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10-05-2024 | Malnutrition | Letter to the Editor

SASI Is a Successful Metabolic Surgery but with Many Variables

Authors: Ahmed Abokhozima, Mohamed H. Zidan, Aliaa Selim

Excerpt

Firstly, we would like to congratulate Dr. Ala Wafa and his coworkers on their newly published article entitled “The Alarming Rate of Malnutrition after Single Anastomosis Sleeve Ileal Bypass. A Single Centre Experience” [1]. The authors have discussed both the pros and cons of single anastomosis sleeve ileal (SASI) bypass/bipartition, highlighting the alarming rate of malnutrition they have encountered in their study postoperatively. However, in this letter, we would like to describe the possible reasons behind this encounter and further build a point of research for further analysis toward SASI. …

Wafa A, Bashir A, Cohen RV, Haddad A. The alarming rate of malnutrition after single anastomosis sleeve ileal bypass. A single centre experience. Obes Surg. 2024. https://doi.org/10.1007/s11695-024-07192-7.CrossRefPubMed

Mahdy T, Al wahedi A, Schou C. Efficacy of single anastomosis sleeve ileal (SASI) bypass for type-2 diabetic morbid obese patients: gastric bipartition, a novel metabolic surgery procedure: A retrospective cohort study. Int J Surg. 2016;34:28–34. https://doi.org/10.1016/j.ijsu.2016.08.018.CrossRefPubMed

Hosseini SV, Moeinvaziri N, Medhati P, Salem SA, Hosseini E, Clark CCT, Haghighat N. The effect of single-anastomosis sleeve ileal (SASI) bypass on patients with severe obesity in three consecutive years. World J Surg. 2022;46(11):2744–50. https://doi.org/10.1007/s00268-022-06706-7.CrossRefPubMed

Khalaf M, Hamed H. Single-anastomosis sleeve ileal (SASI) bypass: hopes and concerns after a two-year follow-up. Obes Surg. 2021;31(2):667–74. https://doi.org/10.1007/s11695-020-04945-y.CrossRefPubMed

Emile SH, Mahdy T, Schou C, Kramer M, Shikora S. Systematic review of the outcome of single-anastomosis sleeve ileal (SASI) bypass in treatment of morbid obesity with proportion meta-analysis of improvement in diabetes mellitus. Int J Surg. 2021;92:106024. https://doi.org/10.1016/j.ijsu.2021.106024.CrossRefPubMed

Kermansaravi M, Kabir A, Pazouki A. 1-year follow-up of single anastomosis sleeve ileal (SASI) bypass in morbid obese patients: efficacy and concerns. Obes Surg. 2020;30(11):4286–92. https://doi.org/10.1007/s11695-020-04781-0.CrossRefPubMed

Salama TMS, Sabry K, Ghamrini YE. Single anastomosis sleeve ileal bypass: new step in the evolution of bariatric surgeries. J Investig Surg. 2017;30(5):291–6.CrossRef

Mahdy T, Emile SH, Madyan A, Schou C, Alwahidi A, Ribeiro R, Sewefy A, Büsing M, Al-Haifi M, Salih E, et al. Evaluation of the efficacy of single anastomosis sleeve ileal (SASI) bypass for patients with morbid obesity: a multicenter study. Obes Surg. 2020;30(3):837–45. https://doi.org/10.1007/s11695-019-04296-3.CrossRefPubMed

Khalil OH, Mansy WS, Abdalla WM, Baiomy TA. Laparoscopic sleeve gastrectomy with loop bipartition versus laparoscopic sleeve gastrectomy in treating obese people with type II diabetes mellitus: a prospective randomized comparative study. Egypt J Surg. 2019;38(3):610–7.

10.

Bhandari M, Fobi MAL, Buchwald JN, Abbass A, Abu Dayyeh BK, Alamo M, Al-Jarallah M, Angrisani L, Behrens EJ, Bhasker AG, et al. Standardization of bariatric metabolic procedures: world consensus meeting statement. Obes Surg. 2019;29(4):309–45. https://doi.org/10.1007/s11695-019-04032-x.CrossRefPubMed

11.

Emile SH, Mahdy T. Excessive weight loss and hypoalbuminemia after SASI bypass: the need for standardization of the technique. Obes Surg. 2021;31(2):865–6. https://doi.org/10.1007/s11695-020-04890-w.CrossRefPubMed

12.

Mahdy T, Gado W, Alwahidi A, Schou C, Emile SH. Sleeve gastrectomy, one-anastomosis gastric bypass (OAGB), and single anastomosis sleeve ileal (SASI) bypass in treatment of morbid obesity: a retrospective cohort study. Obes Surg. 2021;31(4):1579–89. https://doi.org/10.1007/s11695-020-05159-y.CrossRefPubMed

13.

Alshwaiyat NM, Ahmad A, Wan Hassan WMR, Al-Jamal HAN. Association between obesity and iron deficiency (review). Exp Ther Med. 2021;22(5):1268. https://doi.org/10.3892/etm.2021.10703.CrossRefPubMedPubMedCentral

14.

Walsh JS, Bowles S, Evans AL. Vitamin D in obesity. Curr Opin Endocrinol Diabetes Obes. 2017;24(6):389–94. https://doi.org/10.1097/med.0000000000000371.CrossRefPubMed

Title: SASI Is a Successful Metabolic Surgery but with Many Variables
Authors: Ahmed Abokhozima
Mohamed H. Zidan
Aliaa Selim
Publication date: 10-05-2024
Publisher: Springer US
Keyword: Malnutrition
Published in: Obesity Surgery
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-024-07266-6

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