Clinical trial

Single Anastomosis Sleeve Jejunal Bypass Versus One Anastomosis Gastric Bypass in Management of Morbid Obese Patients: A Comparative Study

Opening soon · Not applicable · 1 countries · Registry ID NCT06857097

Opening soonNot applicableInterventional

What this study is about

This study was conducted aiming to assess the efficacy of SASJ bypass as a novel bariatric procedure in terms of operative time, weight loss, complications and effect on comorbidities compared to the outcomes of OAGB within two years after operation.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age16 Years to 60 Years

SexAll

Healthy volunteersNot accepted

ConditionSingle Anastomosis Sleeve Jejunal Bypass

Full registry criteria

Inclusion Criteria: 1. body mass index of over 35 plus the comorbidity presence. 2. body mass index of over 40 with/without comorbidity. 3. patients' willingness to participate in the study. 4. patients' cooperation in follow-up researches. 5. lacking any psychiatric disease. Exclusion Criteria: 1. Patients negating to change their lifestyle. 2. drug abuse and/or addiction. 3. eating disorder background (e.g., bulimia nervosa). 4. Patients with contraindications to laparoscopic surgery and (or) unfit for surgery. 5. pregnant patients. 6. previous upper abdominal procedures, 7. reflux symptoms 8. major unstable psychiatric illness.

Treatments and study arms

single anastomosis sleeve jejunal bypass

Procedure

sleeve was created starting devascularization of greater gastric curve 6 cm proximal to pylorus. Devascularization was done via either a harmonic scalpel or a ligasure device. Dissection was continued proximally till reaching the left diaphragmatic crus. Afterwards that the stomach was resected along the greater curvature via an endostapler over a 36-Fr bougie. After creating the sleeve, two meters of the small bowel were counted starting from the ligament of Treitz, and an antecolic isoperistaltic gastrojejunostomy (4-cm wide) was created with the antrum via linear stapler, and the anterior wall defect was closed by sutures.

One anastomosis gastric bypass

Procedure

dissection started just distal to the crows' foot till reaching the lesser sac. A long narrow gastric pouch was created by the endostapler. After that, a longitudinal gastrojejunostomy (4-cm wide) was created at 200 cm distal to the Treitz ligament as the SASJ group.

Primary outcomes

Weight loss parameters2 years

Study locations

1 locations were listed when this page was built. The first 40 are shown.

Sohag University🇪🇬 Sohag, Egypt

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Magdy m Amin, professorContact