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.

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.

• Authors: Ilhan Ece, Huseyin Yilmaz, Serdar Yormaz, Bayram Çolak, Akin Calisir, Mustafa Sahin
• Journal: Obesity surgery (Obes Surg) Vol. 31 Issue 5 Pg. 2062-2071 (May 2021) ISSN: 1708-0428 [Electronic] United States
• PMID: 33409969 (Publication Type: Journal Article)

Topics

• Diabetes Mellitus, Type 2 (complications)
• Gastrectomy
• Gastric Bypass
• Glycemic Control
• Humans
• Nutritional Status
• Obesity, Morbid (surgery)
• Retrospective Studies
• Treatment Outcome
• Weight Loss