Abstract: Short term clinical results of SG-TB in 41 cases        YAO Li-bin, SHAO Yong, HONG Jian, et al. Department of Gastrointestinal Surgery, the Affiliated Hospital of Xuzhou Medical University, Xuzhou 221006, China
Corresponding author：ZHU Xiao-cheng，E-mail:zhuxccf@163.com
Abstract    Objective    To analyze the short-term effect of Sleeve Gastrectomy with Transit Bipartition (SG-TB) in the treatment of obesity and related morbidities. Methods    From 2019 to 2021，41 obese patients with SG-TB in The Affiliated Hospital of Xuzhou Medical University were retrospectively analyzed. The general information and complications of the patients before operation were recorded，and the incidence of perioperative complications，postoperative weight loss，changes in glucose metabolism，blood pressure，nutritional indicators and gastrointestinal symptoms were analyzed. Results    33 cases (80.5%)，22 cases (53.7%)，16 cases (39.0%) and 5 cases (12.2%) were followed up for 1 month，3 months，6 months and 12 months respectively.  Abdominal bleeding occurred in 41 patients during perioperative period, and 1 case improved after conservative treatment. The body mass index and fasting blood glucose decreased from 37.2±5.7 and（10.6±4.3）mmol / L to 32.4±4.6 and（5.8±0.8）mmol / L at 1 month，29.6±4.1 and（5.5±0.7）mmol / L at 3 months，27.7±4.9 and（5.2±0.5）mmol / L at 6 months，22.3±3.4 and（5.1±1.0）mmol / L at 12 months. There were 1 case of anemia and hypoproteinemia，4 cases of diarrhea，1 case of constipation，6 cases of intermittent nausea and vomiting，2 cases of acid reflux and 2 cases of deodorization after operation，all of them were improved by conservative treatment. Conclusion    SG-TB is feasible in the treatment of obesity and related complications.

Key words: sleeve gastrectomy, laparoscopic, transit bipartition, obesity, diabetes 

摘要： 目的    分析腹腔镜胃袖状切除联合双通路手术（LSG-TB）治疗肥胖及相关合并症短期疗效。方法    回顾性分析2019—2021年徐州医科大学附属医院41例实施LSG-TB手术的肥胖病人资料。记录病人术前一般资料及合并症情况，并分析围手术期并发症发生率、术后体重、糖代谢改变、血压、营养指标变化及消化道症状发生情况。结果    术后满1、3、6、12个月随访分别为33例（80.5%）、22例（53.7%）、16例（39.0%）和5例（12.2%）。41例病人围手术期发生腹腔出血1例保守治疗好转，体重指数与空腹血糖由术前平均37.2±5.7、（10.6±4.3）mmol/L分别降至术后1个月32.4±4.6、（5.8±0.8）mmol/L，3个月29.6±4.1、（5.5±0.7）mmol/L，6个月27.7±4.9、（5.2±0.5）mmol/L，12个月22.3±3.4、（5.1±1.0）mmol/L。术后发生贫血与低蛋白血症1例，腹泻4例，便秘1例，间断恶心呕吐6例，反酸症状2例，排臭气2例，均予以保守治疗好转。结论    LSG-TB治疗肥胖及相关合并症具有临床可行性。

关键词: 胃袖状切除术, 腹腔镜, 双通路, 肥胖, 糖尿病