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The Sleeve Gastrectomy with Jejunal Bypass (Original Technique)
Munir Alamo1, Matías Sepúlveda2
1Universidad de Valparaíso, Santiago, Chile.
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|December 15, 2023
Summary
Sleeve gastrectomy with jejunal bypass (SGJB) is an effective bariatric procedure. This review details the original Alamo technique, highlighting its potential as a key metabolic surgery alternative.
Area of Science:
- Bariatric and Metabolic Surgery
- Gastroenterology
- Surgical Innovation
Background:
- Sleeve gastrectomy with jejunal bypass (SGJB) has been utilized since 2003 as a bariatric/metabolic procedure.
- It aims to be simpler yet as effective as standard bariatric techniques.
- The procedure facilitates direct food delivery to the hindgut, stimulating incretin secretion.
Approach:
- This review details the original Alamo technique of SGJB, clarifying technical aspects.
- It summarizes existing publications on the procedure, including studies in rat models and humans.
- The authors present their 20 years of experience with the original SGJB.
Key Points:
- SGJB involves a traditional sleeve gastrectomy combined with a jejunal bypass.
- The technique involves specific transection of the jejunum and anastomosis to the ileum.
- This surgical configuration promotes contact between food and the ileum, enhancing incretin production.
Conclusions:
- SGJB is positioned within "sleeve plus" procedures, showing promising outcomes.
- Clarifying the original technique is crucial due to variations in reported procedures.
- SGJB shows potential to become a significant alternative in metabolic surgery.
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