Efficacy of SASI Bypass for Type-2 Diabetic Obese Patients
Efficacy of SASI Bypass for Type-2 Diabetic Obese Patients
the investigator modified the Sanator's operation by performing a loop rather than Roux-en-Y
 bipartition reconstruction and the investigator are reporting the first clinical results of
 the outcomes of SASI bypass as a mode of functional restrictive and neuroendocrine modulation
 therapeutic option for obese type 2 diabetes mellituspatients.
All patients were subjected to thorough history, clinical examination and laboratory
 investigations including basic preoperative investigations, lipid profile, thyroid and
 suprarenal hormonal evaluation. In addition, patients may undergo further assessment for
 pulmonary functions or gastroesophageal disease including endoscope. . Abdominal ultrasound
 was done to exclude calcular cholecystitis and to evaluate the degree of fatty liver.
 Reduction the size of fatty liver was done by putting all patients on low-calorie protein
 diet for 6 weeks. Deep vein thrombosis prophylaxis started 12 h before surgery with low
 molecular weight heparin subcutaneous injections . Preoperative data included age, gender,
 initial weight, initial body mass index (BMI), obesity comorbidities and treatment
 medications used (chest problems, diabetes, arterial hypertension and cardiac ischaemia,
 hyperlipidemia, obstructive sleep apnea syndrome, gall stones, urinary stress incontinence,
 joint pain, depression, infertility and heart burn). Postoperative data included hospital
 stay, early postoperative complications during the first month (e.g. fever, collection,
 bleeding, vomiting, leak and port site problems .Long-term complications more than 1 month
 after surgery (e.g. nausea, vomiting, reflux, stricture, intestinal obstruction ,
 hypoalbuminemia , anemia and calcium or iron or vitamin D , vitamin B12 deficiency and),
 excess weight loss and BMI were collected.
Inclusion Criteria:Type 2 diabetic obese pateints -

 Exclusion Criteria:patients age above 65 or below 18 years old, history of upper
 laparotomy, unfit for anesthesia or laparoscopy, major psychological instability and drug
 abuse.

 -