Comparative study between Single Anastomosis Sleeve Ileal Bypass (SASI) and Mini Gastric Bypass (OAGB) in treatment of Morbid Obesity

Abstract Background Single anastomosis sleeve ileal bypass (SASI) procedure appears as anew metabolic and bariatric surgery based on santoro's operation, in which sleeve gastrectomy is followed by side to side gastro-ileal loop anastomosis. Aim of the Work to compare between Single Anastomosis Sleeve Ileal Bypass (SASI) and Mini Gastric Bypass (OAGB) in treatment of morbid obesity. Patients and Methods Our study was a prospective randomized comparative study in Ain Shams University hospitals involving 50 patients suffering from morbid obesity and in whom surgical management was indicated. Our patients were randomly divided using closed envelopment method into two groups: Group (1): (25 patients) were treated by laparoscopic SASI. Group (2): (25 patients) were treated by laparoscopic MGB. Results One year after the surgery, there was significant diabetic remission rate and there was improvement of most of obesity-associated metabolic parameters Conclusion Our study suggests that both SASI and MGB are highly effective in controlling diabetes mellitus, hypertension and hyperlipidemia.

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COMPARATIVE STUDY BETWEEN SLEEVE GASTRECTOMY WITH SINGLE ANASTOMOSIS DUODENO-ILEAL BYPASS AND MINI-GASTRIC BYPASS IN MANAGEMENT OF MORBID OBESITY.

International Journal of Advanced Research ◽

10.21474/ijar01/9808 ◽

2019 ◽

Vol 7 (10) ◽

pp. 72-83

Author(s):

Yasser AliElsayed ◽

◽

Atif MohamedAbdElLatif ◽

Tamer YoussefMohamed ◽

Hesham MohamedAbdalla ◽

...

Keyword(s):

Morbid Obesity ◽

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Comparative Study ◽

Mini Gastric Bypass ◽

Single Anastomosis ◽

Ileal Bypass

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Comparative study between Single Anastomosis Duodeno–Ileal Bypass with Sleeve Gastrectomy and Mini-Gastric Bypass Surgery for the Treatment of Morbid Obesity

QJM ◽

10.1093/qjmed/hcaa050.072 ◽

2020 ◽

Vol 113 (Supplement_1) ◽

Author(s):

A Abdelhamid ◽

S Albalkiny ◽

K Abdel-Samee ◽

A Mustafa

Keyword(s):

Morbid Obesity ◽

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Mini Gastric Bypass ◽

Morbidly Obese ◽

Single Anastomosis ◽

Gastric Bypass Operation ◽

One Year ◽

Ileal Bypass

Abstract Background Metabolic and bariatric surgery is a proven therapy for the treatment of obesity and its related comorbidities. Malabsorptive operations usually offer a higher rate of metabolic improvement, despite higher rate of complications and secondary effects. Objectives To compare Single Anastomosis Duodeno–Ileal bypass with Sleeve gastrectomy (SADIS) and Mini-Gastric Bypass operation as two types of bariatric surgeries with regard to weight loss, metabolic outcome and nutritional deficiencies within one year of post-operative follow up. Methods We performed a prospective comparison of 40 morbidly obese patients submitted to SADIS (n. = 20) and MGB (n. = 20) between July 2016 to July 2017 with one year of postoperative follow up. Results The groups were nearly similar in terms of age and sex. The SADI-S group had BMI of (47.4 vs 46.1) with 100% prevalence of DM in both groups, hypertension in SADIS 70% vs 65% in MGB and almost equal incidence of dyslipidemia. The SADI-S group presented markedly higher percentage of EWL of 91.4% vs 71.6% after one year. Control of DM, with HbA1c below 6%, was obtained in 85% in both groups with more decrease in mean HbA1c of SADIS being 5.44 vs 5.815 in MGB after one year. Most patients abandoned antidiabetic therapy or at least were controlled by less medications and lower doses. The SADI-S group presented remission of hypertension by 90% of patients as those of MGB but with far less medications. Lipid profile improvement was noticed in both groups with slightly higher resolution in SADIS group by 95% vs 90% for total cholesterol, 85% in both groups for T.G, 80% vs 85% for LDL, 65% vs 70% for HDL in SADIS and MGB patients respectively. Although the nutritional deficiency is still a considerable concern after SADIS, ours study didn’t show intense difference from MGB provided that proper vitamin supplementation and patient compliance are maintained postoperatively. Conclusion When compared to gastric bypass, SADI-S appears to be an effective and safe therapeutic technique with excellent short-term results for treating morbid obesity and its associated comorbidities with a low rate of nutritional complications. Proving its safety and efficacy by further studies will grant it more popularity in the future.

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