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Single Anastomosis Gastro-Ileal Bypass (SAGI)

  • Chetan D. Parmar
Chapter

Abstract

Mini-Gastric Bypass—One Anastomosis Gastric Bypass (MGB-OAGB) is now prominent in the bariatric surgical world. Single Anastomosis Gastro Ileal (SAGI) bypass is a modification of the technique of the MGB whereby a fixed length of common channel is constructed, by performing the gastro-intestinal anastomosis 300 cm proximal to the ileocecal junction. This operation was performed on seven consecutive patients with mean BMI 42.1 kg/m2. There were no intraoperative complications. There was no mortality at 6 months follow-up. The authors concluded that SAGI may be a safer option compared to standard MGB in terms of malnutrition. However, long-term results are awaited.

Keywords

Single anastomosis gastro-Ileal bypass Mini-gastric Bypass One anastomosis gastric bypass Single anastomosis jejuno-ileal bypass Malabsorptive procedure 

References

  1. 1.
    Deitel M, Hargroder D, Peraglie C. Mini-gastric bypass for bariatric surgery increasing worldwide. Austin J Surg. 2016;3(3):1092–6.  https://doi.org/10.26420/austinjsurg.2016.1092.CrossRefGoogle Scholar
  2. 2.
    Rutledge R, Walsh TR. Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients. Obes Surg. 2005;15:1304–8.CrossRefPubMedGoogle Scholar
  3. 3.
    Kular KS, Manchanda N, Rutledge R. A 6-year experience with 1,054 mini-gastric bypasses—first study from Indian subcontinent. Obes Surg. 2014;24:1430–5.CrossRefPubMedGoogle Scholar
  4. 4.
    Musella M, Susa A, Greco F, De Luca M, Manno E, Di Stefano C, et al. The laparoscopic mini-gastric bypass: the Italian experience: outcomes from 974 consecutive cases in a multicenter review. Surg Endosc. 2014;28:156–63.CrossRefPubMedGoogle Scholar
  5. 5.
    Parmar CD, Mahawar KK, Boyle M, Carr WRJ, Jennings N, Schroeder N, et al. Mini Gastric Bypass: first report of 125 consecutive cases from United Kingdom. Clin Obes. 2016;6:61–7.CrossRefPubMedGoogle Scholar
  6. 6.
    Carbajo MA, Luque-de-León E, Jiménez JM, Ortiz-de-Solórzano J, Pérez-Miranda M, Castro-Alija MJ. Laparoscopic one-anastomosis gastric bypass: technique, results, and long-term follow-up in 1200 patients. Obes Surg. 2017;27:1153–67.CrossRefPubMedGoogle Scholar
  7. 7.
    De Luca M, Himpens J, Angrisani L, Di Lorenzo N, Mahawar K, Lunardi C, et al. A new concept in bariatric surgery. Single anastomosis gastro-ileal (SAGI): technical details and preliminary results. Obes Surg. 2017;27:143–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Scopinaro N, Gianetta E, Adami GF, Friedman D, Traverso E, Marinari GM, et al. Biliopancreatic diversion for obesity at 18 years. Surgery. 1996;119:261–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Sanchez-Pernaute A, Herrera MA, Perez-Aguirre ME, Talavera P, Cabrerizo L, Matia P, et al. Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). One to three-year follow-up. Obes Surg. 2010;20:1720–6.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Chetan D. Parmar
    • 1
  1. 1.The Whittington HospitalLondonUK

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