Combined Re-sleeve and Single Anastomosis Sleeve Ileal (SASI) Bypass as a Second Stage After Sleeve Gastrectomy (Video Report)
Background In comparison with purely restrictive procedures, combined restrictive and malabsorptive procedures seem to produce better weight loss and comorbidity control in patients with morbid obesity. Two-stage bariatric surgery is popular and is a safe and efficient strategy for patients with sup...
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| Veröffentlicht in: | Obesity surgery 2021-12, Vol.31 (12), p.5514-5516 |
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| creator | Hsu, Fang-Chin Pan, Hsin-Mei Wang, Ren-Tzer Hsu, Kuo-Feng |
| description | Background
In comparison with purely restrictive procedures, combined restrictive and malabsorptive procedures seem to produce better weight loss and comorbidity control in patients with morbid obesity. Two-stage bariatric surgery is popular and is a safe and efficient strategy for patients with super obesity (BMI > 50 kg/m
2
) and super-super obesity (BMI > 60 kg/m
2
).
Methods
The patient in this video was a 36-year-old man with an initial BMI of 53.2 kg/m
2
. Two-stage bariatric surgery was planned. The patient underwent the first stage, laparoscopic sleeve gastrectomy, in 2018. Eighteen months after surgery, his lowest BMI was 38.8 kg/m
2
, and his excess weight loss was 50.9%. In 2021, he regained weight and reached a BMI of 42.4 kg/m
2
. Then, a second-stage bariatric surgery was performed.
Results
As shown in the video, combined re-sleeve and single anastomosis sleeve ileal (SASI) bypass constituted the second stage of bariatric surgery. During the operation, adhesiolysis was first performed, and the stomach was mobilized through a lateral-to-medial approach. Gastric transection was performed with a 36-Fr bougie. Then, the ileocecal junction was identified, and a location 250 cm from the cecum was selected as the anastomosis site. Gastro-ileal anastomosis (3 cm in diameter) was established with a stapler, and the two-layer suture method was used to close the defect. The postoperative period was uneventful, and the patient was discharged 5 days after surgery.
Conclusions
Combined re-sleeve and SASI bypass has a few surgical morbidities and is promising as an alternative to second-stage duodenal switch in patients with super obesity. |
| doi_str_mv | 10.1007/s11695-021-05737-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2579086086</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2597940483</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-89c092c76e0175fee4e046988578a92b4424c146c66b7d99bb17f731233306d03</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi1ERZfCH-CALHHZHlLGH_HHcVlBu1IlJAJcLSeZrFIl8WJnkfbCb8dtWpA4II00h3ned-x5CXnD4IoB6PeJMWXLAjgroNRCF-YZWTENpgDJzXOyAqugMJaLc_IypTvIpOL8BTkXUoECqVfk1zaMdT9hS79gkQbEn0j91NKqn_YD0s3k0xzGkPpEq2W6G9APdF1tqt0l_XA6-JSoz0UrbMK9cvb7LOxmjE-S62wSsclGJ7r-3rcY8rZDiPPlK3LW-SHh68d-Qb59-vh1e1Pcfr7ebTe3RSO4mvMfGrC80QqB6bJDlAhSWWNKbbzltZRcNkyqRqlat9bWNdOdFowLIUC1IC7IevE9xPDjiGl2Y58aHAY_YTgmx0ttwahcGX33D3oXjnHKr8uU1VaCNCJTfKGaGFKK2LlD7EcfT46Bu0_HLem4fHP3kI4zWfT20fpYj9j-kTzFkQGxACmPpj3Gv7v_Y_sbEy2Xhg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2597940483</pqid></control><display><type>article</type><title>Combined Re-sleeve and Single Anastomosis Sleeve Ileal (SASI) Bypass as a Second Stage After Sleeve Gastrectomy (Video Report)</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Hsu, Fang-Chin ; Pan, Hsin-Mei ; Wang, Ren-Tzer ; Hsu, Kuo-Feng</creator><creatorcontrib>Hsu, Fang-Chin ; Pan, Hsin-Mei ; Wang, Ren-Tzer ; Hsu, Kuo-Feng</creatorcontrib><description>Background
In comparison with purely restrictive procedures, combined restrictive and malabsorptive procedures seem to produce better weight loss and comorbidity control in patients with morbid obesity. Two-stage bariatric surgery is popular and is a safe and efficient strategy for patients with super obesity (BMI > 50 kg/m
2
) and super-super obesity (BMI > 60 kg/m
2
).
