Comparative study between Laparoscopic mini-gastric bypass versus laparoscopic single anastomosis sleeve jejunal bypass for treatment of morbidly obese patients

Document Type : Original Article

Authors

1 general surgery department , faculty of medicine , Minia university

2 General surgery, faculty of medicine, minia university

3 Egypt, ElMinia university, faculty of medicine, professor of surgery .

4 General Surgery Department, Faculty of Medicine, Minia University

Abstract

Abstract



Introduction: Bariatric surgery is a long-lasting and efficient method for managing of obesity and curing associated comorbidities. The objective of this study is to compare the short-term results of laparoscopic single anastomosis sleeve jejunal bypass and mini gastric bypass as regard to patient metabolic and nutritional impacts, postoperative weight reduction, and the effects on both.

Results Thirty individuals had SASJ and thirty had MGB. For the SASJ and MGB groups, the mean age was 37.23±13.9 and 37.1±8.83 years, the body mass index was 52.1±9.12 and 50.14±8.23, the percentage of total weight reduction was 28.3±6 and 27.8±4.7, and the percentage of excess weight loss was 56.4±12.4 and 53.4±11 respectively. In SASJ patients, type two Diabetes was resolved in 75% of cases, hypertension in was improved in 33.3% of cases, and dyslipidemia was improved in 38.1% of cases, compared to type 2 diabetes resolution in 81.5% of cases, hypertension improvement in 28.6%, and dyslipidemia improvement in 38.5% of cases in the MGB group.

Conclusion: Both MGB and SASJ bypass are effective bariatric procedures for weight loss and treating comorbidities. Laparoscopic SASJ bypass is a safe, simple procedure that can cure patients who are morbidly obese while also resolving co-morbidities. It has comparable post-operative outcomes to MGB.

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 17 August 2023

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