#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#
CS
proLékaře.cz / Journals / Perspectives in Surgery / 2024 - 1

Single anastomosis sleeve ileal bypass a single anastomosis sleeve jejunal bypass in the surgical treatment of severe obesity

Czech version

Authors: M. Hrubý;  D. Vodičková
Authors‘ workplace: Chirurgické oddělení, nemocnice Turnov, Krajská nemocnice Liberec, a. s., Česká republika
Published in: Rozhl. Chir., 2024, roč. 103, č. 1, s. 13-18.
doi: https://doi.org/10.33699/PIS.2024.103.1.13–18

Overview

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.

Keywords:

bariatric surgery – SASI – SASJ – sleeve ileal bypass – sleeve jejunal bypass

Sources
  1. Sjöström L, Narbro K, Sjöström D, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. The New England Journal of Medicine 2007;357:741−752. doi:10.1056/ NEJMoa066254.
  2. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA 2004; 292:1724−1737.  doi:10.1001/jama.292.14.1724.
  3. Haluzik M, Kratochvilova H, Haluzikova D, et al. Gut as an emerging organ for the treatment of diabetes: focus on mechanism of action of bariatric and endoscopic interventions. Journal of Endocrinology 2018;237:R1-R17. doi: 10.1530/JOE-17-0438.
  4. Haluzik M. Svačina Š. Inkretinová léčba diabetu. Praha, Mladá fronta 2011.
  5. Wisen O, Johansson C. Gastrointestinal function in obesity: motility, secretion and absorption following a liquid meal test. Metabolism 1992;41:390–395. doi: 10.1016/0026-0495(92)90073-j.
  6. Santoro S, Castro LC, Prieto Velhote MC, et al. Sleeve gastrectomy with transit bipartition: a potent intervention for metabolic syndrome and obesity. Ann Surg. 2012;256:104–110. doi: 10.1097/ SLA.0b013e31825370c0.
  7. Mahdy T, Al Wahedi A, Schou C. Efficacy of single anastomosis sleeve ileal (SASI) bypass for type-2 diabetic morbid obese patients: gastric bipartition, a novel metabolic surgery procedure: a retrospective cohort study. Int J Surg. 2016;34:28–34. doi: 10.1016/j-ijsu.2016.08.018.
  8. Mahawar KK, Parmar C, Carr WR, et al. Impact of biliopancreatic limb length on severe protein – calorie malnutrition requiring revisional surgery after one anastomosis (mini) gastric bypass. J Minimal Access Surg. 2018;14(1):37–43. doi:10.4103/jmas.JMAS_198_16.
  9. Pazouki A, Kermansaravi M. Single anastomosis sleeve-jejunal bypass: a new method of bariatric/metabolic surgery. Obesity Surgery 2019;29:3769–3770. doi:10.1007/s11695-019-04016-x.
  10. Hosseini SV, Moeinvaziri N, Medhati P, et al. Optimal length of biliopancreatic limb in single anastomosis sleeve gastrointestinal bypass for treatment of severe obesity: Efficacy and concerns. Obesity Sugery 2022;32:2582−2590. doi:10.1007/s11695-022-06107-8.
  11. Sroka G, Milevski D, Shteinberg D, et al. Minimizing hemorrhagic complications in laparoscopic sleeve gastrectomy – a randomized controlled trial. Obesity Surgery 2015;25:1577−1583. doi:10.1007/s11695-015-1580-3.
  12. Gagner M, Buchwald JN. Comparison of laparoscopic sleeve gastrectomy leak rates in four staple-line reinforcement options: a systematic review. Surgery for Obesity and Related Diseases 2014;10:713−724. doi:10.1016/j. soard.2014.01.0016.
  13. D´Ugo S, Gentileschi P, Benavoli D, et al. Comparative use of different techniques for leak and bleeding prevention during laparoscopic sleeve gastrectomy: A multicenter study. Surgery for Obesity and Related Diseases 2014;10:450−454. doi:10.1016/j. soard.2013.10018.
  14. Saba J, Bravo M, Rivas E, et al. Incidence of de novo hiatal hernia after laparoscopic sleeve gastrectomy. Obesity Surgery 2020;30:3730–3734, doi:10.1007/ s11695-020-04742-7.
  15. Althuwaini S, Bamehriz F, Aldohayan A, et al. Prevalence and predictors of gastroesophageal reflux disease after laparoscopic sleeve gastrectomy. Obesity Surgery 2018;28:916−922. doi: 10.1007/ s11695-017-2971-4.
  16. Felsenreich DM, Kefurt R, Schermann M, et al. Reflux, sleeve dilation, and Barrett´s esophagus after laparoscopic sleeve gastrectomy: Long-term follow-up. Obesity Surgery 2017;27: 3092−3101.  doi:10.1007/s11695-017-2748-9.
  17. Emile SH, Mahdy T, Schou C, et al. Systematic review of the outcome of single-anastomosis sleeve ileal (SASI) bypass in treatment of morbid obesity with proportion meta-analysis of improvement in diabetes mellitus. Int J Surg. 2021;92:106024. doi:10.1016/j. isju.2021.106024.
  18. Saber AA, Shoar S, Khoursheed M. Intra-thoracic sleeve migration (ITSM): am uderreported phenomenon after laparoscopic sleeve gastrectomy. Obesity Surgery 2017;27:1917–1923. doi:10.1007/ s11695-017-2589-6.
  19. Sewefy AM, Saleh A. The outcomes of single anastomosis sleeve jejunal bypass as a treatment for morbid obesity (two-year follow-up). Surg Endosc. 2021;35(10):5698–704. doi: 10.1007/ s00464-020.08029-x.
  20. Sepúlveda M, Alamo M, Preiss Y, et al. Metabolic surgery comparing sleeve gastrectomy with jejunal bypass and Roux-en-Y gastric bypass in type 2 diabetic patients after 3 years. Obesity Surgery 2018;28:3466−3473. doi: 10.1007/s11695-018-3402-x.
  21. Rezaei MT, Sheikhbahaei E, Zefreh H, et al. Single-anastomosis sleeve jejunal: a mid-term follow-up report of a new surgical technique. Obesity Surgery 2023;33:1245−1252. doi: 10.1007/s11695-023-06520-7.

MUDr. Martin Hrubý
Chirurgické oddělení Nemocnice Turnov
Krajská nemocnice Liberec, a. s.,
e-mail: martin.hruby@nemlib.cz

Labels
Surgery Orthopaedics Trauma surgery
Bariatrics
Sleeve gastrectomy – still popular bariatric method
Gastric bypass − 10 years’ results
Successful treatment of gastrosplenic fistula after sleeve gastrectomy
From adjustable gastric banding to Roux-en-Y gastric bypass – case report
Article was published in

Perspectives in Surgery

Issue 1
2024 Issue 1
Most read in this issue
Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#