Unpredictable Malnutrition and Short-Term Outcomes after Single Anastomosis Sleeve Ileal (SASI) Bypass in Obese Patients.

IF 3.8 Q2 ENDOCRINOLOGY & METABOLISM
Journal of Obesity Pub Date : 2023-06-19 eCollection Date: 2023-01-01 DOI:10.1155/2023/5582940
Ayman Kamal, Mahmoud El Azawy, Tarik A A Hassan
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引用次数: 0

Abstract

Objectives: The aim of this study is to present the clinical outcomes of SASI bypass as a treatment alternative for patients with morbid obesity.

Methods: This study was a prospective follow-up of morbidly obese patients who underwent SASI bypass at Helwan University Hospital between March 1, 2019, and March 2020. The surgical procedure involved sleeve gastrectomy, followed by the anastomosis of the ileum, which was brought and hand-sewn 4 cm length side to side with the antrum, at a distance of 250 cm from the ileocecal valve. The data collected for the study included the resolution of comorbidities, incidence of gallstones, and one-year morbidity.

Results: The mean age of the studied patients (n = 30) was 44.13 ± 8.9 years. The mean BMI of the studied patients was 47.3 ± 7.6 kg/ht2. All patients were morbidly obese for an average of 24 years. Postoperatively, 48% of the patients (n = 13) developed gallstones (GS), and the formation of GS was significantly higher in patients with longer durations of obesity (P = 0.009) and rapid weight loss. There was a significant decrease in the incidence of GS after 12 months postoperatively (P < 0.05). 63% of the patients (n = 19) had malnutrition, and 15 cases required revision due to the fear of further weight loss. Revision and malnutrition were significantly higher among male patients than female patients and among patients with longer durations of obesity (P ≤ 0.001).

Conclusion: The SASI bypass may be an effective bariatric and metabolic surgery that can achieve satisfactory weight loss and improvement in medical comorbidities. However, our study highlights the potential risks of severe malnutrition and unpredictable weight loss; patient selection and duration of obesity may play a role in mitigating these risks.

肥胖患者单次吻合套式回肠(SASI)旁路术后不可预测的营养不良和短期结果
背景/介绍。单吻合袖回肠搭桥术是在小胃搭桥术和Santoro手术基础上发展起来的一种新型的代谢/减肥手术。目标。本研究的目的是介绍SASI旁路治疗作为病态肥胖患者的治疗选择的临床结果。方法。本研究是对2019年3月1日至2020年3月在贺万大医院接受SASI搭桥治疗的病态肥胖患者的前瞻性随访。手术过程包括袖式胃切除术,随后是回肠吻合,将回肠与肠腔两侧手工缝合4厘米长,距离回盲瓣250厘米。该研究收集的数据包括合并症的解决、胆结石的发生率和一年的发病率。结果。30例患者的平均年龄为44.13±8.9岁。研究患者的平均BMI为47.3±7.6 kg/ht2。所有患者的病态肥胖平均持续时间为24年。术后48%的患者(n = 13)出现了胆结石(GS),且在肥胖持续时间较长(P = 0.009)和体重迅速减轻的患者中,GS的形成明显较高。术后12个月GS发生率明显降低(P < 0.05)。63%的患者(n = 19)营养不良,15例由于担心体重进一步下降而需要修改。男性患者的修正和营养不良发生率显著高于女性患者,且肥胖持续时间较长患者的修正和营养不良发生率显著高于女性患者(P≤0.001)。结论。SASI旁路可能是一种有效的减肥和代谢手术,可以达到令人满意的体重减轻和改善医疗合并症。然而,我们的研究强调了严重营养不良和不可预测的体重下降的潜在风险;患者的选择和肥胖的持续时间可能在减轻这些风险方面发挥作用。
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来源期刊
Journal of Obesity
Journal of Obesity ENDOCRINOLOGY & METABOLISM-
CiteScore
7.50
自引率
3.00%
发文量
19
审稿时长
21 weeks
期刊介绍: Journal of Obesity is a peer-reviewed, Open Access journal that provides a multidisciplinary forum for basic and clinical research as well as applied studies in the areas of adipocyte biology & physiology, lipid metabolism, metabolic syndrome, diabetes, paediatric obesity, genetics, behavioural epidemiology, nutrition & eating disorders, exercise & human physiology, weight control and health risks associated with obesity.
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