Laparoscopic Sleeve Gastrectomy with Duodenal Jejunal Bypass

Kazunori Kasama, MD, Yosuke Seki, MD, Akiko Umezawa, MD, Hideharu Shimizu, MD, Yoshimochi Kurokawa, MD. Yotsuya Medical Cube

Obesity and metabolic disorders related to it have become serious problem in Asia. Furthermore, gastric cancer in Asia is one of the frequent diseases on which to perform treatments. We introduced the technique of laparoscopic sleeve gastrectomy with duodenal jejunal bypass (LSG/DJB) for patients with a risk of gastric cancer. High risks of gastric cancer were determined as having a Helicobacter pylori positive with atrophic change of mucosa, or a family history of gastric cancer. Operations were performed with 5 ports. Initially Sleeve Ggastrectomy with hand sewn reinforsement and dissection of posterior wall of duodenum were carried out. Subsequently DJB was added with 50-100cm of biliopancreatic tract and 150-200cm of alimentally tract. DJB consisted of a jejunojejunostomy created by a linear stapler and hand sewing closure, and duodenojujunostomy by hand sewing with 2 layers.Conclusion: LSG/DJB is a feasible, safe and effective procedure for the treatment of morbidly obese patients with the risk of gastric cancer.In this Video session, techniques of LSG/DJB will be presented

Session: Poster
Program Number: P091
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