(6):385-389. doi: 10.1097/SLE.0000000000000541.

Abstract

Purpose: We evaluated early results of this new procedure of transit loop bipartition with sleeve gastrectomy (TLB-SG), making a comparison with transit bipartition with sleeve gastrectomy.

Materials and methods: Between January 2017 and September 2017, 22 patients have undergone transit bipartition with sleeve gastrectomy or TLB-SG surgery in our clinic. Patients' body mass index, excess body mass index loss, and HOMA-IR were calculated before and after the surgical operation. The values of c-peptide, HgA1C, insulin, blood sugar, albumin, Hg, urea, creatinine, calcium, total cholesterol, 25-hydroxy vitamin D, and vitamin B12 were evaluated retrospectively.

Results: Vitamin and mineral deficiency, malnutrition, and anemia were not observed in both groups during the follow-up process. The operation time was shorter in the TLB-SG operation. Both groups were found to be effective at the expected level in terms of weight loss, diabetes remission, and improvement.

Conclusions: 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.

Publication types

  • Evaluation Study

MeSH terms

  • Anastomosis, Surgical / methods
  • Bariatric Surgery / methods*
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / surgery*
  • Female
  • Gastrectomy / methods*
  • Humans
  • Ilium / surgery
  • Laparoscopy / methods*
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Obesity / complications
  • Obesity / surgery*
  • Operative Time
  • Pyloric Antrum / surgery
  • Retrospective Studies
  • Treatment Outcome
  • Weight Loss / physiology