الفهرس 
Surgical Anatomy of Stomach and Small IntestineOnly 14 pages are availabe for public view
Abstract
In our opinion, the most important criteria in the selection
of a bariatric procedure remain the safety and efficacy in
achieving both weight loss and remission of the metabolic
consequences of obesity. Despite the intrinsic limitation
imposed by a retrospective study, our results seem to confirm
that LMGB is both safe and effective for the treatment of
morbidly obese diabetic patients.
Laparoscopic SASI bypass has been shown to be an
effective, safe, and simple procedure for the treatment of
morbid obesity and its associated metabolic consequences.
Moreover, it results in minimal postoperative nutritional
complications in comparison to other bariatric procedures.
However, long-term follow-up period should be performed to
evaluate postoperative weight loss, metabolic changes, and
nutritional status of patients.
Both MGB and LSG are safe, short, and simple
operations. Weight loss is similar in MGB and LSG in the
first years, but lesser %EWL with LSG at 5 years (68% in
MGB versus 51 % in LSG). Post-operative GERD is more
common after LSG.
MGB has been fairly quickly and technically simpler
and safer than other main stream bariatric operations. Leaks
or bleeding are rare. The jejunal bypass length is modifiable
with the degree of BMI and The MGB has shown durable
weight loss and co-morbidity resolution. The single nonobstructing
ante colic GJ anastomosis constructed in easy
view provides a technically easy option for revision or
reversal.
This study confirms previous publications showing
that MGB is quite safe, with a short hospital stay and low
risk of complications. It results in effective and sustained
weight loss with high resolution of comorbidities and
complications that are easily managed.
Patients with metabolic syndrome improved after gastric
bypass, with results lasting after 2 years; other metabolic
parameters important for cardiovascular risk were also positively
affected. There was a relationship between the amount of weight
loss and improvement of metabolic syndrome.
SASI bypass is a promising operation that offers
excellent weight loss and diabetic resolution.
SASI bypass is a promising operation, based on
digestive adaptation physiologic principles, easier to perform
than the Santoro’s operation and BPD modifications, and
with very good results as duodenal switch operation in the
short run without mal-absorption morbidity.
Both types of surgical procedures obtained similar
T2DM remission rates, suggesting a high efficiency of both and making neither procedure preferable to the other. Both
were seen to assist in the control of the diabetes and comorbidities.
SASI bypass is a promising operation that offers
excellent weight loss and metabolic result. The elimination of
two ways for passage of food and one anastomosis decrease
nutritional deficiency and the possibility of surgically related
complications.
Laparoscopic mini-gastric bypass (MGB) is a
technically simple and safe procedure in SSO patients.
LMGB has the advantages of being a single stage procedure,
being easily reversible and revisable in a laparoscopic
procedure and does not sacrifice portions of the stomach or
implant foreign materials.