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| Name | SLEEVE GASTRECTOMY WITH LOOP BIPARTITION (HD 1080p, Audio) - Dr. V. AMAR, www.drvamar.com |
| Video Uploader | Video From DR. V. AMAR |
| Upload Date | This Video Uploaded At 22-10-2016 01:27:21 |
| Video Discription | PLEASE WATCH THIS VIDEO IN 1080p HD FORMAT (Go to Settings, Change to 1080p in Quality) Sleeve Gastrectomy with Loop Bipartition (SG LB) is a novel bariatric/ metabolic surgery. It is also known as Single Anastomosis Sleeve Ileal Bypass (SASI). It is a modification of Single Anastomosis Duodeno-ileal Bypass with Sleeve (SADI S), which in turn is a modification of Bilio-pancreatic Diversion with Duodenal Switch (BPD DS). Difference between SADI S and SG LB is that duodenum is not transected in SG LB and terminal ileum is anastomosed to pyloric antrum instead of transected 1st part of duodenum as in SADI S. Procedure - Sleeve gastrectomy is done. Terminal ileum at 250 to 300 cm point is anastomosed to antero-inferior aspect of pyloric antrum in a loop fashion using hand sewn or stapled anastomosis in an ante-colic fashion. Physiology - In this surgery sleeve has two outlets. Most of the undigested food reaches terminal ileum through anastomosis leading to increased hormonal changes (Increased GLP 1, Peptide YY etc). So weight loss is more, risk of weight regain is less and chances of resolution of type 2 diabetes are more. Since duodenal pathway is also intact, part of the food goes through proximal intestine leading to reduced malabsorption. Main advantage is that endoscopic access to biliary tract is maintained. Since food is passes through duodenum, anti incretin effect is intact, and as a result hypoglycemia risk is less. SG LB is very easy to perform. Learning curve is short. Surprisingly diarrhoea and dumping syndrome are also less. Its place is between Mini-gastric bypass and SADI S. For information on obesity and diabetes surgery, please visit www.drvamar.com, www.obesitydiabetessurgery.com - Dr. Amar, Metabolic & Bariatric Surgeon, Hyderabad, India, drvamar@gmail.com, +91 96766 75646 |
| Category | Science & Technology |
| Tags | Loop Bipartition | Transit Bipartition | Sleeve Ileal Bypass | SASI Bypass | SG LB | SG TB | Bariatric Surgery | Weight Loss Surgery | Obesity Surgery | Weight Loss | Obesity | Laparoscopy | Sleeve Gastrectomy | Gastric Sleeve | SG | Laparoscopic SG | Gastric Bypass | RYGB | MGB | SG LDJB | SG DJB | SADI S | Duodenal Switch | BPD DS | Diabetes | Diabetes Surgery | Metabolic Surgery | Ileal Interposition | Ileal Transposition | Gastric Balloon | IGB | Gastric Banding | Obesity Clinic | Liposuction |
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