Single Anastomosis Sleeve Jejunal Bypass (SASJ) Versus Roux-en-Y Gastric Bypass in Patients with Obesity
Background: Obesity and its related morbidities has become a great concern worldwide. Bariatric surgery, regardless of its type, is the most effective approach for morbid obesity treatment. Single anastomosis sleeve jejunal (SASJ) bypass is a novel technique of bariatric surgery that can be consider...
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| Format: | Article |
| Language: | fas |
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Isfahan University of Medical Sciences
2020-04-01
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| Series: | مجله دانشکده پزشکی اصفهان |
| Subjects: | |
| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/11700 |
| _version_ | 1827846284347703296 |
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| author | Masoud Sayadishahraki Mohammad Taghi Rezaei |
| author_facet | Masoud Sayadishahraki Mohammad Taghi Rezaei |
| author_sort | Masoud Sayadishahraki |
| collection | DOAJ |
| description | Background: Obesity and its related morbidities has become a great concern worldwide. Bariatric surgery, regardless of its type, is the most effective approach for morbid obesity treatment. Single anastomosis sleeve jejunal (SASJ) bypass is a novel technique of bariatric surgery that can be considered for patients with previous history of severe gastroesophageal symptoms. The current study aimed to compare outcomes of SASJ with classic gastric bypass in a six-month follow-up.
Methods: This was a cohort study conducted on 50 patients underwent two types of bariatric surgeries (Classic Roux en-Y and SASJ), each contained 25 cases, during the years 2017 and 2018. Patients' information including age, gender, height, basal weight, body mass index (BMI), serum albumin, and glycated hemoglobin (HbA1C) were recorded and compared basically and within one, three and six months after surgery.
Findings: Members of two groups were similar regarding age, gender distribution, height, basic BMI, HbA1C, albumin, and excess weight (P > 0.050 for all). Both the groups significantly lost weight within six months; while comparison of them showed no statistical difference regarding excess weight loss, BMI, HbA1C, and albumin (P > 0.050 for all). Within six months, the mean excess weight loss was 54.54 in SASJ and 50.54 in the other group.
Conclusion: Trend of weight loss following SASJ bypass was similar to classic gastric bypass. Therefore, due to reversibility and easier gastric follow-up studies in SASJ approach, this technique can be considered for cases with particular indications. Further studies with longer follow-ups are strongly recommended. |
| first_indexed | 2024-03-12T09:12:56Z |
| format | Article |
| id | doaj.art-7201da353aa540618d212b501e229516 |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T09:12:56Z |
| publishDate | 2020-04-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-7201da353aa540618d212b501e2295162023-09-02T14:54:23ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2020-04-0138563495410.22122/jims.v38i563.117003561Single Anastomosis Sleeve Jejunal Bypass (SASJ) Versus Roux-en-Y Gastric Bypass in Patients with ObesityMasoud Sayadishahraki0Mohammad Taghi Rezaei1Assistant Professor, Department of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranFellowship of Advanced laparoscopy and Minimally Invasive Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranBackground: Obesity and its related morbidities has become a great concern worldwide. Bariatric surgery, regardless of its type, is the most effective approach for morbid obesity treatment. Single anastomosis sleeve jejunal (SASJ) bypass is a novel technique of bariatric surgery that can be considered for patients with previous history of severe gastroesophageal symptoms. The current study aimed to compare outcomes of SASJ with classic gastric bypass in a six-month follow-up. Methods: This was a cohort study conducted on 50 patients underwent two types of bariatric surgeries (Classic Roux en-Y and SASJ), each contained 25 cases, during the years 2017 and 2018. Patients' information including age, gender, height, basal weight, body mass index (BMI), serum albumin, and glycated hemoglobin (HbA1C) were recorded and compared basically and within one, three and six months after surgery. Findings: Members of two groups were similar regarding age, gender distribution, height, basic BMI, HbA1C, albumin, and excess weight (P > 0.050 for all). Both the groups significantly lost weight within six months; while comparison of them showed no statistical difference regarding excess weight loss, BMI, HbA1C, and albumin (P > 0.050 for all). Within six months, the mean excess weight loss was 54.54 in SASJ and 50.54 in the other group. Conclusion: Trend of weight loss following SASJ bypass was similar to classic gastric bypass. Therefore, due to reversibility and easier gastric follow-up studies in SASJ approach, this technique can be considered for cases with particular indications. Further studies with longer follow-ups are strongly recommended.http://jims.mui.ac.ir/index.php/jims/article/view/11700bariatric surgerygastric bypassbody mass index |
| spellingShingle | Masoud Sayadishahraki Mohammad Taghi Rezaei Single Anastomosis Sleeve Jejunal Bypass (SASJ) Versus Roux-en-Y Gastric Bypass in Patients with Obesity مجله دانشکده پزشکی اصفهان bariatric surgery gastric bypass body mass index |
| title | Single Anastomosis Sleeve Jejunal Bypass (SASJ) Versus Roux-en-Y Gastric Bypass in Patients with Obesity |
| title_full | Single Anastomosis Sleeve Jejunal Bypass (SASJ) Versus Roux-en-Y Gastric Bypass in Patients with Obesity |
| title_fullStr | Single Anastomosis Sleeve Jejunal Bypass (SASJ) Versus Roux-en-Y Gastric Bypass in Patients with Obesity |
| title_full_unstemmed | Single Anastomosis Sleeve Jejunal Bypass (SASJ) Versus Roux-en-Y Gastric Bypass in Patients with Obesity |
| title_short | Single Anastomosis Sleeve Jejunal Bypass (SASJ) Versus Roux-en-Y Gastric Bypass in Patients with Obesity |
| title_sort | single anastomosis sleeve jejunal bypass sasj versus roux en y gastric bypass in patients with obesity |
| topic | bariatric surgery gastric bypass body mass index |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/11700 |
| work_keys_str_mv | AT masoudsayadishahraki singleanastomosissleevejejunalbypasssasjversusrouxenygastricbypassinpatientswithobesity AT mohammadtaghirezaei singleanastomosissleevejejunalbypasssasjversusrouxenygastricbypassinpatientswithobesity |