Presize Clinic
Call : +(91)-8888655455
Mail : presizeclinic@gmail.com
Address : Office No 303, Shivai 1, Sinhagad Road, Parvati Paytha, Landmark Nearby Sarasbaug and Dandekar Pul. Pune 411028, Maharashtra, India.
1000 +
Surgeries Done
Sleeve Plus Procedures: A New Frontier in Bariatric Surgery
Overview:
Sleeve Plus procedures are a relatively new category of bariatric surgeries designed to bridge the gap between Sleeve Gastrectomy and Gastric Bypass. Introduced by Dr. C.K. Huang in 2015, these procedures aim to deliver effective, long-term weight loss and metabolic benefits while minimizing complications
Why Sleeve Plus?
While Sleeve Gastrectomy offers simplicity in performance and has more weight loss compared to sleeve
Sleeve Plus procedures combine the best of both worlds by integrating restrictive and divertive principles with minimal side effects.
Mechanism of Action:
These surgeries not only restrict food intake and nutrient absorption but also alter gut hormones like Ghrelin, GLP-1, and PYY—leading to improved satiety, insulin sensitivity, and diabetes remission.
Who Can Benefit?
Ideal candidates are patients aged 18–65 years with a BMI >30 kg/m² and obesity-related comorbidities, particularly type 2 diabetes. A comprehensive pre-surgical evaluation by a multidisciplinary team is essential.
Types of Sleeve Plus Procedures:
- BPD-DS: Offers maximum weight loss; best for super-obese patients.
- SADI-S: Effective revisional surgery for failed Sleeve Gastrectomy.
- SG with Duodenojejunal Bypass: Balances foregut and hindgut mechanisms and good for diabetics
- SG with Proximal Jejunal Bypass (SG-PJB): Reversible and easier to perform.
- Sleeve with Jejunoileal Anastomosis & Transit Bipartition: Promising results with fewer complications.
- Ileal Interposition: Ideal for low-BMI diabetics.
Advantages:
- Superior metabolic outcomes
- Less dumping syndrome
- Preserved access for future endoscopy
- Suitable for Indian dietary patterns and BMI profiles
Recent Insights:
Meta-analyses show that Sleeve Plus procedures can outperform RYGB in weight loss with similar comorbidity resolution and fewer complications. Among them, SG-DJB and SG-PJB stand out for their effectiveness and safety.
Future Outlook:
With increasing clinical experience and long-term data, Sleeve Plus procedures are poised to become a preferred choice in personalized bariatric care, especially for Asian populations.
