General Surgery Department, Mansoura University Hospitals, Mansoura University, Mansoura City, Egypt.
Surg Laparosc Endosc Percutan Tech. 2020 Apr;30(2):e13-e17. doi: 10.1097/SLE.0000000000000763.
Morbid obesity has been recognized as a public health crisis, particularly in developed countries. Single anastomosis sleeve ileal (SASI) bypass has been introduced as a novel bariatric and metabolic procedure. The present study aimed to describe the technical steps and assess the short-term outcomes of SASI bypass in patients with super morbid obesity.
Adult patients of both sexes with body mass index (BMI) ≥50 kg/m underwent SASI bypass and were followed for 12 months postoperatively. Changes in BMI, excess weight loss (EWL), and improvement in comorbidities were recorded on follow-up.
Twenty patients (17 female) of the mean age of 35.4 years were included in the study. The mean preoperative BMI (53.7±5.9) showed a significant decrease at 6 months (39.9±5.2) and then at 12 months (33.6±6) postoperatively. The mean %EWL was 44.3±7.8 at 6 months and 65.2±12.6 at 12 months. All patients with diabetes mellitus, osteoarthritis, and reflux esophagitis showed resolution at 12 months after the SASI bypass. Complications were recorded in 2 patients and no mortality was reported.
SASI bypass is an effective and safe bariatric procedure that confers significant loss of weight and improvement in medical comorbidities. As compared with previous studies on patients with lower BMI, patients with super morbid obesity attained lower %EWL but similar resolution of diabetes mellitus at 12 months after SASI bypass.
病态肥胖已被视为公共健康危机，尤其是在发达国家。单吻合口袖状回肠旁路术（SASI 旁路）已被引入作为一种新的减重和代谢手术。本研究旨在描述 SASI 旁路在超级病态肥胖患者中的技术步骤，并评估其短期结果。
接受 SASI 旁路的成年男女患者，体重指数（BMI）≥50kg/m2，并在术后随访 12 个月。记录随访时 BMI、多余体重减轻（EWL）和合并症改善的变化。
研究共纳入 20 例患者（17 名女性），平均年龄为 35.4 岁。术前平均 BMI（53.7±5.9）在术后 6 个月（39.9±5.2）和 12 个月（33.6±6）显著下降。6 个月时平均 EWL%为 44.3±7.8，12 个月时为 65.2±12.6。所有糖尿病、骨关节炎和反流性食管炎患者在 SASI 旁路术后 12 个月时均得到缓解。记录到 2 例并发症，无死亡报告。
SASI 旁路是一种有效且安全的减重手术，可显著减轻体重并改善合并症。与之前 BMI 较低的患者研究相比，超级病态肥胖患者在 SASI 旁路术后 12 个月时的 EWL%较低，但糖尿病的缓解率相似。
