Sleeve Duodeno-Jejunostomy
Home -> Sleeve Duodeno-Jejunostomy
- Laparoscopic Sleeve Gastrectomy
- Roux-en-Y Gastric Bypass Surgery
- Mini Gastric Bypass
- Endoscopic Sleeve Gastroplasty
- Single Anastomosis Duodenal Switch
- Duodenal Switch
- Revisions Surgeries
Overview
A less common weight loss treatment called Sleeve Duodeno-Jejunostomy (SDJ) combines duodeno-jejunostomy and sleeve gastrectomy. This is a thorough explanation of what this operation involves:
1. Sleeve Gastrectomy
Procedure Overview:Stomach Reduction: The sleeve gastrectomy involves the removal of a large portion of the stomach, leaving a tubular, banana-shaped stomach (the “sleeve”). This significantly reduces the stomach’s capacity, which helps patients feel full with smaller amounts of food.
Hormonal Changes: The removal of a significant portion of the stomach also reduces the production of ghrelin, the hormone responsible for hunger, which can help reduce appetite.
Benefits:
Effective Weight Loss: Patients typically experience substantial weight loss, especially in the first 6-12 months post-surgery.
Improved Metabolic Health: Significant improvements in obesity-related conditions, such as type 2 diabetes, hypertension, and sleep apnea.
Risks and Side Effects:
Complications: Potential for complications such as leakage from the stomach staple lines, infection, or bleeding.
Nutritional Deficiencies: Reduced stomach capacity can lead to nutritional deficiencies, requiring ongoing supplementation.
Procedure Overview:
2. Duodeno-Jejunostomy
Procedure Overview:Intestinal Rerouting: In a duodeno-jejunostomy, the duodenum (the first part of the small intestine) is bypassed, and the jejunum (the second part of the small intestine) is connected directly to the stomach or the remaining part of the digestive tract. This rerouting reduces the amount of intestine available for nutrient absorption.
Reduced Absorption: By bypassing the duodenum, this procedure decreases the amount of calories and nutrients absorbed from food, aiding further in weight loss.
Benefits:
Enhanced Weight Loss: Combining duodeno-jejunostomy with sleeve gastrectomy can result in more significant weight loss compared to sleeve gastrectomy alone.
Improved Metabolic Outcomes: May offer better results for metabolic conditions due to increased malabsorption.
Risks and Side Effects:
Nutritional Deficiencies: Increased risk of deficiencies in essential vitamins and minerals due to reduced nutrient absorption.
Digestive Issues: Potential for issues such as dumping syndrome, which can occur when food moves too quickly into the intestine, causing nausea, vomiting, and diarrhea.
Procedure Overview: