PMID- 25813754 OWN - NLM STAT- MEDLINE DCOM- 20160503 LR - 20220311 IS - 1878-7533 (Electronic) IS - 1550-7289 (Linking) VI - 11 IP - 4 DP - 2015 Jul-Aug TI - Duodenal-jejunal bypass with sleeve gastrectomy versus the sleeve gastrectomy procedure alone: the role of duodenal exclusion. PG - 765-70 LID - S1550-7289(14)00499-7 [pii] LID - 10.1016/j.soard.2014.12.017 [doi] AB - 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). OBJECTIVES: The aim of this study was to compare one-year results between DJB-SG and SG. SETTING: 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. CI - Copyright (c) 2015 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved. FAU - Lee, Wei-Jei AU - Lee WJ AD - Department of Surgery, Min-Sheng General Hospital, Taiwan. Electronic address: wjlee_obesssurg_tw@yahoo.com.tw. FAU - Almulaifi, Abdullah M AU - Almulaifi AM AD - Department of Surgery, Min-Sheng General Hospital, Taiwan. FAU - Tsou, Jun-Juin AU - Tsou JJ AD - Department of Surgery, Min-Sheng General Hospital, Taiwan. FAU - Ser, Kong-Han AU - Ser KH AD - Department of Surgery, Min-Sheng General Hospital, Taiwan. FAU - Lee, Yi-Chih AU - Lee YC AD - Department of International Business, Chien Hsin University of Science and Technology, Taiwan. FAU - Chen, Shu-Chun AU - Chen SC AD - Department of Surgery, Min-Sheng General Hospital, Taiwan. LA - eng PT - Journal Article DEP - 20141224 PL - United States TA - Surg Obes Relat Dis JT - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JID - 101233161 SB - IM MH - Adult MH - Body Mass Index MH - Duodenum/*surgery MH - Female MH - Follow-Up Studies MH - Gastrectomy/*methods MH - Gastric Bypass/*methods MH - Humans MH - Jejunum/*surgery MH - Laparoscopy/*methods MH - Male MH - Obesity, Morbid/*surgery MH - Retrospective Studies MH - Treatment Outcome MH - *Weight Loss OTO - NOTNLM OT - Duodenal switch OT - Foregut hypothesis OT - Laparoscopic duodeno-jejunal bypass with sleeve gastrectomy OT - Metabolic syndrome OT - Roux-en-Y gastric bypass OT - Sleeve gastrectomy EDAT- 2015/03/31 06:00 MHDA- 2016/05/04 06:00 CRDT- 2015/03/28 06:00 PHST- 2014/09/21 00:00 [received] PHST- 2014/12/06 00:00 [revised] PHST- 2014/12/15 00:00 [accepted] PHST- 2015/03/28 06:00 [entrez] PHST- 2015/03/31 06:00 [pubmed] PHST- 2016/05/04 06:00 [medline] AID - S1550-7289(14)00499-7 [pii] AID - 10.1016/j.soard.2014.12.017 [doi] PST - ppublish SO - Surg Obes Relat Dis. 2015 Jul-Aug;11(4):765-70. doi: 10.1016/j.soard.2014.12.017. Epub 2014 Dec 24.