Journal of Surgery Concepts & Practice >

2026 , Vol. 31 >Issue 02: 121 - 128

DOI: https://doi.org/10.16139/j.1007-9610.2026.02.05

Original article

Short-term efficacy of laparoscopic sleeve gastrectomy with transit bipartition versus laparoscopic sleeve gastrectomy in the treatment of super obesity

  • ZHU Yuxi ,
  • NI Liangchen ,
  • WANG Jian ,
  • HONG Jian ,
  • ZHU Xiaocheng ,
  • YAO Libin
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  • 1 Department of Bariatric and Metabolic Surgery, the Affiliated Hospital of Xuzhou Medical University, Jiangsu Xuzhou 221006, China
    2 International Center for Obesity and Metabolic Diseases, Xuzhou Medical University, Jiangsu Xuzhou 221004, China

Received date: 2025-05-05

  Online published: 2026-06-23

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Abstract

Objective To compare the short-term efficacy and safety of laparoscopic sleeve gastrectomy (LSG) with transit bipartition (TB) versus LSG in super obese patients. Methods A retrospective study was conducted on 113 super obese patients (LSG 75, LSG-TB 38 cases), evaluating weight loss, metabolic outcomes, nutritional indicators, and complications over 12 months. Results At 12 months, LSG-TB showed significantly higher percentage of total weight loss (%TWL) and percentage of excess weight loss (%EWL) than LSG (40.0% vs. 36.6%, 73.4% vs. 66.2%, P<0.05). Both groups achieved similar glycemic control, while total cholesterol (TC), low density lipoprotein (LDL), and uric acid (UA) levels decreased more in the LSG-TB group (P<0.05). Gastroesophageal reflux disease (GERD) remission was significantly better with LSG-TB (P<0.05). Postoperative complication rates were low in both groups, with stable nutritional status. Conclusions LSG-TB demonstrates superior short-term weight loss and metabolic benefits in super obese patients, with comparable safety to LSG, supporting its clinical value.

Key words： Super obesity; Laparoscopic sleeve gastrectomy (LSG); Transit bipartition(TB); Bariatric surgery; Metabolic benefit

Cite this article

ZHU Yuxi , NI Liangchen , WANG Jian , HONG Jian , ZHU Xiaocheng , YAO Libin . Short-term efficacy of laparoscopic sleeve gastrectomy with transit bipartition versus laparoscopic sleeve gastrectomy in the treatment of super obesity[J]. Journal of Surgery Concepts & Practice, 2026 , 31(02) : 121 -128 . DOI: 10.16139/j.1007-9610.2026.02.05

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