Obesity Surgery

, Volume 24, Issue 1, pp 109–113

Laparoscopic Single-Anastomosis Duodenal–Jejunal Bypass with Sleeve Gastrectomy (SADJB-SG): Short-term Result and Comparison with Gastric Bypass

  • Wei-Jei Lee
  • Kuo-Ting Lee
  • Kazunori Kasama
  • Yosuke Seiki
  • Kong-Han Ser
  • Shu-Chun Chun
  • Jung-Chien Chen
  • Yi-Chih Lee
Original Contributions


Laparoscopic duodeno–jejunal bypass with sleeve gastrectomy (DJB-SG) has been introduced as a novel metabolic surgery from Asia recently. It provides benefits of avoiding the risk of remnant gastric cancer, minimization of malnutrition from duodenal switch. Here, we introduce the technique of single-loop anastomosis duodeno–jejunal bypass with sleeve gastrectomy (SADJB-SG) and compare with other gastric bypass surgeries. Fifty morbid obese patients underwent our novel procedure, laparoscopic SADJB-S from 2011 to 2013. Operative complication, weight loss, and diabetes remission were followed. All procedures were completed laparoscopically. The mean operative time was 181.7 ± 38.4 min, and the mean hospital stay was 3.8 days. Three minor early complications (6 %) were encountered but no major complication was noted. There was no significant difference in perioperative parameters between the SADJB-SG and gastric bypass except a longer operation time. The mean BMI decreased from 38.4 to 25.4 at 1 year after surgery with a mean weight loss of 32.7 % which is higher than gastric bypass. Laparoscopic SADJB-SG appears to be an ideal metabolic/bariatric surgery, whereas the efficacy is non-inferior to gastric bypass.


Sleeve gastrectomy Duodeno–jejunal bypass Single anastomosis 


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Wei-Jei Lee
    • 1
  • Kuo-Ting Lee
    • 2
  • Kazunori Kasama
    • 3
  • Yosuke Seiki
    • 2
  • Kong-Han Ser
    • 1
  • Shu-Chun Chun
    • 1
  • Jung-Chien Chen
    • 1
  • Yi-Chih Lee
    • 4
  1. 1.Department of SurgeryMin-Sheng General HospitalTauoyanTaiwan
  2. 2.Department of SurgeryNational Cheng-Kung University HospitalTainan CityTaiwan
  3. 3.Department of SurgeryYotsuya Medical CubeTokyoJapan
  4. 4.Department of International BusinessChien Hsin University of Science and TechnologyJhong-Li CityTaiwan

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