**13. Conclusion**

The addition of a malabsorptive component to LSG has been coined as "sleeveplus". The sleeve-plus procedures more commonly done in the Asia-Pacific are the SGDJB and SGPJB. The said procedures have both shown satisfactory outcomes in the treatment of obesity and related co-morbidities that are comparable to other bariatric procedures but with less adverse outcomes than that of RYGB and may be considered as alternative options. However, more studies are necessary to assess long-term outcomes in terms of diabetes remission, nutrition, and applicability to other racial populations.
