Single anastomosis sleeve ileal (SASI) bypass versus sleeve gastrectomy: a case-matched multicenter study
Background The present study aimed to compare the outcome of single anastomosis sleeve ileal (SASI) bypass and sleeve gastrectomy (SG) in regards weight loss, improvement in comorbidities at 12 months of follow-up, and postoperative complications. Methods This was a case-matched, multicenter analysi...
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| Veröffentlicht in: | Surgical endoscopy 2021-02, Vol.35 (2), p.652-660 |
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| creator | Emile, Sameh Hany Madyan, Amr Mahdy, Tarek Elshobaky, Ayman Elbanna, Hosam Ghazy Abdel-Razik, Mohamed Anwar |
| description | Background
The present study aimed to compare the outcome of single anastomosis sleeve ileal (SASI) bypass and sleeve gastrectomy (SG) in regards weight loss, improvement in comorbidities at 12 months of follow-up, and postoperative complications.
Methods
This was a case-matched, multicenter analysis of the outcome of patients who underwent SG or SASI bypass. Patients who underwent SASI bypass were matched with an equal number of patients who underwent SG in terms of age, sex, BMI, and comorbidities. The main outcome measures were excess weight loss (EWL) at 6 and 12 months after surgery, improvement in medical comorbidities, and complications.
Results
A total of 116 patients (97 female) of a mean age of 35.8 years were included. Fifty-eight patients underwent SASI bypass and an equal number underwent SG. %EWL at 6 months postoperatively was similar between the two groups. SASI bypass conferred significantly higher %EWL at 12 months than SG (72.6 Vs 60.4,
p
|
| doi_str_mv | 10.1007/s00464-020-07430-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2358569280</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2358569280</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-56dc9ef00e932ce959744c5a357799d2b149716a833018e73e809522e71e81fd3</originalsourceid><addsrcrecordid>eNp9kU9vFDEMxSMEokvhC3BAkbiUw1DHSTYTblUFpVIlDgvnKJvxLlPNnyWeabXfvqHbFolDT5bs33u2_IR4r-CzAnCnDGCWpgKECpzRUN2-EAtlNFaIqn4pFuBLE503R-IN8zUU3iv7WhxpBIdY40K0q3bYdiTjEHka-5FbltwR3ZBsO4qdPFmdrS4_yfV-F5nlDWWen4ht0WRKRbf_IqNMkanq45R-UyP7uZvaRMNEWfI0N_u34tUmdkzvHuqx-PXt68_z79XVj4vL87OrKmlnp8oum-RpA0BeYyJvvTMm2aitc943uFbGO7WMtdaganKaavAWkZyiWm0afSxODr67PP6ZiafQt5yo6-JA48wBta3t0mMNBf34H3o9znko1wU0zlvny8cKhQcq5ZE50ybsctvHvA8Kwt8gwiGIUIII90GE2yL68GA9r3tqniSPny-APgBcRsOW8r_dz9jeAfZgkxg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2479579004</pqid></control><display><type>article</type><title>Single anastomosis sleeve ileal (SASI) bypass versus sleeve gastrectomy: a case-matched multicenter study</title><source>SpringerLink Journals - AutoHoldings</source><creator>Emile, Sameh Hany ; Madyan, Amr ; Mahdy, Tarek ; Elshobaky, Ayman ; Elbanna, Hosam Ghazy ; Abdel-Razik, Mohamed Anwar</creator><creatorcontrib>Emile, Sameh Hany ; Madyan, Amr ; Mahdy, Tarek ; Elshobaky, Ayman ; Elbanna, Hosam Ghazy ; Abdel-Razik, Mohamed Anwar</creatorcontrib><description>Background
The present study aimed to compare the outcome of single anastomosis sleeve ileal (SASI) bypass and sleeve gastrectomy (SG) in regards weight loss, improvement in comorbidities at 12 months of follow-up, and postoperative complications.
Methods
This was a case-matched, multicenter analysis of the outcome of patients who underwent SG or SASI bypass. Patients who underwent SASI bypass were matched with an equal number of patients who underwent SG in terms of age, sex, BMI, and comorbidities. The main outcome measures were excess weight loss (EWL) at 6 and 12 months after surgery, improvement in medical comorbidities, and complications.
