Reversal to Normal Anatomy for Patients With Excessive Weight Loss or Severe Malnutrition After Single Anastomosis Sleeve Ileal (SASI) Bypass.

IF 1.2 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2025-07-03 DOI:10.1097/SLE.0000000000001390

Yi-Jie Wang, Hsiang Teng, Hsin-Mei Pan, Kuo-Feng Hsu

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引用次数: 0

Abstract

Background: Metabolic and bariatric surgery (MBS) has been an effective solution not only to obesity but also to metabolic diseases. As the demand for revisional surgery increases with the expansion of MBS, possible risks and complications of reoperation should be considered.

Method: We have collected and analyzed 3 patients diagnosed with class III obesity who underwent the single anastomosis sleeve ileal bypass (SASI) as a primary operation. Due to excessive weight loss or severe malnutrition, they were indicated for revisional surgery, where SASI was reversed to sleeve gastrectomy (SG) (Fig. 1). The perioperative characteristics as well as outcomes after SASI and revisional surgery are reviewed.

Results: The confirmed measurement of their common channels in 3 patients with SASI revealed 350, 250, and 250 cm, respectively. The mean operative time was 42.3 minutes and blood loss was <20 mL. There were no intraoperative or postoperative complications. The patients had uneventful postoperative courses and the mean hospital stay was 2.3 days. There was no mortality in our cases. Malabsorption with nutrition issues was improved in each patient.

Conclusion: Laparoscopic revision of SASI to SG is a technically feasible and practical procedure for patients with excessive weight loss or malnutrition.

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单套回肠（SASI）搭桥术后体重减轻或严重营养不良患者的正常解剖逆转。

背景：代谢与减肥手术（MBS）已成为治疗肥胖和代谢性疾病的有效方法。随着MBS的扩大，对翻修手术的需求增加，需要考虑再手术可能存在的风险和并发症。方法：收集并分析3例确诊为III型肥胖的患者，均行单吻合术套筒回肠旁路术（SASI）作为主要手术。由于体重减轻或严重营养不良，他们被建议进行翻修手术，其中SASI被逆转为袖式胃切除术（SG）（图1）。回顾了围手术期的特点以及SASI和翻修手术后的结果。结果：3例SASI患者的共通道测量结果分别为350、250和250 cm。结论：对于体重减轻或营养不良的患者，腹腔镜下将SASI改良为SG在技术上是可行和实用的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.