Comparison of the effects of Roux-en-Y gastrojejunostomy and LRYGB with small stomach pouch on type 2 diabetes mellitus in patients with BMI<35 kg/m2

Laparoscopic metabolic surgery for the treatment of type 2 diabetes in Asia: a scoping review and evidence-based analysis

“…Early intervention results in higher remission rates. Case Series Li 2016 [27] China 24–30 9.2 ± 8.1 LJISSA 57 (23:34) 43.1 ± 16.3 LJISSA seems to be a promising procedure for the control of T2DM Case Series Yang 2015 [ 28 ] China SG: 31.8 ± 3.0 LRYGB: 32.3 ± 2.4 SG:4.0 ± 1.7 LRYGB:4.2 ± 1.9: SG LRYGB SG:32 (9:23) LRYGB: 32 (12:19) SG: 40.4 ± 9.4 LRYGB:41.4 ± 9.3 In this three-year study, SG had similar positive effects on diabetes and dyslipidemia compared to RYGB in Chinese T2DM patients with BMI of 28–35 kg/m 2 RCT Yi 2015 [ 29 ] China LRYGB:25.7 ± 0.9 LRYGBS:26.9 ± 0.7 LRYGB:5.9 ± 4.5 LRYGBS:6.1 ± 4.7 LRYGB LRYGBS LRYGB:30 (22:8) LRYGBS:30 (24:8) LRYGB:48.2 ± 8.2 LRYGBS:49.1 ± 6.2 Both procedures are effective treatments for T2DM patients with BMI < 35 kg/m 2 . LRYGB with a small gastric pouch is more suitable for Chinese diabetic patients with BMI <35 kg/m 2 .…”

“… 0 BMI, FPG, 2 h-PG, HbA1C, FCP, 2 h-CP, FINS, HOMA-IR one Incomplete intestinal obstruction, one mild upper gastrointestinal bleeding All completed 1 year follow-up, 3 were lost at 2 years, 2 lost at 3 years. Di 2016 [ 24 ] Hypertension, hyperlipidemia 0 74.2% (49/66) at 1-year; 57.6% (38/66) at 3-year 0 BMI, FPG, 2 hPG, HbA1C, FCP, FINS, HOMA-IR No state All completed 3 years follow-up Gong 2016 [ 25 ] Hypertriglyceridemia, Hypertension, Retinopathy Peripheral neuropathy 0 93.5% (29/31) at 6-month 0 BMI, FPG, HbA1c, CP, FINS, GLP-1 No severe complications All completed at 1, 3 and 6 months follow-up Kular 2016 [ 26 ] No state 0 1, 2, 5 and 7 years were 81.8% (18/22), 78.9% (30/38),70.3% (57/81) and 68.5% (74/108) 0 BMI, waist, HbA1c, EWL, mean weight excessive postoperative suture line bleeding with shock, anastomotic ulceration, anemia, low albumin, bile reflux, excess weight loss Only 16%(128) of patients lost to follow0up after 7 years Li 2016 [ 27 ] No state 0 59.6% (34/57) at 1-year 0 FPG, 2hPBG, HbA1C, BMI, 1 h C-P one early hemorrhage All at 1 year follow-up Yang 2015 [ 28 ] Hypertension 0 SG/RYGB: 78.6% (22/32)/ 85.2% (23/32) at 3-year 0 HbA1c, FBG, CP, BMI Two gastroesophageal reflux, a anemia 55 patient completed 3 years follow-up Yi 2015 [ 29 ] No state 0 LRYGB/LRYGBS: 30% (9/30)/47% (14/30) 0 BMI, HOMA-IR, HbA1c, FPG, FCP, 2hCP 10 marginal ulcers, two gastrointestinal hemorrhage All at 1 year follow-up Kim 2014 [ 30 ] No state 0 53%, 63%, 90% at 1, 2 and 3 year 1 a BMI, HbA1c, Fasting ...…”

The impact of gastric pouch size, based on the number of staplers, on the short-term weight outcomes of Roux-en-Y gastric bypass

“…A systematic review in 2020 gathered studies that evaluated the gastric pouch or gastrojejunostomy size on weight outcomes following Roux-en-Y gastric bypass; of fourteen studies found, five reported poorer results for larger pouches [ 8 , 9 , [24] , [25] , [26] ], while other studies did not find any associations between weight outcome and pouch size [ [11] , [12] , [13] , 15 , 23 , [27] , [28] , [29] , [30] ]. The mentioned review article concluded that larger pouches were associated with poorer outcomes.…”

Large Versus Small Gastric Pouch for Roux-en-Y Gastric Bypass in Individuals With Type 2 Diabetes and a Body Mass Index < 35 kg/m2: Six-Year Outcomes

“…RYGB with a large gastric pouch has been described in a previous study ( 16 ). In brief, the subtotal stomach (beginning at the greater curvature and ending at the angular incisure, >50 ml) and the jejunum, 50 cm distal from the ligament of Treitz, are dissociated.…”