Results
A total of 116 patients (97 female) of a mean age of 35.8 years were included. Fifty-eight patients underwent SASI bypass and an equal number underwent SG. %EWL at 6 months postoperatively was similar between the two groups. SASI bypass conferred significantly higher %EWL at 12 months than SG (72.6 Vs 60.4,
p
< 0.0001). Improvement in type 2 diabetes mellitus (T2DM) and gastroesophageal reflux disease (GERD) after SASI bypass was better than SG (95.8% Vs 70% and 85.7% Vs 18.2%, respectively). SASI bypass required longer operation time than SG (108.7 Vs 92.8 min,
p
< 0.0001). Complications occurred in 12 (20.7%) patients after SG and 4 (6.9%) patients after SASI bypass (
p
= 0.056).
Conclusion
The %EWL at 12 months after SASI bypass was significantly higher than after SG. SASI bypass conferred better improvement in T2DM and GERD than SG. Both procedures had similar weight loss at 6 months postoperatively and comparable complication rates.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-020-07430-w</identifier><identifier>PMID: 32072282</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Body mass index ; Endoscopy ; Gastroenterology ; Gastroesophageal reflux ; Gastrointestinal surgery ; Gynecology ; Hepatology ; Medicine ; Medicine & Public Health ; Obesity ; Patients ; Proctology ; Stomach ; Surgery ; Weight control</subject><ispartof>Surgical endoscopy, 2021-02, Vol.35 (2), p.652-660</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-56dc9ef00e932ce959744c5a357799d2b149716a833018e73e809522e71e81fd3</citedby><cites>FETCH-LOGICAL-c375t-56dc9ef00e932ce959744c5a357799d2b149716a833018e73e809522e71e81fd3</cites><orcidid>0000-0001-7854-5244</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-020-07430-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-020-07430-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32072282$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Emile, Sameh Hany</creatorcontrib><creatorcontrib>Madyan, Amr</creatorcontrib><creatorcontrib>Mahdy, Tarek</creatorcontrib><creatorcontrib>Elshobaky, Ayman</creatorcontrib><creatorcontrib>Elbanna, Hosam Ghazy</creatorcontrib><creatorcontrib>Abdel-Razik, Mohamed Anwar</creatorcontrib><title>Single anastomosis sleeve ileal (SASI) bypass versus sleeve gastrectomy: a case-matched multicenter study</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
The present study aimed to compare the outcome of single anastomosis sleeve ileal (SASI) bypass and sleeve gastrectomy (SG) in regards weight loss, improvement in comorbidities at 12 months of follow-up, and postoperative complications.
Methods
This was a case-matched, multicenter analysis of the outcome of patients who underwent SG or SASI bypass. Patients who underwent SASI bypass were matched with an equal number of patients who underwent SG in terms of age, sex, BMI, and comorbidities. The main outcome measures were excess weight loss (EWL) at 6 and 12 months after surgery, improvement in medical comorbidities, and complications.
Results
A total of 116 patients (97 female) of a mean age of 35.8 years were included. Fifty-eight patients underwent SASI bypass and an equal number underwent SG. %EWL at 6 months postoperatively was similar between the two groups. SASI bypass conferred significantly higher %EWL at 12 months than SG (72.6 Vs 60.4,
p
< 0.0001). Improvement in type 2 diabetes mellitus (T2DM) and gastroesophageal reflux disease (GERD) after SASI bypass was better than SG (95.8% Vs 70% and 85.7% Vs 18.2%, respectively). SASI bypass required longer operation time than SG (108.7 Vs 92.8 min,
p
< 0.0001). Complications occurred in 12 (20.7%) patients after SG and 4 (6.9%) patients after SASI bypass (
p
= 0.056).
