Analysis of medium-term efficacy of single anastomosis sleeve ileal bypass for gastroesophageal reflux after laparoscopic sleeve gastrectomy
10.3760/cma.j.cn113855-20250301-00133
- VernacularTitle:腹腔镜袖状胃切除联合胃回肠单吻合双通路术治疗袖状胃切除术后胃食管反流的中期疗效分析
- Author:
Xiaohan WEI
1
;
Zhen REN
1
;
Shuhan WANG
1
;
Hu LIU
1
;
Chen PAN
1
;
Lisheng WU
1
Author Information
1. 中国科学技术大学附属第一医院疝及肥胖外科，合肥 230001
- Publication Type:Journal Article
- Keywords:
Gastroesophageal reflux;
Anastomosis,surgical;
Gastrectomy
- From:
Chinese Journal of General Surgery
2025;40(6):451-456
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the mid-term efficacy of sleeve gastrectomy combined with single anastomosis gastric-ileal bypass (SASI) for treating gastroesophageal reflux disease (GERD) after laparoscopic sleeve gastrectomy (LSG).Methods:Clinical data of 10 patients with post-LSG GERD undergoing SASI at the Department of Hernia and Bariatric Surgery, the First Affiliated Hospital of University of Science and Technology of China between Jan 2022 and Oct 2024 was retrospectively analyzed. Surgical safety and mid-term outcomes were evaluated.Results:The mean follow-up period was (25.40±17.33) months. The GerdQ score significantly decreased from (14.00±2.05) preoperatively to (5.70±1.49) postoperatively ( t=10.330, P<0.001), with a GERD remission rate of 90 % (9/10). Postoperative body weight and body mass index (BMI) both showed statistically significant reductions compared to preoperative values. Weight dropped from (110.29±22.92) kg to (84.95±15.89) kg ( t=5.889, P<0.001), and BMI decreased from (38.98±7.16) kg/m2 to (30.02±4.88) kg/m2 ( t=6.086, P<0.001). The percentage of excess weight loss was 65.88%±32.85%, and the percentage of total weight loss was 22.43%±9.65%. Only one patient experienced transient postoperative diarrhea, which resolved spontaneously, and no severe malnutrition cases were observed. Conclusion:SASI effectively improves GERD symptoms after LSG with favorable safety, serving as a suitable revisional surgical option for those patients.
