Journal ArticleDOI
Single anastomosis sleeve ileal (SASI) bypass versus sleeve gastrectomy: a case-matched multicenter study
Sameh Hany Emile,Amr Madyan,Tarek Mahdy,Ayman Elshobaky,Hosam Ghazy Elbanna,Mohamed Anwar Abdel-Razik +5 more
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TLDR
Both procedures had similar weight loss at 6 months postoperatively and comparable complication rates and SASI bypass conferred better improvement in T2DM and GERD than SG.Abstract:
The present study aimed to compare the outcome of single anastomosis sleeve ileal (SASI) bypass and sleeve gastrectomy (SG) in regards weight loss, improvement in comorbidities at 12 months of follow-up, and postoperative complications. This was a case-matched, multicenter analysis of the outcome of patients who underwent SG or SASI bypass. Patients who underwent SASI bypass were matched with an equal number of patients who underwent SG in terms of age, sex, BMI, and comorbidities. The main outcome measures were excess weight loss (EWL) at 6 and 12 months after surgery, improvement in medical comorbidities, and complications. A total of 116 patients (97 female) of a mean age of 35.8 years were included. Fifty-eight patients underwent SASI bypass and an equal number underwent SG. %EWL at 6 months postoperatively was similar between the two groups. SASI bypass conferred significantly higher %EWL at 12 months than SG (72.6 Vs 60.4, p < 0.0001). Improvement in type 2 diabetes mellitus (T2DM) and gastroesophageal reflux disease (GERD) after SASI bypass was better than SG (95.8% Vs 70% and 85.7% Vs 18.2%, respectively). SASI bypass required longer operation time than SG (108.7 Vs 92.8 min, p < 0.0001). Complications occurred in 12 (20.7%) patients after SG and 4 (6.9%) patients after SASI bypass (p = 0.056). The %EWL at 12 months after SASI bypass was significantly higher than after SG. SASI bypass conferred better improvement in T2DM and GERD than SG. Both procedures had similar weight loss at 6 months postoperatively and comparable complication rates.read more
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Journal ArticleDOI
1-Year Follow-up of Single Anastomosis Sleeve Ileal (SASI) Bypass in Morbid Obese Patients: Efficacy and Concerns
TL;DR: SASI bypass is a newly introduced investigational procedure for improving weight loss and comorbidities; however, it may result in EWL and protein malnutrition and should only be performed for select patients and by well-experienced bariatric surgeons.
Journal ArticleDOI
Systematic review of the outcome of single-anastomosis sleeve ileal (SASI) bypass in treatment of morbid obesity with proportion meta-analysis of improvement in diabetes mellitus.
TL;DR: In this paper, the authors conducted a systematic literature search, querying electronic databases and Google Scholar, for studies that reported the outcome of the SASI bypass, and the main outcome measures of the review were change in body mass index (BMI), % of excess weight loss (%EWL), improvement in comorbidities, and complications.
Journal ArticleDOI
Excessive Weight Loss and Hypoalbuminemia After SASI Bypass: the Need for Standardization of the Technique
Sameh Hany Emile,Tarek Mahdy +1 more
TL;DR: The authors based their recommendation to use SASI bypass selectively on the fact that two of their patients required conversion to sleeve gastrectomy due to excessive weight loss or severe protein malnutrition, and concur that these consequences can follow SASi bypass, certain points need to be highlighted.
Journal ArticleDOI
The Effect of Single-Anastomosis Sleeve Ileal (SASI) Bypass on Patients with Severe Obesity in Three Consecutive Years
Seyed Vahid Hosseini,Nader Moeinvaziri,Pourya Medhati,S. A. Salem,Elnaz Sadat Hosseini,Cain C T Clark,Neda Haghighat +6 more
TL;DR: The SASI bypass is an effective bariatric surgery that achieved sequential weight loss and improvement in medical comorbidities three years after the surgery; however, standardization of SASI procedure technique is needed to ameliorate nutritional deficiencies.
Journal ArticleDOI
The single anastomosis sleeve ileal (SASI) bypass: A review of the current literature on outcomes and statistical results
TL;DR: SASI bypass is an effective and safe bariatric surgical procedure that achieves satisfactory weight loss with significantly improvement in obesity-related complications, such as T2DM and GERD, and minimal postoperative nutritional complications.
References
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Journal ArticleDOI
Laparoscopic sleeve gastrectomy: More than a restrictive bariatric surgery procedure?
David Benaiges,Antonio Mas-Lorenzo,Albert Goday,José M. Ramón,Juan J. Chillarón,Juan Pedro-Botet,Juana A. Flores-Le Roux +6 more
TL;DR: The aim of this review was to highlight the salient aspects of SG regarding its historical evolution, pathophysiologic mechanisms, main results, clinical applications and perioperative complications.
Journal ArticleDOI
Sleeve gastrectomy with transit bipartition: a potent intervention for metabolic syndrome and obesity.
Sergio Santoro,Luis Carlos Castro,Manoel Carlos Prieto Velhote,Carlos Eduardo Malzoni,Sidney Klajner,Leandro Perandin Castro,Arnaldo Lacombe,Marco Aurelio Santo +7 more
TL;DR: SG + TB is a simple procedure that results in rapid weight loss and remission or major improvement of comorbidities, and TB is an excellent complement to an SG.
Journal ArticleDOI
Effectiveness of bariatric surgical procedures: A systematic review and network meta-analysis of randomized controlled trials.
Jenny H. Kang,Quang A. Le +1 more
TL;DR: The RYGB and SG yielded similar in weight-loss effect and both were superior to LAGB, indicating low heterogeneity between studies, and the node splitting analysis showed that the studies were consistent between direct and indirect comparisons.
Journal ArticleDOI
Bariatric/Metabolic Surgery to Treat Type 2 Diabetes in Patients With a BMI <35 kg/m2.
David E. Cummings,Ricardo Cohen +1 more
TL;DR: Extant data, including level 1A evidence from numerous RCTs, support new guidelines from the 2nd Diabetes Surgery Summit that advocate for the consideration of bariatric/metabolic surgery as one option, along with lifestyle and medical therapy, to treat T2DM among patients with a BMI <35 kg/m2.
Journal ArticleDOI
Evaluation of gastroesophageal reflux before and after sleeve gastrectomy using symptom scoring, scintigraphy, and endoscopy
TL;DR: The new onset GERD detected on scintigraphy may not be pathologic as there is a decrease in total acid production postsurgery; however, it still remains an important issue and needs long-term follow-up.