Conclusion
The %EWL at 12 months after SASI bypass was significantly higher than after SG. SASI bypass conferred better improvement in T2DM and GERD than SG. Both procedures had similar weight loss at 6 months postoperatively and comparable complication rates.</description><subject>Abdominal Surgery</subject><subject>Body mass index</subject><subject>Endoscopy</subject><subject>Gastroenterology</subject><subject>Gastroesophageal reflux</subject><subject>Gastrointestinal surgery</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Patients</subject><subject>Proctology</subject><subject>Stomach</subject><subject>Surgery</subject><subject>Weight control</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU9vFDEMxSMEokvhC3BAkbiUw1DHSTYTblUFpVIlDgvnKJvxLlPNnyWeabXfvqHbFolDT5bs33u2_IR4r-CzAnCnDGCWpgKECpzRUN2-EAtlNFaIqn4pFuBLE503R-IN8zUU3iv7WhxpBIdY40K0q3bYdiTjEHka-5FbltwR3ZBsO4qdPFmdrS4_yfV-F5nlDWWen4ht0WRKRbf_IqNMkanq45R-UyP7uZvaRMNEWfI0N_u34tUmdkzvHuqx-PXt68_z79XVj4vL87OrKmlnp8oum-RpA0BeYyJvvTMm2aitc943uFbGO7WMtdaganKaavAWkZyiWm0afSxODr67PP6ZiafQt5yo6-JA48wBta3t0mMNBf34H3o9znko1wU0zlvny8cKhQcq5ZE50ybsctvHvA8Kwt8gwiGIUIII90GE2yL68GA9r3tqniSPny-APgBcRsOW8r_dz9jeAfZgkxg</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Emile, Sameh Hany</creator><creator>Madyan, Amr</creator><creator>Mahdy, Tarek</creator><creator>Elshobaky, Ayman</creator><creator>Elbanna, Hosam Ghazy</creator><creator>Abdel-Razik, Mohamed Anwar</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7854-5244</orcidid></search><sort><creationdate>20210201</creationdate><title>Single anastomosis sleeve ileal (SASI) bypass versus sleeve gastrectomy: a case-matched multicenter study</title><author>Emile, Sameh Hany ; Madyan, Amr ; Mahdy, Tarek ; Elshobaky, Ayman ; Elbanna, Hosam Ghazy ; Abdel-Razik, Mohamed Anwar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-56dc9ef00e932ce959744c5a357799d2b149716a833018e73e809522e71e81fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdominal Surgery</topic><topic>Body mass index</topic><topic>Endoscopy</topic><topic>Gastroenterology</topic><topic>Gastroesophageal reflux</topic><topic>Gastrointestinal surgery</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Patients</topic><topic>Proctology</topic><topic>Stomach</topic><topic>Surgery</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Emile, Sameh Hany</creatorcontrib><creatorcontrib>Madyan, Amr</creatorcontrib><creatorcontrib>Mahdy, Tarek</creatorcontrib><creatorcontrib>Elshobaky, Ayman</creatorcontrib><creatorcontrib>Elbanna, Hosam Ghazy</creatorcontrib><creatorcontrib>Abdel-Razik, Mohamed Anwar</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Emile, Sameh Hany</au><au>Madyan, Amr</au><au>Mahdy, Tarek</au><au>Elshobaky, Ayman</au><au>Elbanna, Hosam Ghazy</au><au>Abdel-Razik, Mohamed Anwar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single anastomosis sleeve ileal (SASI) bypass versus sleeve gastrectomy: a case-matched multicenter study</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>35</volume><issue>2</issue><spage>652</spage><epage>660</epage><pages>652-660</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
The present study aimed to compare the outcome of single anastomosis sleeve ileal (SASI) bypass and sleeve gastrectomy (SG) in regards weight loss, improvement in comorbidities at 12 months of follow-up, and postoperative complications.
Methods
This was a case-matched, multicenter analysis of the outcome of patients who underwent SG or SASI bypass. Patients who underwent SASI bypass were matched with an equal number of patients who underwent SG in terms of age, sex, BMI, and comorbidities. The main outcome measures were excess weight loss (EWL) at 6 and 12 months after surgery, improvement in medical comorbidities, and complications.
Results
A total of 116 patients (97 female) of a mean age of 35.8 years were included. Fifty-eight patients underwent SASI bypass and an equal number underwent SG. %EWL at 6 months postoperatively was similar between the two groups. SASI bypass conferred significantly higher %EWL at 12 months than SG (72.6 Vs 60.4,
p
< 0.0001). Improvement in type 2 diabetes mellitus (T2DM) and gastroesophageal reflux disease (GERD) after SASI bypass was better than SG (95.8% Vs 70% and 85.7% Vs 18.2%, respectively). SASI bypass required longer operation time than SG (108.7 Vs 92.8 min,
p
< 0.0001). Complications occurred in 12 (20.7%) patients after SG and 4 (6.9%) patients after SASI bypass (
p
= 0.056).
Conclusion
The %EWL at 12 months after SASI bypass was significantly higher than after SG. SASI bypass conferred better improvement in T2DM and GERD than SG. Both procedures had similar weight loss at 6 months postoperatively and comparable complication rates.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32072282</pmid><doi>10.1007/s00464-020-07430-w</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7854-5244</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2021-02, Vol.35 (2), p.652-660 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2358569280 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Body mass index Endoscopy Gastroenterology Gastroesophageal reflux Gastrointestinal surgery Gynecology Hepatology Medicine Medicine & Public Health Obesity Patients Proctology Stomach Surgery Weight control |
| title | Single anastomosis sleeve ileal (SASI) bypass versus sleeve gastrectomy: a case-matched multicenter study |
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