Hybrid Duodenal Transit Bipartition integrates endoscopic and laparoscopic techniques.
Procedure Components
Endoscopic sleeve gastroplasty (ESG)
plus
duodenoileal or duodenojejunal anastomosis
Metabolic Rationale
The intestinal component enhances incretin stimulation while ESG reduces gastric capacity.
This hybrid model aims to maximize metabolic outcomes with minimal invasiveness.
More details are provided in the pillar article on metabolic concepts of duodenal bipartition.



