Sleeve plus procedures: need of time

Huang, Chih‐Kun; Katakwar, Abhishek

doi:10.1007/s00595-019-01895-6

Cited by 12 publications

(10 citation statements)

References 8 publications

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“…Globally, laparoscopic SG as a separate surgical method has become more popular than laparoscopic RYGB surgery in recent decades. However, the reappearance of weight loss and comorbidities remains problematic during long-term follow-up ( Huang and Katakwar, 2020 ).…”

Section: Amounts Of Metabolic Surgery and Proceduresmentioning

confidence: 99%

Metabolic surgery in China: present and future

Bao

2021

Journal of Molecular Cell Biology

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Obesity and its related complications comprise a serious public health problem worldwide, and obesity is increasing in China. Metabolic surgery is a new type of treatment with unique advantages in weight loss and obesity-related metabolic complications. The pathogenesis of obesity is complex and not yet fully understood. Here, we review the current efficacy and safety of metabolic surgery, as well as recent progress in mechanistic studies and surgical procedures in China. The exciting and rapid advances in this field provide new opportunities for patients with obesity and strike a balance between long-term effectiveness and safety.

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Section: Amounts Of Metabolic Surgery and Proceduresmentioning

confidence: 99%

Metabolic surgery in China: present and future

Bao

2021

Journal of Molecular Cell Biology

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“…The term "sleeve plus" for all such procedures was first introduced by Huang at the Taiwan Surgical Society of Gastroenterology meeting on October 24, 2015 [19].…”

Section: Are Sleeve Plus Procedures Needed?mentioning

confidence: 99%

Is the Sleeve Gastrectomy Sufficient or Does it Require Additional Surgical Procedures?

Choi

2021

J Metab Bariatr Surg

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Laparoscopic sleeve gastrectomy is a relatively simple procedure and has become the most well-known bariatric surgical procedure in Korea and Western countries. However, this procedure has several disadvantages in terms of long-term weight loss and metabolic disease control. Laparoscopic sleeve gastrectomy and additional bypass (sleeve plus) procedures were recently introduced into bariatric surgery in order to combine the physiologic advantages of pyloric-saving reconstruction and the bypass effect. A sleeve gastrectomy was performed first, followed by a bypass procedure. This review describes sleeve plus procedures reported in the literature and compares their outcomes with the most frequently performed techniques.

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“…The creation of a blind loop of intestine could cause bacterial overgrowth, the so-called 'blind loop syndrome' or 'bacterial overgrowth syndrome' (BOS). *Address all correspondence to: docmichlim@gmail.com However, the SGPJB has the benefit of a blind jejunal limb without passage of food or bile, and an isoperistaltic loop [79]. This helps mitigate against the possibility of BOS.…”

Section: Blind Loop Syndromementioning

confidence: 99%

Sleeve-Plus Procedures in Asia: Duodenojejunal Bypass and Proximal Jejunal Bypass

Lim-Loo¹,

Huang²,

Chan³

et al. 2021

Bariatric Surgery - From the Non-Surgical Approach to the Post-Surgery Individual Care

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Laparoscopic sleeve gastrectomy (SG) is the most commonly done bariatric procedure worldwide due to its technical ease. However, the physiologic effects of this procedure have limitations on glucose homeostasis for patients with type 2 Diabetes Mellitus (T2DM). This is due to the insufficient physiologic modulations from intestinal hormones. The Roux-en-Y gastric bypass (RYGB) has been proven to have better T2DM remission than SG due to more pronounced physiologic changes from foregut and hindgut hormone modulations. However, RYGB is technically challenging to perform and is accompanied by many potential postoperative complications, especially in terms of nutrition. The addition of an intestinal bypass to SG also induces said intestinal hormone changes to enhance diabetes remission. This chapter discusses the intestinal bypass that may be added to SG as surgical options for the treatment of obesity and T2DM with focus on duodenojejunal and proximal jejunal bypass.

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Sleeve plus procedures: need of time

Cited by 12 publications

References 8 publications

Metabolic surgery in China: present and future

Metabolic surgery in China: present and future

Is the Sleeve Gastrectomy Sufficient or Does it Require Additional Surgical Procedures?

Sleeve-Plus Procedures in Asia: Duodenojejunal Bypass and Proximal Jejunal Bypass

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