A prospective randomised trial comparing outcomes of single anastomosis sleeve jejunal bypass, sleeve gastrectomy, and one anastomosis gastric bypass. | ||
| International Journal of Health Sciences (Egypt) | ||
| Articles in Press, Accepted Manuscript, Available Online from 08 November 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijhegy.2025.431584.1076 | ||
| Authors | ||
| Ahmed Hussein Ibrahim; Helmy Ezzat; Ahmed Elgeidie; Mohamad Elrefai* | ||
| Gastrointestinal Surgical Center, Department of Surgery, Faculty of Medicine, Mansoura University, Egypt | ||
| Abstract | ||
| Background: Today, a wide range of bariatric operations are performed. Laparoscopic sleeve gastrectomy (LSG) and one anastomosis gastric bypass (OAGB) are popular bariatric surgeries. Recently, single anastomosis sleeve jejunal bypass (SASJ) has developed as a unique effective procedure with a lower risk of malnutrition due to the existence of two food channels. In this study, we examined the outcomes of three procedures in terms of weight loss, improvement of comorbidities, postoperative complications and quality of life. Patients and methods: We enrolled 60 patients in a prospective randomised trial, who were divided into three equal groups:, LSG , OAGB and SASJ. These different procedures were carried out by one surgical team using standardised approaches. Our objectives were of weight loss, improvement of comorbidities, postoperative complications and quality of life. Results: In contrast to the other two groups, the SASJ group's operative time was noticeably longer. Aside from GERD, which was more common in the LSG group (20% of cases), the incidence of post-operative complications did not differ significantly across the three groups. The three techniques' percentages of total weight loss (%TWL) were similar.; (LSG 46.0 and 65.7%), (SASJ 39.4 and 56.9%), and (OAGB 43 and 61.4%) at 6 and 12 months respectively. Comorbidity quality of life, improvement of obesity related comorbidities and nutritional status were not different amongst the three study groups. Conclusion: In terms of weight loss and comorbidity resolution, SASJ bypass is a successful bariatric operation with safe outcomes as LSG and OAGB. | ||
| Keywords | ||
| Sleeve gastrectomy; Single anastomosis sleeve bypass; One anastomosis gastric bypass | ||
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