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. 2021 May;31(5):2062-2071.
doi: 10.1007/s11695-020-05212-w. Epub 2021 Jan 6.

The Short-Term Effects of Transit Bipartition with Sleeve Gastrectomy and Distal-Roux-en-Y Gastric Bypass on Glycemic Control, Weight Loss, and Nutritional Status in Morbidly Obese and Type 2 Diabetes Mellitus Patients

Ilhan Ece  1 , Huseyin Yilmaz  2 , Serdar Yormaz  2 , Bayram Çolak  2 , Akin Calisir  2 , Mustafa Sahin  2
Affiliations

The Short-Term Effects of Transit Bipartition with Sleeve Gastrectomy and Distal-Roux-en-Y Gastric Bypass on Glycemic Control, Weight Loss, and Nutritional Status in Morbidly Obese and Type 2 Diabetes Mellitus Patients

Ilhan Ece et al. Obes Surg. 2021 May.

Abstract

Purpose: The aim of this study was to compare the postoperative metabolic and nutritional outcomes after transit bipartition with sleeve gastrectomy (TB-SG) and distal-Roux-en-Y gastric bypass (D-RYGB).

Materials and methods: A retrospective evaluation was made of 109 morbidly obese patients who underwent TB-SG or D-RYGB. Primary outcomes included metabolic variables such as glycemic control and serum lipid levels, and secondary outcomes consisted of nutritional deficiencies and weight loss after surgical procedures.

Results: During the study period, 83 and 26 patients underwent D-RYGB and TB-SG, respectively. The preoperative characteristics and nutritional status of the groups were similar. D-RYGB resulted in significantly higher weight loss rates in the first 3 months, but the percentage of excess weight loss (EWL %) was not different in the 12-month follow-up period. Although D-RYGB provided faster glycemic control due to early weight loss, there was no difference between the two groups. At the end of the follow-up period, the TB-SG was associated with significantly less deficiency of vitamin D, vitamin B12, iron, and folic acid. Anastomosis leakage was more common in the D-RYGB technique. The overall complication rates of the groups were similar.

Conclusion: TB-SG is a safe and effective alternative to D-RYGB for the treatment of obesity-related metabolic disorders with fewer nutritional deficiencies.

Keywords: Metabolic surgery; Roux-en-Y gastric bypass; Transit bipartition; Type 2 diabetes.

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References

    1. The National Institutes of Health Conference. Gastrointestinal surgery for severe obesity. Consensus development conference panel. Ann Intern Med. 1991; 115:956–61.
    1. Members of the expert committee on the diagnosis and classification of diabetes mellitus. Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care. 2003;26:5–20. https://doi.org/10.2337/diacare.26.2007.S5 . - DOI
    1. Miller WC, Koceja DM, Hamilton EJ. A meta-analysis of the past 25 years of weight loss research using diet, exercise or diet plus exercise intervention. Int J Obes Relat Metab Disord. 1997;21:941–7. https://doi.org/10.1038/sj.ijo.0800499 . - DOI - PubMed
    1. Greenstein RJ, Rabner JG, Taler T. Bariatric surgery vs. conventional dieting in the morbidly obese. Obes Surg. 1994;4(1):16–23. https://doi.org/10.1381/096089294765558845 . - DOI - PubMed
    1. Sudan R, Jain-Spangler K. Tailoring bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass and biliopancreatic diversion with duodenal switch. J Laparoendosc Adv Surg Tech A. 2018;28(8):956–61. https://doi.org/10.1089/lap.2018.0397 . - DOI - PubMed

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