The outcomes of single anastomosis sleeve jejunal bypass as a treatment for morbid obesity (Two-year follow-up)

Sewefy, Alaa M.; Saleh, Abdelfattah Abdelfattah

doi:10.1007/s00464-020-08029-x

Cited by 24 publications

(51 citation statements)

References 40 publications

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“…At 1 year of follow-up, the mean %TWL was 30% and the mean %EWL was approximately 76.5%, compared to the reported %EWL of 85% with SAS-J bypass as the primary procedure in our original study, 64–79% after SADI-S, and 61–66% after RYGB [ 5 , 15 , 22 – 27 ]…”

Section: Discussionmentioning

confidence: 68%

“…Regarding the effects of conversion on T2DM, the remission rate in this study was 100%, compared to 85–100% after revisional OAGB, 60% after revisional RYGB, 88% after SADI, and 100% in SAS-J as the primary procedure [ 5 , 15 , 22 – 27 ].…”

Section: Discussionmentioning

confidence: 80%

“…DS, RYGB, OAGB, and SADI are the commonest reported bariatric procedures for revisional surgery. In our original study, SAS-J bypass was very effective as a primary bariatric procedure, with many advantages, including its relative simplicity, less malnutrition compared to other malabsorptive procedures, and easy screening of the upper GIT and biliary tree [ 15 ]. This is the first study to discuss the use of SAS-J bypass as a revisional procedure after failed restrictive operations.…”

Section: Discussionmentioning

confidence: 99%

“…The %EWL was calculated as [(preoperative weight − follow-up weight) / preoperative weight − ideal weight] × 100. The %TWL was calculated as [(preoperative weight − follow-up weight) / preoperative weight] × 100 [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

“…Duodenal switch (DS), Roux-en Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), and single-anastomosis duodeno-ileal (SADI) bypass are the most common bariatric procedures for revisional surgery. SAS-J bypass is effective as a primary bariatric procedure, with many advantages, including its relative simplicity, less malnutrition compared to other malabsorptive procedures, and easy screening of the upper GIT and biliary tree [ 15 ]. This study aimed to evaluate SAS-J bypass as a revisional procedure.…”

Section: Introductionmentioning

confidence: 99%

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Single-Anastomosis Sleeve Jejunal (SAS-J) Bypass as Revisional Surgery After Primary Restrictive Bariatric Procedures

et al. 2022

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Purpose Single-anastomosis sleeve jejunal (SAS-J) bypass is the modification of a single-anastomosis sleeve ileal (SASI) bypass with a short biliary limb. SAS-J bypass is reported to be a good primary bariatric procedure. This study aimed to evaluate the results of SAS-J bypass as a revisional surgery after failed primary restrictive bariatric procedures. Material and Methods This was a prospective cohort study including 43 patients who underwent SAS-J bypass as a revisional surgery for weight regain after laparoscopic sleeve gastrectomy (LSG), laparoscopic adjustable gastric band (LAGB), or laparoscopic gastric plication. Results Of the total patients, 35 (81.4%) were female, and 8 (18.6%) were male. The mean BMI was 46.3 kg/m2. The mean age was 41 years. Thirty-two patients (74.4%) had a failed sleeve, 9 (20.9%) had a failed LAGB, and 2 (4.7%) had a failed gastric plication. The mean operative time was 104 min. Intra-abdominal bleeding occurred in 1 case (2.3%), and intraluminal bleeding occurred in 3 cases (7%). No case (0%) developed a leak. The percentage of excess weight loss (%EWL) reached 76.5% after 1 year. Type 2 diabetes mellitus remission occurred in all diabetic patients, hypertension remitted in 80%, hyperlipidemia remitted in 83.3%, and obstructive sleep apnea syndrome improved in all cases. Gastroesophageal reflux disease (GERD) symptoms were improved in 86.7% of patients. Significant biliary gastritis occurred in 4 patients (9.3%). Dumping syndrome was reported in 4 patients (9.3%). Conclusions SAS-J bypass was effective as a salvage surgery after failed restrictive bariatric procedures, but long-term follow-up is needed. Graphical abstract

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Single-Anastomosis Sleeve Jejunal (SAS-J) Bypass as Revisional Surgery After Primary Restrictive Bariatric Procedures

et al. 2022

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Mid-term outcomes after single anastomosis sleeve ileal (SASI) bypass in treatment of morbid obesity

Aghajani¹,

Schou²,

Gíslason³

et al. 2023

Surg Endosc

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Background According to several short-term studies, single-anastomosis sleeve ileal (SASI) bypass offers similar weight loss to Roux-en-Y Gastric Bypass (RYGB) with fewer complication and better comorbidity reduction/resolution. Long-term data on this operation is lacking in the literature. The purpose of this study was to analyze the outcomes of SASI bypass up to 4 years. Methods This study is a retrospective cohort analysis of 366 patients with morbid obesity who underwent primary SASI bypass from January 2018 to February 2022. Results The mean age and preoperative body mass index (BMI) were 41 years (range 22–71 years) and 43.9 ± 6.5 kg/m2, respectively. Follow-up was available for 229 patients at 1-year (89%), 112 patients at 2-year (75%), 61 patients at 3-year (75%), and 35 patients at 4-year (71%). The intraoperative, short-term, and long-term complication rates were 0%, 2.5%, 4.6%, respectively. After 4 years, mean percentage excess weight loss (%EWL) was 93.3% and total weight loss (%TWL) was 41.2%. Remission of comorbidities was 93% for type 2 diabetes mellitus, 73% for hypertension, 83% for hyperlipidemia, 79% for sleep apnea, and 25% for gastroesophageal reflux disease (GERD). Biliary gastritis and ulcers are seldom. Eight patients developed de novo GERD symptoms requiring proton pump inhibitor treatment. None of the patients in our study had hypoalbuminemia or malabsorption that did not respond to increased protein intake and vitamin or mineral supplementation. Conclusion SASI bypass appears to be safe, and one of the most effective bariatric procedures regarding weight loss and obesity related comorbidities. The double-outlet created in this procedure seemingly minimizes nutritional complications. Graphical abstract

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Comparison of the Outcomes of Single Anastomosis Duodeno-Ileostomy with Sleeve Gastrectomy (SADI-S), Single Anastomosis Sleeve Ileal (SASI) Bypass with Sleeve Gastrectomy, and Sleeve Gastrectomy Using a Rodent Model with Diabetes

Widjaja

et al. 2022

OBES SURG

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The outcomes of single anastomosis sleeve jejunal bypass as a treatment for morbid obesity (Two-year follow-up)

Cited by 24 publications

References 40 publications

Single-Anastomosis Sleeve Jejunal (SAS-J) Bypass as Revisional Surgery After Primary Restrictive Bariatric Procedures

Single-Anastomosis Sleeve Jejunal (SAS-J) Bypass as Revisional Surgery After Primary Restrictive Bariatric Procedures

Mid-term outcomes after single anastomosis sleeve ileal (SASI) bypass in treatment of morbid obesity

Comparison of the Outcomes of Single Anastomosis Duodeno-Ileostomy with Sleeve Gastrectomy (SADI-S), Single Anastomosis Sleeve Ileal (SASI) Bypass with Sleeve Gastrectomy, and Sleeve Gastrectomy Using a Rodent Model with Diabetes

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