PMID- 37343192
OWN - NLM
STAT- MEDLINE
DCOM- 20230811
LR  - 20230811
IS  - 1534-4908 (Electronic)
IS  - 1530-4515 (Linking)
VI  - 33
IP  - 4
DP  - 2023 Aug 1
TI  - Laparoscopic Sleeve Gastrectomy With Transit Loop Bipartition and Transit 
      Bipartition in Type 2 Diabetic Patients With Obesity: A Retrospective Analysis.
PG  - 357-364
LID - 10.1097/SLE.0000000000001189 [doi]
AB  - 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.
CI  - Copyright (c) 2023 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Demir, Canan
AU  - Demir C
AUID- ORCID: 0000-0001-7459-3636
AD  - Department of Endocrinology and Metabolism, Atilim University School of Medicine.
FAU - Arslan, Ergin
AU  - Arslan E
AD  - Department of General Surgery, Ankara Obesity Surgery Clinic.
FAU - Sariyildiz, Gulcin
AU  - Sariyildiz G
AD  - Department of General Surgery, Atilim University, Vocational School of Health 
      Services.
FAU - Anil, Cuneyd
AU  - Anil C
AD  - Department of Endocrinology and Metabolism, Guven Hospital, Ankara, Turkey.
FAU - Banli, Oktay
AU  - Banli O
AD  - Department of General Surgery, Ankara Obesity Surgery Clinic.
LA  - eng
PT  - Journal Article
DEP - 20230801
PL  - United States
TA  - Surg Laparosc Endosc Percutan Tech
JT  - Surgical laparoscopy, endoscopy & percutaneous techniques
JID - 100888751
SB  - IM
MH  - Humans
MH  - *Obesity, Morbid/complications/surgery
MH  - *Diabetes Mellitus, Type 2/complications/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - *Laparoscopy/methods
MH  - Obesity/complications/surgery
MH  - *Gastric Bypass/methods
MH  - Gastrectomy/methods
COIS- The authors declare no conflicts of interest.
EDAT- 2023/06/21 19:15
MHDA- 2023/08/11 06:43
CRDT- 2023/06/21 16:03
PHST- 2022/04/05 00:00 [received]
PHST- 2023/05/04 00:00 [accepted]
PHST- 2023/08/11 06:43 [medline]
PHST- 2023/06/21 19:15 [pubmed]
PHST- 2023/06/21 16:03 [entrez]
AID - 00129689-990000000-00137 [pii]
AID - 10.1097/SLE.0000000000001189 [doi]
PST - epublish
SO  - Surg Laparosc Endosc Percutan Tech. 2023 Aug 1;33(4):357-364. doi: 
      10.1097/SLE.0000000000001189.