Methods
The patient in this video was a 36-year-old man with an initial BMI of 53.2 kg/m
2
. Two-stage bariatric surgery was planned. The patient underwent the first stage, laparoscopic sleeve gastrectomy, in 2018. Eighteen months after surgery, his lowest BMI was 38.8 kg/m
2
, and his excess weight loss was 50.9%. In 2021, he regained weight and reached a BMI of 42.4 kg/m
2
. Then, a second-stage bariatric surgery was performed.
Results
As shown in the video, combined re-sleeve and single anastomosis sleeve ileal (SASI) bypass constituted the second stage of bariatric surgery. During the operation, adhesiolysis was first performed, and the stomach was mobilized through a lateral-to-medial approach. Gastric transection was performed with a 36-Fr bougie. Then, the ileocecal junction was identified, and a location 250 cm from the cecum was selected as the anastomosis site. Gastro-ileal anastomosis (3 cm in diameter) was established with a stapler, and the two-layer suture method was used to close the defect. The postoperative period was uneventful, and the patient was discharged 5 days after surgery.
Conclusions
Combined re-sleeve and SASI bypass has a few surgical morbidities and is promising as an alternative to second-stage duodenal switch in patients with super obesity.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-021-05737-8</identifier><identifier>PMID: 34606047</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Gastrectomy - methods ; Gastric Bypass - methods ; Gastrointestinal surgery ; Humans ; Laparoscopy ; Male ; Medicine ; Medicine & Public Health ; Multimedia Article ; Obesity ; Obesity, Morbid - surgery ; Patients ; Retrospective Studies ; Surgery ; Treatment Outcome ; Weight control</subject><ispartof>Obesity surgery, 2021-12, Vol.31 (12), p.5514-5516</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-89c092c76e0175fee4e046988578a92b4424c146c66b7d99bb17f731233306d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-021-05737-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-021-05737-8$$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/34606047$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hsu, Fang-Chin</creatorcontrib><creatorcontrib>Pan, Hsin-Mei</creatorcontrib><creatorcontrib>Wang, Ren-Tzer</creatorcontrib><creatorcontrib>Hsu, Kuo-Feng</creatorcontrib><title>Combined Re-sleeve and Single Anastomosis Sleeve Ileal (SASI) Bypass as a Second Stage After Sleeve Gastrectomy (Video Report)</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
In comparison with purely restrictive procedures, combined restrictive and malabsorptive procedures seem to produce better weight loss and comorbidity control in patients with morbid obesity. Two-stage bariatric surgery is popular and is a safe and efficient strategy for patients with super obesity (BMI > 50 kg/m
2
) and super-super obesity (BMI > 60 kg/m
2
).
Methods
The patient in this video was a 36-year-old man with an initial BMI of 53.2 kg/m
2
. Two-stage bariatric surgery was planned. The patient underwent the first stage, laparoscopic sleeve gastrectomy, in 2018. Eighteen months after surgery, his lowest BMI was 38.8 kg/m
2
, and his excess weight loss was 50.9%. In 2021, he regained weight and reached a BMI of 42.4 kg/m
2
. Then, a second-stage bariatric surgery was performed.
Results
As shown in the video, combined re-sleeve and single anastomosis sleeve ileal (SASI) bypass constituted the second stage of bariatric surgery. During the operation, adhesiolysis was first performed, and the stomach was mobilized through a lateral-to-medial approach. Gastric transection was performed with a 36-Fr bougie. Then, the ileocecal junction was identified, and a location 250 cm from the cecum was selected as the anastomosis site. Gastro-ileal anastomosis (3 cm in diameter) was established with a stapler, and the two-layer suture method was used to close the defect. The postoperative period was uneventful, and the patient was discharged 5 days after surgery.
