Rozhl Chir. 2024;103(1):13-18. doi: 10.33699/PIS.2024.103.1.13-18.
Bariatric surgery has been proven to be an effective method in the treatement of morbid obesity. The ideal bariatric procedure should be effective, easy to perform and safe. Sleeve gastrectomy and RYGB currently represent the most frequently used bariatric/metabolic procedures. However, they have a certain percentage of complications and post-operative morbidity and also they fail in some patients. These facts lead to the development of new surgical procedures, which also include single anastomosis sleeve ileal bypass (SASI) and single anastomosis sleeve jejunal bypass (SASJ). These procedures 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. The results so far are encouraging, further research and especially longer-term results are necessary.
减重手术已被证明是治疗病态肥胖的有效方法。理想的减重手术应该是有效、易于操作且安全的。袖状胃切除术和 RYGB 目前代表了最常用的减重/代谢手术。然而，它们有一定比例的并发症和术后发病率，并且在一些患者中失败。这些事实导致了新的手术方法的发展，其中包括单吻合口袖状回肠旁路术（SASI）和单吻合口袖状空肠旁路术（SASJ）。这些手术同时结合了限制和吸收不良手术的优点，同时通过保持通过整个消化道来降低营养缺乏的风险。到目前为止，结果令人鼓舞，需要进一步的研究，特别是长期结果。
