Short term outcomes of single anastomosis sleeve jejunal bypass for the treatment of morbidly obese patients
Abdelzaher, M., Touny, M., Atiya, A., Zaghloul, N. (2023). Short term outcomes of single anastomosis sleeve jejunal bypass for the treatment of morbidly obese patients. EKB Journal Management System, (), -. doi: 10.21608/mjmr.2023.188391.1313
Mohamed Abdelaziz Abdelzaher; Mohamed Nasr Touny; Ahmed Mohamed Atiya; Nasser Mohamed Zaghloul. "Short term outcomes of single anastomosis sleeve jejunal bypass for the treatment of morbidly obese patients". EKB Journal Management System, , , 2023, -. doi: 10.21608/mjmr.2023.188391.1313
Abdelzaher, M., Touny, M., Atiya, A., Zaghloul, N. (2023). 'Short term outcomes of single anastomosis sleeve jejunal bypass for the treatment of morbidly obese patients', EKB Journal Management System, (), pp. -. doi: 10.21608/mjmr.2023.188391.1313
Abdelzaher, M., Touny, M., Atiya, A., Zaghloul, N. Short term outcomes of single anastomosis sleeve jejunal bypass for the treatment of morbidly obese patients. EKB Journal Management System, 2023; (): -. doi: 10.21608/mjmr.2023.188391.1313

Short term outcomes of single anastomosis sleeve jejunal bypass for the treatment of morbidly obese patients

Minia Journal of Medical Research
Articles in Press, Accepted Manuscript, Available Online from 08 February 2023  XML
Document Type: Original Article
DOI: 10.21608/mjmr.2023.188391.1313
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Authors
Mohamed Abdelaziz Abdelzaher1; Mohamed Nasr Touny email 2; Ahmed Mohamed Atiya3; Nasser Mohamed Zaghloul1
1general surgery department , faculty of medicine , Minia university
2resident of general surgery , Minia university hospital
3Egypt, Minia university, faculty of medicine, assistant professor of surgery .
Abstract
abstract

Introduction: Single anastomosis sleeve jejunal (SASJ) bypass is a recently developed bariatric technique. This procedure aims to keep passing to the duodenum to reduce the associated nutritional deficiency and to allow endoscopic treatment of choledocholithiasis. This study aimed to evaluate the efficacy of the SASJ bypass in the treatment of morbidly obese patients.

Patients and methods: 50 morbidly obese patients underwent SASJ bypass, All patients were followed up at 1, and 6 months. We evaluated BMI, post-operative complications, and obesity-related comorbidities.

Results: The mean age of enlisted cases was 35.2 years, and the mean BMI was 49.8kg/m2. Of the patients, 37(74%) had type two DM ,and 16(32%) were hypertensive. 10(20%) cases had osteoarthritis, 12(24%) cases had obstructive sleep apnea, and 4(8%) cases had GERD.

Intraluminal bleeding occurred in two cases (4%). and three patients developed biliary gastritis (6%). One patient (2%) developed DVT. The %EWL was 58.2% after 6 months Normalization of blood glucose level occurred within 6 months after surgery in 86.4 % of diabetic patients. Hypertension improved in all hypertensive patients.

Conclusion: Laparoscopic SASJ bypass is an effective, safe, and technically easy operation for treating morbid obesity and comorbid conditions with less nutritional deficiencies.

Keywords: SASI · Loop bipartition · metabolic surgery · Sleeve jejunal bypass.
Keywords
Keywords: Loop bipartition; metabolic surgery; obesity
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