Asian journal of endoscopic surgery · 2026
Short-Term Operative Outcomes of Loop Reconstruction for Duodenojejunal Bypass With Sleeve Gastrectomy: A Retrospective Study From a Single Japanese Academic Hospital.
СтатьяНазвание и аннотация: Перевод в очереди
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Nabekura Taiki, Oshiro Takashi, Wakamatsu Kotaro, Kitahara Natsumi, Moriyama Yuki, Kadoya Kengo, Sato Ayami, Sato Yu, Tsuchiya Masaru
Аннотация
INTRODUCTION: Roux-en-Y duodenojejunal bypass with sleeve gastrectomy (RY-DJB-SG) generally yields better operative outcomes regarding weight loss and glycemic control compared with SG. However, the requirement of two anastomoses limits its adoption as a primary metabolic bariatric surgery in Japan. To reduce the complexity of RY-DJB-SG, we introduced loop reconstruction for DJB-SG (L-DJB-SG) with a single anastomosis in 2022. This study aimed to assess the feasibility and short-term operative outcomes of L-DJB-SG and RY-DJB-SG.
METHODS: Electronic medical records of 13 and 26 patients who underwent L-DJB-SG and RY-DJB-SG, respectively, between May 2012 and November 2023 at our institute were retrospectively analyzed. Patients' demographic characteristics and glycemic and operative outcomes were statistically compared between the two groups.
RESULTS: No significant differences in demographic data were observed between the groups. L-DJB-SG exhibited a shorter operation time (221 [206-268] vs. 304 [283-332.3] min, p < 0.01) and required fewer staplers (2 [1.5-2] vs. 5 [3-5], p < 0.01) for bypass procedures compared with RY-DJB-SG, whereas other operative outcomes were comparable. No significant differences in weight loss or glycemic parameters were noted 1 year after surgery.
CONCLUSION: L-DJB-SG is a feasible and effective procedure that may serve as an alternative DJB option for Japanese patients with obesity and diabetes mellitus.
METHODS: Electronic medical records of 13 and 26 patients who underwent L-DJB-SG and RY-DJB-SG, respectively, between May 2012 and November 2023 at our institute were retrospectively analyzed. Patients' demographic characteristics and glycemic and operative outcomes were statistically compared between the two groups.
RESULTS: No significant differences in demographic data were observed between the groups. L-DJB-SG exhibited a shorter operation time (221 [206-268] vs. 304 [283-332.3] min, p < 0.01) and required fewer staplers (2 [1.5-2] vs. 5 [3-5], p < 0.01) for bypass procedures compared with RY-DJB-SG, whereas other operative outcomes were comparable. No significant differences in weight loss or glycemic parameters were noted 1 year after surgery.
CONCLUSION: L-DJB-SG is a feasible and effective procedure that may serve as an alternative DJB option for Japanese patients with obesity and diabetes mellitus.