Maurizio De Luca1, Jacques Himpens2, Luigi Angrisani3, Nicola Di Lorenzo4, Kamal Mahawar5, Cesare Lunardi6, Natale Pellicanò6, Nicola Clemente6, Scott Shikora7. 1. Department of Surgery, Montebelluna Treviso Hospital, Montebelluna, Italy. nnwdel@tin.it. 2. The European School of Laparoscopic Surgery, Brussels, Brussels, Belgium. 3. University Federico II of Naples, Naples, Italy. 4. Department of Surgery, University Tor Vergata, Rome, Italy. 5. Department of Surgery, Sunderland Royal Hospital, Sunderland, UK. 6. Department of Surgery, Montebelluna Treviso Hospital, Montebelluna, Italy. 7. Brigham and Women's Hospital, Boston Massachusetts, MC, USA.
Abstract
BACKGROUND: In one anastomosis gastric bypass (OAGB), the measurement of the afferent limb starting at the angle of Treitz may result in insufficient absorptive surface of the intestine of the remaining efferent limb. To address this concern, we recently modified the technique of OAGB by constructing the gastrointestinal anastomosis at a fixed distance from the ileocecal valve (i.e., 300 cm). We adopted the new concept and named it the single anastomosis gastro-ileal bypass (SAGI). METHODS: Seven consecutive patients with morbid obesity underwent the SAGI procedure. RESULTS: There were no intraoperative complications and there were no deaths. The mean excess weight (EW) loss was 55.1 % at 3 months and 82.1 % at 6 months. CONCLUSIONS: The SAGI procedure may constitute a safer alternative to the conventional OAGB.
BACKGROUND: In one anastomosis gastric bypass (OAGB), the measurement of the afferent limb starting at the angle of Treitz may result in insufficient absorptive surface of the intestine of the remaining efferent limb. To address this concern, we recently modified the technique of OAGB by constructing the gastrointestinal anastomosis at a fixed distance from the ileocecal valve (i.e., 300 cm). We adopted the new concept and named it the single anastomosis gastro-ileal bypass (SAGI). METHODS: Seven consecutive patients with morbid obesity underwent the SAGI procedure. RESULTS: There were no intraoperative complications and there were no deaths. The mean excess weight (EW) loss was 55.1 % at 3 months and 82.1 % at 6 months. CONCLUSIONS: The SAGI procedure may constitute a safer alternative to the conventional OAGB.
Entities:
Keywords:
Billroth 2 anastomosis; Malabsorpitive procedure; One anastomosis gastric bypass; Single anastomosis duodenal-ileal; Single anastomosis gastro-ileal
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