单吻合口套叠回肠旁路术（SASI 旁路术）：短期结果和关注点。
Single Anastomosis Sleeve Ileal Bypass (SASI Bypass): Short-Term Outcomes and Concerns.
机构信息
Department of Bariatric and Metabolic Surgery, Covadonga Hospital, Av. 7 1610, 94560, Córdoba, Veracruz, Mexico.
Department of Psychology MSc Psy, Bariatric and Metabolic Surgery Center Obesity Health, Boulevard del Mar 415, Boca del Río, 94299, Veracruz, Mexico.
出版信息
Obes Surg. 2021 May;31(5):2339-2343. doi: 10.1007/s11695-020-05145-4. Epub 2021 Jan 6.
BACKGROUND
Single anastomosis sleeve ileal (SASI) Bypass has recently emerged as a novel surgical technique. The purpose of this study is evaluating the efficacy and feasibility of our SASI technique.
METHODS
Between April 2018 and February 2020, 83 patients underwent SASI bypass at our center. A retrospective analysis was performed. Forty-three patients (51.8%) completed follow-up at 12 months.
RESULTS
Average BMI at 12 months, change in BMI, and %EWL were 28.2 ± 4.5 kg/m, 13.5 ± 5.7 kg/m, and 85.6% respectively. From the 25 patients evaluated, diabetes remission occurred in 95.8% of them. There were 4 (4.8%) Clavien-Dindo (CD) I, 5 (6.0%) CD II, and 2 (2.4%) CD IIIb complications.
CONCLUSIONS
SASI bypass offers excellent weight loss and comorbidities resolution. As expected, higher-quality studies are needed.
背景
单吻合口袖套式回肠旁路术（SASI）最近作为一种新的手术技术出现。本研究旨在评估我们的 SASI 技术的疗效和可行性。
方法
2018 年 4 月至 2020 年 2 月，我院有 83 例患者接受了 SASI 旁路手术。对这些患者进行了回顾性分析。其中 43 例（51.8%）在 12 个月时完成了随访。
结果
12 个月时的平均 BMI、BMI 变化和 %EWL 分别为 28.2±4.5kg/m²、13.5±5.7kg/m²和 85.6%。在 25 例评估的患者中，糖尿病缓解率为 95.8%。有 4 例（4.8%）Clavien-Dindo（CD）I 级、5 例（6.0%）CD II 级和 2 例（2.4%）CD IIIb 并发症。
结论
SASI 旁路术可提供极好的减重和缓解合并症效果。预计需要开展更高质量的研究。
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