First, sleeve gastrectomy is performed. The small intestine is then divided into two, form a point 80-200 cm proximal to its junction with the large intestine. The cut end is connected to the stomach. The upper end (coming from the stomach) is connected to a point 80-150 cm proximal to the junction of the small intestine with the large intestine. This distance may vary from patient to patient. By this means, approximately 1/3 of foods taken orally pass through the duodenal (the natural path), whereas 2/3 pass through the last part of the small intestines.
Its healing rate in Type 2 diabetes is higher than
that of all other procedures. Its leakage rate is lower than that of other procedures. Since stomach pressure in this procedure is lower than that in sleeve gastrectomy, it is less likely to involve an enlargement in the stomach volume over time.
It makes all parts of the small intestine endoscopically accessible. Since the entire digestive system is used, it is almost unlikely to cause vitamin, mineral, iron and calcium deficiencies.
Its long-term outcomes are not yet known because it is a relatively newer procedure that other
Its complications and complication rates are similar to that of other surgical procedures.