Sleeve gastrectomy with transit bipartition (Santoro Technique) (NEW PROCEDURE)

This surgery is still very rarely performed in France. It was originally described by Dr. Sergio Santoro, a Brazilian surgeon specialised in bariatric surgery. The sleeve gastrectomy with transit bipartition, or Santoro technique, consists in partially excluding the proximal part of the intestine, as opposed to excluding it definitively as is the case in the duodenal switch. This partial exclusion would in theory reduce the risk of vitamin deficiency while encouraging significant weight loss. In a series of more than 1,000 morbidly obese patients operated in Brazil, the results are promising with a loss of excess weight and a cure rate of diabetes comparable to the duodenal switch. This procedure could therefore be an alternative to the bypass and duodenal switch for patients who have already undergone a sleeve gastrectomy and who have regained a lot of weight.