Single anastomosis sleeve ileal bypass (SASI)- a new promising bariatric procedure.
EAES Academy. Lech P. 07/05/22; 362963; P006
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Abstract
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Introduction
Bariatric surgery is a worldwide recognized method of treatment of morbid obesity, and the number of procedures performed each year is still increasing all over the world. Currently, metabolic surgeons have a spectrum of over 30 different procedures, the most common of which are sleeve resection and RYGB-Roux-en-Y gastricy bypass. The search for new procedures that will enable a greater individualization of bariatric treatment is still ongoing. One of these procedures is SASI- single anastomosis sleeve ileal bypass.
AIM:
The aim of the study is to present a relatively young and new bariatric procedure and demonstrate its effectiveness in a short postoperative period
METHODOLOGY
In the years 2019-2021, 20 SASI procedures were performed at the General, Minimally Invasive and Old Age Surgery Clinic in Olsztyn. 15 procedures were primary procedures, in 5 cases SASI was the revision method after sleeve gastrectomy. Patients with metabolic complications of obesity were qualified for primary SASI treatments.
Results:
The mean age of the patients qualified for SASI was 36.4 years, mean BMI 41.8 and body weight 120.8 kg. The mean procedure time was 65.3 minutes, and the hospital stay was 2 days. 10 patients suffered from type 2 diabetes, 5 from hypertension. Rapid recovery of diabetes and hypertension was observed in all patients with metabolic complications of obesity.
Conclusions:
SASI is a relatively young and new bariatric procedure, but the short-term results are very good, encouraging further research into this procedure.
Bariatric surgery is a worldwide recognized method of treatment of morbid obesity, and the number of procedures performed each year is still increasing all over the world. Currently, metabolic surgeons have a spectrum of over 30 different procedures, the most common of which are sleeve resection and RYGB-Roux-en-Y gastricy bypass. The search for new procedures that will enable a greater individualization of bariatric treatment is still ongoing. One of these procedures is SASI- single anastomosis sleeve ileal bypass.
AIM:
The aim of the study is to present a relatively young and new bariatric procedure and demonstrate its effectiveness in a short postoperative period
METHODOLOGY
In the years 2019-2021, 20 SASI procedures were performed at the General, Minimally Invasive and Old Age Surgery Clinic in Olsztyn. 15 procedures were primary procedures, in 5 cases SASI was the revision method after sleeve gastrectomy. Patients with metabolic complications of obesity were qualified for primary SASI treatments.
Results:
The mean age of the patients qualified for SASI was 36.4 years, mean BMI 41.8 and body weight 120.8 kg. The mean procedure time was 65.3 minutes, and the hospital stay was 2 days. 10 patients suffered from type 2 diabetes, 5 from hypertension. Rapid recovery of diabetes and hypertension was observed in all patients with metabolic complications of obesity.
Conclusions:
SASI is a relatively young and new bariatric procedure, but the short-term results are very good, encouraging further research into this procedure.
Introduction
Bariatric surgery is a worldwide recognized method of treatment of morbid obesity, and the number of procedures performed each year is still increasing all over the world. Currently, metabolic surgeons have a spectrum of over 30 different procedures, the most common of which are sleeve resection and RYGB-Roux-en-Y gastricy bypass. The search for new procedures that will enable a greater individualization of bariatric treatment is still ongoing. One of these procedures is SASI- single anastomosis sleeve ileal bypass.
AIM:
The aim of the study is to present a relatively young and new bariatric procedure and demonstrate its effectiveness in a short postoperative period
METHODOLOGY
In the years 2019-2021, 20 SASI procedures were performed at the General, Minimally Invasive and Old Age Surgery Clinic in Olsztyn. 15 procedures were primary procedures, in 5 cases SASI was the revision method after sleeve gastrectomy. Patients with metabolic complications of obesity were qualified for primary SASI treatments.
Results:
The mean age of the patients qualified for SASI was 36.4 years, mean BMI 41.8 and body weight 120.8 kg. The mean procedure time was 65.3 minutes, and the hospital stay was 2 days. 10 patients suffered from type 2 diabetes, 5 from hypertension. Rapid recovery of diabetes and hypertension was observed in all patients with metabolic complications of obesity.
Conclusions:
SASI is a relatively young and new bariatric procedure, but the short-term results are very good, encouraging further research into this procedure.
Bariatric surgery is a worldwide recognized method of treatment of morbid obesity, and the number of procedures performed each year is still increasing all over the world. Currently, metabolic surgeons have a spectrum of over 30 different procedures, the most common of which are sleeve resection and RYGB-Roux-en-Y gastricy bypass. The search for new procedures that will enable a greater individualization of bariatric treatment is still ongoing. One of these procedures is SASI- single anastomosis sleeve ileal bypass.
AIM:
The aim of the study is to present a relatively young and new bariatric procedure and demonstrate its effectiveness in a short postoperative period
METHODOLOGY
In the years 2019-2021, 20 SASI procedures were performed at the General, Minimally Invasive and Old Age Surgery Clinic in Olsztyn. 15 procedures were primary procedures, in 5 cases SASI was the revision method after sleeve gastrectomy. Patients with metabolic complications of obesity were qualified for primary SASI treatments.
Results:
The mean age of the patients qualified for SASI was 36.4 years, mean BMI 41.8 and body weight 120.8 kg. The mean procedure time was 65.3 minutes, and the hospital stay was 2 days. 10 patients suffered from type 2 diabetes, 5 from hypertension. Rapid recovery of diabetes and hypertension was observed in all patients with metabolic complications of obesity.
Conclusions:
SASI is a relatively young and new bariatric procedure, but the short-term results are very good, encouraging further research into this procedure.
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