Duodenojejunal Bypass for Diabetes

Laparoscopic Duodenojejunal Bypass with Sleeve

One of the most common weight reduction bariatric procedures is the laparoscopic sleeve gastrectomy.  It is a technically simpler and easier procedure to do, and it has positive weight reduction outcomes. Consult on Duodenojejunal Bypass for Diabetes and call now to book an appointment.




duodenojejunal bypass for diabetes

Who is the right candidate for a laparoscopic sleeve gastrectomy?

  • For eligible individuals with a BMI of 35 kg/m2 and no accompanying conditions, bariatric surgery/obesity surgery/weight reduction surgery must be explored for the treatment of obesity.
  • For eligible Asia individuals with a BMI of 30 kg/m2, bariatric surgery/metabolic surgery should be explored for the management of type 2 diabetes or metabolic syndrome when lifestyle changes and medication therapy are insufficient.
  • For  patients with a BMI of 27.5 kg/m2, bariatric surgery/metabolic surgery may be explored as a non-primary treatment option for poorly managed type 2 diabetes or metabolic syndrome.
  • Laparoscopic sleeve gastrectomy is typically recommended in younger patients who have type 2 diabetes for a shorter period of time and do not have too many related comorbidities.
  • It is also used as a first-stage procedure in people who are very obese. Other bariatric and metabolic operations, such as Roux-en-Y gastric bypass, duodenal switch, SADI-S, duodeno-jejunal bypass, and ileal transposition, may be converted directly from a sleeve gastrectomy.

Who is not a candidate for weight reduction surgery?

  • Women who are pregnant
  • Patient suffering from acid reflux syndrome and a hiatus hernia
  • Patient with obstructed gastric outlet
  • Patients suffering from serious psychiatric problems
  • Smokers
  • Patients who are unable to consume dietary supplements
  • Patients who are medically unable to undergo surgery or anesthesia

How does it work?

This surgery is performed using the laparoscopic approach.  This approach involves making 4 to 5 small 0.5 to 1 cm incisions on your abdomen and doing the whole procedure using a camera and equipment . All of the stitches are absorbable, and there are no sutures to be removed afterwards. Laparoscopy allows patients to have less discomfort, recover quicker, and return to work much sooner. The majority of patients are discharged from the hospital the next day.

Sleeve gastrectomy with a single incision: A 2 cm incision is created in the abdomen for this method, and the whole procedure is conducted via this incision. When this cures, the scar becomes deeply buried in the belly and is almost scarless.

How does it lead to weight-loss?

  • Weight loss after laparoscopic Roux-en-Y gastric bypass is caused by the following causes.
  • A small stomach pouch limits the quantity of food that a person can consume. Following this procedure, there is a considerable calorie restriction.
  • Following this surgery, the stomach empties more quickly, resulting in the activation of particular intestinal hormones that help in weight reduction as well as the remission of comorbidities such as type 2 diabetes.
  • There are several more processes, as well as an undetermined function for bile acids and gut flora, that may aid in weight reduction and co-morbidity remission after this procedure.
  • Results of laparoscopic sleeve gastrectomy
  • After this procedure, patients may expect to lose up to 75 percent of their extra weight in 12 to 18 months. This may be enhanced if the patient accepts lifestyle changes and adheres to a rigorous diet and exercise regimen as prescribed by the bariatric surgery doctors.
  • This surgery also leads to a significant improvement in associated diseases such as type 2 diabetes, high blood pressure, high cholesterol, heart disease, risk of venous thrombo-embolism, gout.

Long-term weight loss goals

Bariatric surgery should not be seen as a quick fix for weight reduction. The patient and the doctor collaborate to obtain the greatest long-term outcomes. It is extremely important to be diligent with your follow-up to get optimum results.

For more information & consultation on Duodenojejunal Bypass for Diabetes, Meet Dr. Sukhvinder Singh Saggu