Tamer M Saeid Salama*, Mohamed Lasheen, Mohamed Matar
Introduction: A failed Laparoscopic Sleeve Gastrectomy (LSG) presents a challenging problem for bariatric surgeons. Single Anastomosis Sleeve Ileal bypass (SASI) procedure appears as a new metabolic and bariatric surgery based on Santoro's operation, in which a sleeve gastrectomy is followed by a side to side gastroileal anastomosis. This study is aiming to evaluate SASI as revisional surgery after a failed LSG.
Methods: This study included the outcomes of 28 patients who required a revisional surgery after failed LSGs. The patients' demographic data, indications for revisional surgery, perioperative complications, and postoperative outcomes were recorded.
Conclusion: Laparoscopic single anastomosis sleeve ileal bypass is new promising bariatric surgery and effective, safe and simple revisional surgery after failed LSG. Moreover, it results is comparable with other more difficult revisional surgery with fewer complications. However, long term follows up period and more no of patients are required for proper evaluation of postoperative weight loss, metabolic changes and nutritional statuses of the patients.