{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T03:22:02Z","timestamp":1794194522252,"version":"4.8.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":258,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n \n The optimal bariatric procedure for patients with severe obesity (BMI\u2009\u2265\u200950\u2009kg\/m\n 2<\/jats:sup>\n ) remains debated. This study compares standard laparoscopic sleeve gastrectomy (LSG) with an emerging metabolic intervention, LSG with proximal jejunal bypass (LSG\u2009+\u2009PJB).\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A retroprospective study (January 2022\u2013December 2024) included 48 patients with severe obesity, divided into LSG (\n n<\/jats:italic>\n \u2009=\u200925) and LSG\u2009+\u2009PJB (\n n<\/jats:italic>\n \u2009=\u200923) groups. Outcomes evaluated included percent excess weight loss (%EWL), percent total weight loss (%TWL), HbA1C, complete diabetes mellitus (DM) remission, operative time, length of stay (LOS), and complications. The study protocol was approved by the Institutional Review Board of Rajavithi Hospital (Approval No. 68184).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n At 12\u2009months, both groups achieved significant weight reduction. LSG\u2009+\u2009PJB showed higher mean %EWL (52.05% vs. 42.27%) and %TWL (28.74% vs. 24.71%) than LSG, though statistically insignificant. However, LSG\u2009+\u2009PJB demonstrated significantly superior metabolic outcomes, including a higher complete DM remission rate (100% vs. 66.7%,\n p<\/jats:italic>\n \u2009=\u20090.047) and greater reductions in HbA1C (\n p<\/jats:italic>\n \u2009=\u20090.001), fasting blood sugar (\n p<\/jats:italic>\n \u2009=\u20090.005), and C\u2010peptide (\n p<\/jats:italic>\n \u2009=\u20090.026). While operative time was longer for LSG\u2009+\u2009PJB (183.3 vs. 113\u2009min), LOS and major complications were comparable. Notably, the LSG group experienced higher rates of constipation (16%,\n p<\/jats:italic>\n \u2009=\u20090.045) and GERD (12%,\n p<\/jats:italic>\n \u2009=\u20090.086).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Both procedures effectively achieve weight loss in patients with severe obesity. Nevertheless, LSG\u2009+\u2009PJB yields significantly superior glycemic control and DM remission with a comparable safety profile, making it a highly effective surgical alternative, particularly for patients with comorbid Type 2 diabetes.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ases.70381","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T08:39:12Z","timestamp":1789547952000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Surgical Outcomes Between Laparoscopic Sleeve Gastrectomy (\n LSG<\/scp>\n ) Versus Laparoscopic Sleeve Gastrectomy With Proximal Jejunal Bypass (\n LSG<\/scp>\n With\n PJB<\/scp>\n ) in Patients With Severe Obesity (\n BMI<\/scp>\n \u2009\u2265\u200950\u2009kg\/m\n 2<\/sup>\n )"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6801-0024","authenticated-orcid":false,"given":"Sathienrapong","family":"Chantawibul","sequence":"first","affiliation":[{"name":"Department of Surgery Rajavithi Hospital Bangkok Thailand"},{"name":"College of Medicine Rangsit University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8653-8657","authenticated-orcid":false,"given":"Kwanchanok","family":"Losuwarat","sequence":"additional","affiliation":[{"name":"Department of Surgery Rajavithi Hospital Bangkok Thailand"},{"name":"College of Medicine Rangsit University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ratchamon","family":"Pinyoteppratarn","sequence":"additional","affiliation":[{"name":"Department of Surgery Rajavithi Hospital Bangkok Thailand"},{"name":"College of Medicine Rangsit University Bangkok 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