This is a new procedure, specifically designed for patients with Diabetes Mellitus with or without obesity.
This combines the restrictive effect of a vertical sleeve gastrectomy, and also the malabsorptive effect of upper small intestinal bypass, thus leading to weight reduction.
In addition, it induces a variety of intestinal hormonal changes, all of which lead to lowering of blood sugar levels and improved insulin secretion, thus resolving type ii diabetes mellitus even in patients who are not obese.
The advantage of this procedure is that the chances of frequent stools and esophageal reflux are less. Also, a single anastomosis is made, which can be examined via endoscopy.
It is a partially reversible procedure, which works to its advantage in selecting this surgery especially for resolution of type II diabetes mellitus.