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العنوان
Evaluation of Single Anastomosis Gastric Bypass in the Treatment of Morbid Obese Patients/
الناشر
Ain Shams University.
المؤلف
Abd-Rabou,Ahmed Ali Abd-Elgaffar .
هيئة الاعداد
باحث / أحمد على عبد الغفار عبد ربة
مشرف / علاء عباس صبرى مصطفى
مشرف / محمد السيد الشناوى
مشرف / مدحت محمد حلمي
تاريخ النشر
2021
عدد الصفحات
143.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/10/2021
مكان الإجازة
جامعة عين شمس - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

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from 142

Abstract

Objective
The study was performed to evaluate the technique of laparoscopic single anastomosis gastric bypass for treatment of morbidly obese patient.
Study design
The patients were enrolled in a Prospective observational study, from May 2013 till May 2015, including 100 patients set for laparoscopic Single anastomosis gastric bypass. Surgical procedures and follow up were performed at Ain Shams University hospitals.
Patient and methods
The study includes one hundred patients; 33 males and 67 females with a mean age of 33±10 years (range, 20–59), who fulfilled the criteria for bariatric surgery with BMI >35 with associated co-morbidities, all patients underwent laparoscopic single anastomosis gastric bypass.
Results
The average operative time was 90 minutes, and the median length of hospital stay was 2 day. No mortality reported within 30 days postoperatively. Early postoperative complication within 30 day, no cases of leak reported, endo luminal hemorrhage (2%) treated conservatively. long-term complications were bile reflux (1%), with failed medical treatment which Laparoscopically converted to RYGBP. iron deficiency anemia (1%). Average weight loss at 1 year was 46 kg (70.08% of excess body weight). (88.8%) of the obesity-associated co morbidities are resolved within 1 year.
Conclusion
 Laparoscopic single anastomosis gastric bypass offers major benefits with great satisfactory results over most alternative procedures, is a successful procedure for weight loss and maintaining the weight reduction in morbid obesity., it has highly safe with good technical feasibility, short hospital stay, a low rate of major postoperative complications and growing learning curve.