Sleeve Gastrectomy Versus Single Anastomosis Sleeve Ileal Bypass in The Management of Type II Diabetic Patients with Morbid Obesity | ||
| The Egyptian Journal of Surgery | ||
| Volume 44, Issue 3, July 2025, Pages 939-950 PDF (462.96 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2025.347110.1324 | ||
| Authors | ||
| Mohammad Hossam* 1; Tamer Youssef1; Atef M. Abdelatif1; Hanan M. ElSotohy2; Amr Madyan1; Amr Sameer1 | ||
| 1Departments of General Surgery, Faculty of Medicine, Mansoura University, Egypt | ||
| 2Departments of Internal Medicine, Faculty of Medicine, Mansoura University, Egypt | ||
| Abstract | ||
| Background: Both laparoscopic sleeve gastrectomy (LSG) and single anastomosis sleeve ileal bypass (SASI) have become popular bariatric procedures in Egypt. However, their effect on obese diabetic patients is understudied. In the current study, we compared the previous two metabolic procedures regarding weight loss and improvement of comorbidities in obese patients with type 2 diabetes mellitus. Patients and Methods: We enrolled 32 diabetic patients whose BMI was more than 35kg/m2 in this prospective randomized trial. They were allocated into two groups (16 cases in each): LSG and SASI groups. Results: All preoperative parameters were comparable between the study groups. Nonetheless, the duration of operation increased significantly in the SASI group. The excess weight loss percentage showed a significant increase with time, and it was comparable between the two procedures. Fasting, postprandial plasma glucose, and glycated hemoglobin showed a significant decline in both study groups compared to the baseline, and these follow-up readings were comparable between the two procedures, indicating comparable diabetic outcomes between the two procedures. A positive impact on diabetes (improvement or remission) was noticed in 87.5 and 93.75% of cases in the two groups, respectively, with no statistically significant difference. The improvement of hypertension and dyslipidemia also did not differ between the two groups. No significant nutritional deficiencies were encountered in either group. However, reflux outcomes were better in association with the SASI procedure. Conclusion: Both LSG and SASI procedures have comparable short-term outcomes regarding weight loss and improvement of the diabetic state, along with other obesity-related comorbidities. | ||
| Keywords | ||
| Single anastomosis sleeve ileal bypass; Sleeve gastrectomy; Type 2 diabetes | ||
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