LAPAROSCOPIC SLEEVE GASTRECTOMY WITH LOOP BIPARTITION MORE PHYSIOLOGICAL TECHNIQUE: ONE YEAR EXPERIENCE

Mansey, Mohamed K.; Morad, Ahmed E.; Abd El Samee, Karim S.; Radwan, Hossam G.

doi:10.21608/asmj.2021.167376

LAPAROSCOPIC SLEEVE GASTRECTOMY WITH LOOP BIPARTITION MORE PHYSIOLOGICAL TECHNIQUE: ONE YEAR EXPERIENCE

Document Type : Original Article

Authors

¹ Department of General Surgery Faculty of Medicine, Ain Shams University, Cairo, Egypt.

² Department of General Surgery Faculty of Medicine, Ain Shams University, Cairo, Egypt.+

³ Specialist of general surgery at mokattum health insurance hospital. Cairo, Egypt.

10.21608/asmj.2021.167376

Abstract

Background: Overweight and obesity were estimated to cause 3.4 million deaths, 3.9% of years of life lost, and 3.8% of disability-adjusted life-years (DALYs) worldwide. Bariatric surgery is the most effective modality for long-term weight loss and for resolving the associated comorbidities. However, controversies exist regarding the ideal weight loss metabolic procedure. This allowed continuous search for new techniques.
Aim of the work: to evaluate short-term outcomes and associated complications of laparoscopic sleeve gastrectomy with loop bipartition.
Patients and Methods: The present study was conducted on fifteen patients who met the National Institute of Health criteria for bariatric surgery. These patients were enrolled in a prospective study at Ain-Shams University Hospitals from December 2015 to May 2017) and they underwent laparoscopic sleeve gastrectomy with loop bipartition. Preoperative work up included full history, full clinical examination, abdominal ultrasonography, biochemical labs. Procedure was performed by laparoscopic approach.
Results: excess weight loss percentage at 6 months, 12 months respectively was 67%, 92%. This results were very comparable to mahdy et al. and santoro et al. Sleeve gastrectomy with loop bipartition comorbidities related outcomes were complete remission of 66% in T2DM, 71% in HTN, 100% others comorbidities and another studies for bipartition reached more than 90% in T2DM, 80% in HTN, 85% others comorbidities. In our study we recorded that Sleeve gastrectomy with loop bipartition has strong impact on resolution of comorbidities in comparison with BPD, DS, RYGB.
Conclusion: Sleeve gastrectomy with loop bipartition is a new promising procedure that based on a new paradigm of helping GI facing and adapting to the modern diet without adding new morbidities with precise adsjusting of the neurohormonal aspects. Preliminary results points to potent simple safe procedure in treating obesity and metabolic syndrome.

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