Selection and controversies of sleeve gastrectomy with transit bipartition procedures
10.3760/cma.j.cn115610-20250630-00451
- VernacularTitle:胃袖状切除联合双通道手术的选择与争议
- Author:
Libin YAO
1
;
Jian HONG
1
;
Kitaghenda Fidele KAKULE
1
;
Jian WANG
1
;
Xiaocheng ZHU
1
Author Information
1. 徐州医科大学附属医院减重代谢外科，徐州 221006
- Publication Type:Journal Article
- Keywords:
Obesity;
Bariatric and metabolic surgery;
Sleeve gastrectomy with transit bipartition;
Roux-en-Y transit bipartition;
Single anastomosis sleeve ileal bypa
- From:
Chinese Journal of Digestive Surgery
2025;24(8):1027-1032
- CountryChina
- Language:Chinese
-
Abstract:
Sleeve gastrectomy with transit bipartition is a novel bariatric and metabolic procedure providing significant metabolic benefits while minimizing the risk of malnutrition. However, due to the technical complexity of the Roux-en-Y transit bipartition configuration, several derivative procedures have been developed in clinical practice, including single anastomosis sleeve ileal bypass (SASI), single anastomosis sleeve jejunal bypass (SAS-J), and sleeve gastrectomy with Braun anasto-mosis transit bipartition (B-TB). These procedures vary in complexity, weight loss and metabolic efficacy, nutritional impact, and anti-reflux properties. SASI offers technical simplicity but raises concerns about bile reflux. SAS-J emphasizes nutritional safety, whereas B-TB incorporates a Braun anastomosis to enhance anti-reflux protection. The authors review and compare the clinical charac-teristics and indications of these procedures, aiming to provide a reference for surgeons in selecting individualized metabolic and bariatric surgical strategies.
