• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Anti-Diabetic and weight loss effect of Sleeve gastrectomy and Sleeve Bypass in Japanese morbid obese patients, introduction of bariatric surgery in Japanese Hospital

Takeshi Naitoh, MD, FACS, T Miyachi, MD, H Imoto, MD, N Tanaka, MD, T Morikawa, MD, M Kakyo, MD, M Nagao, MD, S Haneda, MD, S Ohnuma, MD, H Sasaki, MD, K Kudo, MD, T Okada, MD, H Hayashi, MD, H Yoshida, MD, F Motoi, MD, Y Katayose, MD, K Miura, MD, C Shibata, MD, M Unno, MD

Department of Surgery, Tohoku University Hospital

[Backgrounds] A percentage of Japanese obese patients whose BMI is over 30 is approximately 3%, which is still quite low compared with western countries. Therefore, a bariatric surgery had been uncommon surgical option for the treatment of morbidly obese patients in Japan until recently. Only a few private hospitals and University hospitals have been performing the bariatric surgery in Japan. Total number of cases of bariatric surgery in Japan is still around 600. However, due to recent change of dietary habit, a population of obese patients has been increasing rapidly as well as in western countries. Moreover, in Japanese obese patients, type 2 diabetes (T2DM) tends to become severe with a relatively low BMI. We recently introduced a bariatric surgery for morbid obese patients. Since a rate of gastric cancer is thought to be high, we started from sleeve gastrectomy instead of roux-en Y gastric bypass which is most common procedure in the United States. Then we introduced sleeve gastrectomy with duodeno-jejunal bypass. Here, we present early results of our cases.

[Patients and Methods] Since October 2010, we have performed 13 bariatric surgery laparoscpically. Indication of surgery is patients’ BMI>35-kg/m2, or BMI>32-kg/m2 with severe T2DM, which is considered as a metabolic surgery. Eight patients underwent Laparoscopic Sleeve Gastrectomy (LSG), and 5 patients underwent Laparoscopic Sleeve gastrectomy with Duodeno-jejunal bypass (LSG/DJB). Meal Tolerance Test (MTT) was performed at preop, 3 month, 6month, and 12 month postoperatively. Of those patients, we assessed perioperative outcomes, short term weight loss effect and anti-diabetic effect. [Results] Mean age of patients is 43-y.o. BMI is 45kg/m2 in average (LSG: 49, LSG/DJB: 38). Nine of 13 cases are in medical treatment for T2DM (LSG: 4/8, LSG/DJB: 5/5). Mean preop HbA1C level (NGSP) is 6.2% in LSG, 8.1% in LSG/DJB. Preop HOMA-IR is 4.7 in LSG, and 4.6 in LSG/DJB. Operative time was 142min in LSG, and 270min in LSG/DJB. Estimated blood loss was 13g in LSG and 75g in LSG/DJB, respectively. No postoperative complication or mortality was observed. EBWL% after 6 month was 39.2% in LSG, and 51.5% in LSG/DJB. HOMA-IR 6 month after surgery decreased to 2.0 in both groups. Only one patient in LSG/DJB requires postoperative medical treatment for T2DM, who previously received over 70IU of Insulin injection with preop serum C-peptide level of 1.2ng/ml, while other patients does not take any anti-diabetic medicine after surgery. MTT shows dramatic improvement of blood glucose curve and IRI curve.

[Conclusion] We have successfully introduced bariatric surgery in our hospital. Both LSG and LSG/DJB have good effect on both weight loss and T2DM. Even severe diabetes can be improved with LSG/DJB. These results support to spread the bariatric surgery in our country.


Session: Poster Presentation

Program Number: P417

177

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2013 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons