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Evaluation of the Efficacy of Single Anastomosis Sleeve Ileal (SASI) Bypass for Patients with Morbid Obesity: a Multicenter Study.
Mahdy, Tarek; Emile, Sameh Hany; Madyan, Amr; Schou, Carl; Alwahidi, Abdulwahid; Ribeiro, Rui; Sewefy, Alaa; Büsing, Martin; Al-Haifi, Mohammed; Salih, Emad; Shikora, Scott.
Afiliación
  • Mahdy T; General Surgery Department, Mansoura Faculty of Medicine, Mansoura University Hospitals, Mansoura University, 60 El-Gomhoria Street Dakahlia, Mansoura, 35516, Egypt.
  • Emile SH; General Surgery Department, Mansoura Faculty of Medicine, Mansoura University Hospitals, Mansoura University, 60 El-Gomhoria Street Dakahlia, Mansoura, 35516, Egypt. Sameh200@hotmail.com.
  • Madyan A; General Surgery Department, Mansoura Faculty of Medicine, Mansoura University Hospitals, Mansoura University, 60 El-Gomhoria Street Dakahlia, Mansoura, 35516, Egypt.
  • Schou C; Aker University Hospital, Oslo, Norway.
  • Alwahidi A; Sharjah University Hospital, Sharjah, United Arab Emirates.
  • Ribeiro R; Clinica De Santo Antonio, Lusiadas, Amadora, Lisbon, Portugal.
  • Sewefy A; General Surgery Department, Minia Faculty of Medicine, Minia University, Minya, Egypt.
  • Büsing M; Klinikum Vest, Dorstenerstr, 151, 45657, Recklinghausen, Germany.
  • Al-Haifi M; Sidra Hospital, Riggae Area, Kuwait.
  • Salih E; Atakent Hospital, Istanbul, Turkey.
  • Shikora S; Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Obes Surg ; 30(3): 837-845, 2020 Mar.
Article en En | MEDLINE | ID: mdl-31734889
BACKGROUND: Single anastomosis sleeve ileal (SASI) bypass is a newly introduced bariatric and metabolic procedure. The present multicenter study aimed to evaluate the efficacy of the SASI bypass in the treatment of patients with morbid obesity and the metabolic syndrome. METHODS: This is a retrospective, seven-country, multicenter study on patients with morbid obesity who underwent the SASI bypass. Data regarding patients' demographics, body mass index (BMI), percentage of total weight loss (%TWL), percentage of excess weight loss (%EWL), and improvement in comorbidities at 12 months postoperatively and postoperative complications were collected. RESULTS: Among 605 patients who underwent the SASI, 54 were excluded and 551 (390; 70.8% female) were included. At 12 months after the SASI, a significant decrease in the BMI was observed (43.2 ± 12.5 to 31.2 ± 9.7 kg/m2; p < 0.0001). The %TWL was 27.4 ± 13.4 and the %EWL was 63.9 ± 29.5. Among the 279 patients with type 2 diabetes mellitus (T2DM), complete remission was recorded in 234 (83.9%) patients and partial improvement in 43 (15.4%) patients. Eighty-six (36.1%) patients with hypertension, 104 (65%) patients with hyperlipidemia, 37 (57.8%) patients with sleep apnea, and 70 (92.1%) patients with GERD achieved remission. Fifty-six (10.1%) complications and 2 (0.3%) mortalities were recorded. Most complications were minor. All patients had 12 months follow-up. CONCLUSIONS: The SASI bypass is an effective bariatric and metabolic surgery that achieved satisfactory weight loss and improvement in medical comorbidities, including T2DM, hypertension, sleep apnea, and GERD, with a low complication rate.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Derivación Yeyunoileal / Síndrome Metabólico / Diabetes Mellitus Tipo 2 / Íleon Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Obes Surg Asunto de la revista: METABOLISMO Año: 2020 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Derivación Yeyunoileal / Síndrome Metabólico / Diabetes Mellitus Tipo 2 / Íleon Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Obes Surg Asunto de la revista: METABOLISMO Año: 2020 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Estados Unidos