Background: Single anastomosis sleeve ileal (SASI) bypass has been introduced as a novel modification of sleeve gastrectomy by adding a side-to-side single loop anastomosis between the gastric pouch and the ileum. The SASI bypass is still considered an investigational technique that needs more assessment. Aim : this study assessed the short-term operative and postoperative outcomes of laparoscopic “SASI” Bypass in management of patients with super-morbid obesity. Methods And Patients: This cohort retrospective study included 20 adult patients with super- morbid obesity with a body mass index (BMI) more than 50 kg/m 2 who underwent laparoscopic SASI bypass surgery. All patients were scheduled for follow-up regularly at 3, six months, and 12 months post-operatively. Results: Body weight, BMI and waist-hip ratio showed a significant progressive decrease over the one-year follow-up period (p <0.001). Mean preoperative BMI was 53.49 ±2.20 and was significantly reduced to 36.71 ±1.84 at six months and 27.13 ±1.05 at one year. Rates of excess weight loss (EWL) and excess BMI loss showed a significant progressive increase over time (p < 0.001). The mean EWL was 33.11 ±3.33% at 3 months and significant increase to 52.18 ±4.34% at 6 months and 82.02 ±2.11% at 12 months. Evaluation of associated comorbidities 1

One Year Follow-up of Laparoscopic Single Anastomosis Sleeve Ileal Bypass in Super-morbidly Obese Patients

Patient and methods: It is a prospective observational study which was held in Menoufia University, general surgery department between September 2018 and October 2021. Eighty obese patients with their body mass index (BMI) between 35kg/m2 and 60 kg/m2, and their age ranging between 18 and 65 years were included. All of them underwent laparoscopic sleeve ileal bypass SASI bypass. We studied the impact of SASI bypass on weight loss and metabolic comorbidities.

Laparoscopic Single Anastomosis Sleeve Ileal Bypass: Initial Results

Results: The mean operative time was (154± 10) minutes, mean blood loss was (75 ± 10) ml, the mean time to return to anal tone (Anal exhaustion time) was (58± 6) hours, and mean postoperative hospital stay was (5.4 ± 1.3) days. The severity of the patients’ pain was determined using the Visual Analogue Scale (VAS). The patients had a mean VAS pain score of (2.8± 0.8) after surgery. The average number of lymph nodes extracted was 16.2. (Ranging from 12 to 18). One female patient in the trial required conversion to open laparotomy due to extensive pelvic adhesions due PID.

Clinical Feasibility and Safety of Trans-anal Specimen Extraction of High Rectal and Sigmoid Cancers

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Laparoscopic Single Anastomosis Sleeve Ileal Bypass: Initial Results

Clinical Feasibility and Safety of Trans-anal Specimen Extraction of High Rectal and Sigmoid Cancers