Conclusions
Combined re-sleeve and SASI bypass has a few surgical morbidities and is promising as an alternative to second-stage duodenal switch in patients with super obesity.</description><subject>Adult</subject><subject>Gastrectomy - methods</subject><subject>Gastric Bypass - methods</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multimedia Article</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1v1DAQhi1ERZfCH-CALHHZHlLGH_HHcVlBu1IlJAJcLSeZrFIl8WJnkfbCb8dtWpA4II00h3ned-x5CXnD4IoB6PeJMWXLAjgroNRCF-YZWTENpgDJzXOyAqugMJaLc_IypTvIpOL8BTkXUoECqVfk1zaMdT9hS79gkQbEn0j91NKqn_YD0s3k0xzGkPpEq2W6G9APdF1tqt0l_XA6-JSoz0UrbMK9cvb7LOxmjE-S62wSsclGJ7r-3rcY8rZDiPPlK3LW-SHh68d-Qb59-vh1e1Pcfr7ebTe3RSO4mvMfGrC80QqB6bJDlAhSWWNKbbzltZRcNkyqRqlat9bWNdOdFowLIUC1IC7IevE9xPDjiGl2Y58aHAY_YTgmx0ttwahcGX33D3oXjnHKr8uU1VaCNCJTfKGaGFKK2LlD7EcfT46Bu0_HLem4fHP3kI4zWfT20fpYj9j-kTzFkQGxACmPpj3Gv7v_Y_sbEy2Xhg</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Hsu, Fang-Chin</creator><creator>Pan, Hsin-Mei</creator><creator>Wang, Ren-Tzer</creator><creator>Hsu, Kuo-Feng</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</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>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20211201</creationdate><title>Combined Re-sleeve and Single Anastomosis Sleeve Ileal (SASI) Bypass as a Second Stage After Sleeve Gastrectomy (Video Report)</title><author>Hsu, Fang-Chin ; Pan, Hsin-Mei ; Wang, Ren-Tzer ; Hsu, Kuo-Feng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-89c092c76e0175fee4e046988578a92b4424c146c66b7d99bb17f731233306d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Gastrectomy - methods</topic><topic>Gastric Bypass - methods</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multimedia Article</topic><topic>Obesity</topic><topic>Obesity, Morbid - surgery</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hsu, Fang-Chin</creatorcontrib><creatorcontrib>Pan, Hsin-Mei</creatorcontrib><creatorcontrib>Wang, Ren-Tzer</creatorcontrib><creatorcontrib>Hsu, Kuo-Feng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</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>Public Health Database</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>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hsu, Fang-Chin</au><au>Pan, Hsin-Mei</au><au>Wang, Ren-Tzer</au><au>Hsu, Kuo-Feng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combined Re-sleeve and Single Anastomosis Sleeve Ileal (SASI) Bypass as a Second Stage After Sleeve Gastrectomy (Video Report)</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>31</volume><issue>12</issue><spage>5514</spage><epage>5516</epage><pages>5514-5516</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
In comparison with purely restrictive procedures, combined restrictive and malabsorptive procedures seem to produce better weight loss and comorbidity control in patients with morbid obesity. Two-stage bariatric surgery is popular and is a safe and efficient strategy for patients with super obesity (BMI > 50 kg/m
2
) and super-super obesity (BMI > 60 kg/m
2
).
Methods
The patient in this video was a 36-year-old man with an initial BMI of 53.2 kg/m
2
. Two-stage bariatric surgery was planned. The patient underwent the first stage, laparoscopic sleeve gastrectomy, in 2018. Eighteen months after surgery, his lowest BMI was 38.8 kg/m
2
, and his excess weight loss was 50.9%. In 2021, he regained weight and reached a BMI of 42.4 kg/m
2
. Then, a second-stage bariatric surgery was performed.
Results
As shown in the video, combined re-sleeve and single anastomosis sleeve ileal (SASI) bypass constituted the second stage of bariatric surgery. During the operation, adhesiolysis was first performed, and the stomach was mobilized through a lateral-to-medial approach. Gastric transection was performed with a 36-Fr bougie. Then, the ileocecal junction was identified, and a location 250 cm from the cecum was selected as the anastomosis site. Gastro-ileal anastomosis (3 cm in diameter) was established with a stapler, and the two-layer suture method was used to close the defect. The postoperative period was uneventful, and the patient was discharged 5 days after surgery.
Conclusions
Combined re-sleeve and SASI bypass has a few surgical morbidities and is promising as an alternative to second-stage duodenal switch in patients with super obesity.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34606047</pmid><doi>10.1007/s11695-021-05737-8</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Obesity surgery, 2021-12, Vol.31 (12), p.5514-5516 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Gastrectomy - methods Gastric Bypass - methods Gastrointestinal surgery Humans Laparoscopy Male Medicine Medicine & Public Health Multimedia Article Obesity Obesity, Morbid - surgery Patients Retrospective Studies Surgery Treatment Outcome Weight control |
| title | Combined Re-sleeve and Single Anastomosis Sleeve Ileal (SASI) Bypass as a Second Stage After Sleeve Gastrectomy (Video Report) |
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