Background

Sleeve gastrectomy alone is not sufficient in patients with morbid obesity to achieve complete and durable weight loss. Laparoscopic Proximal Jejunal Bypass with Sleeve Gastrectomy (LPJB-SG) has shown effective weight loss in such patients. We present our 3 years Indian data for the same.

Methods

Patients with morbid obesity who underwent LPJB-SG between June 2018 to Dec 2022 at a single centre are included. All surgeries consisted of a sleeve gastrectomy with bypassing proximal jejunum about 250–300 cm in length. Intra and post-surgical data, BMI and percentage of excess weight loss (%EWL), Surgical complications, nutritional deficiencies, improvement of co-morbidities was documented over a 3 year period.

Results

99 patients underwent LPJB-SG in this study period. Their average age was 37 yrs. Their average weight was 129.9kg and BMI was 46.45kg/m2. Their average small bowel length was 750 cms. Average operation time was 2 hrs and length of stay 1 days. Their % EWL was 65.94%. Three year follow up was available for 35 patients whose % EWL was 67.44%. 2 year follow up % EWL was 66.74%. There were two complications, one SMV thrombosis at 18 days, managed conservatively and adhesive band obstruction at 3 months which required surgery. One patient was diagnosed with peripheral neuropathy and proximal muscle weakness at 6 months which reversed completely with B12 supplementation.

Conclusions

LPJB-SG is an effective weight loss procedure. Three year results are promising. Further long- term data is needed to assess the long-term effectiveness of this procedure.