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Published in:

01-10-2014 | Review Article

Single-Anastomosis Gastric Bypass (SAGB): Appraisal of Clinical Evidence

Authors: Wei-Jei Lee, Yu-Hung Lin

Published in: Obesity Surgery | Issue 10/2014

Abstract

Single-anastomosis (mini-) gastric bypass (SAGB) was proposed by Dr. Robert Rutledge. Criticism and prejudice against this procedure was raised by surgeons who preferred a more difficult procedure, laparoscopic Roux-en-Y gastric bypass (RYGB). Increasing data indicates the procedure is an effective and durable bariatric procedure. SAGB has lower operation risks compared to RYGB. The weight loss is better after SAGB because of a greater malabsorptive component than RYGB, but SAGB had a higher incidence of micronutrient deficiencies. Randomized controlled trial and long-term data demonstrate that SAGB can be regarded as a simpler and safer alternative to RYGB. We propose this procedure to be renamed “single-anastomosis gastric bypass (SAGB)” because the key feature of SAGB is the “single anastomosis” compared with the two anastomoses of RYGB.

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Title: Single-Anastomosis Gastric Bypass (SAGB): Appraisal of Clinical Evidence
Authors: Wei-Jei Lee
Yu-Hung Lin
Publication date: 01-10-2014
Publisher: Springer US
Published in: Obesity Surgery / Issue 10/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-014-1369-9

At a glance: The STEP trials

Springer Medicine

Single-Anastomosis Gastric Bypass (SAGB): Appraisal of Clinical Evidence

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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