Tarnowski Wiesław, Barski Krzysztof, Jaworski Paweł, Binda Artur, Kudlicka Emilia, Wąsowski Michał, Jankowski Piotr
Department of General, Oncological and Bariatric Surgery, Medical Centre of Postgraduate Education, Orłowski Hospital, Warsaw, Poland.
Department of Internal Medicine and Geriatric Cardiology, Medical Centre of Postgraduate Education, Orłowski Hospital, Warsaw, Poland.
Wideochir Inne Tech Maloinwazyjne. 2022 Jun;17(2):365-371. doi: 10.5114/wiitm.2022.114943. Epub 2022 Mar 25.
Single anastomosis sleeve ileal (SASI) bypass is a recently introduced bariatric procedure that combines the advantages of restrictive and malabsorptive operations, at the same time reducing the risk of nutrient deficiencies by maintaining passage through all the alimentary tract.
To present the outcomes of the first group of patients that underwent the SASI bypass in our clinic and assess the safety and efficiency of the procedure.
We analyzed patients qualified for SASI bypass between January 2020 and February 2021. Retrospective analysis was performed and outpatient treatment results were evaluated.
A group of nineteen patients (18 women) underwent SASI bypass. The mean preoperative body mass index was 40.3 ±3.74 kg/m, mean age: 43.3 ±7.83. The mean excess weight loss (% EWL) after 3, 6, 9 and 12 months of follow-up was 43%, 56%, 72.5%, 88.83% respectively. Remission of obesity related diseases was as followed: hypertension in 8 patients (80%, p < 0.05), type II diabetes in 6 patients (100%, p < 0.05), pre-diabetes in 4 patients (50%, p = 0.13). Complications occurred in 4 cases: hematemesis, dysphagia, diarrhea, short bowel syndrome. A patient who developed symptoms of short bowel syndrome was reoperated on and gastrointestinal anastomosis was disconnected. Postoperatively, unwanted symptoms resolved and a good bariatric effect was preserved.
Our first experience is consistent with that reported in previous studies: very good EWL and a rapid resolution of obesity related diseases after SASI bypass as well as safety of the procedure.
单吻合口袖状回肠（SASI）旁路手术是一种最近引入的减肥手术，它结合了限制性手术和吸收不良性手术的优点，同时通过保持食物通过整个消化道来降低营养缺乏的风险。
介绍在我们诊所接受SASI旁路手术的第一组患者的治疗结果，并评估该手术的安全性和有效性。
我们分析了2020年1月至2021年2月期间符合SASI旁路手术条件的患者。进行回顾性分析并评估门诊治疗结果。
一组19名患者（18名女性）接受了SASI旁路手术。术前平均体重指数为40.3±3.74kg/m，平均年龄：43.3±7.83岁。随访3、6、9和12个月后的平均超重减轻率（%EWL）分别为43%、56%、72.5%、88.83%。肥胖相关疾病的缓解情况如下：8例高血压患者（80%，p<0.05），6例2型糖尿病患者（100%，p<0.05），4例糖尿病前期患者（50%，p=0.13）。发生了4例并发症：呕血、吞咽困难、腹泻、短肠综合征。一名出现短肠综合征症状的患者接受了再次手术，胃肠吻合口被断开。术后，不良症状得到缓解，减肥效果良好。
我们的首次经验与先前研究报告的一致：SASI旁路手术后超重减轻效果非常好，肥胖相关疾病迅速缓解，且该手术具有安全性。
