الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
One Anastomosis Gastric Bypass is one of the commonest bariatric surgeries worldwide, which has been demonstrated to produce excellent bariatric and metabolic outcomes.
Single anastomosis sleeve jejunal (SAS J) bypass was introduced by Pazouki and Kermansavari, as a modification of SASI to form the anastomosis between the sleeved stomach and the jejunum rather than the ileum. In SASJ bypass the anastomosis was performed at 200 cm from the DJ point.
This is a comparative prospective randomized study conducted in Ain-Shams University Hospitals, including 40 patients divided into 2 groups. First group was composed of 20 patients who underwent SASJ operation, and second group was composed of 20 patients who underwent OAGB operation.
It aimed to compare the outcome of SASJ with OAGB as regards efficacy and safety in a 6-month postoperative follow up period.
In this study we concluded that
Both OAGB and SASJ are effective bariatric procedures as regards weight loss and comorbidities resolution such as DM, HTN and hyperlipidemia.
Summary and Conclusion
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Incidence of biliary reflux was found more among the SASJ patients, but it was almost overcomed by performing the antireflux suture.
Incidence of gallstones was found more among the OAGB patients, noting that we did not have access to the CBD by ERCP when indicated, in opposition to the SASJ patients, in which we have access to the CBD by ERCP.
In morbidly obese patients with hiatus hernia, we were able to perform hernia repair in the same session in SASJ patients.
As regards malnutrition parameters there was no difference between the two groups on the short-term period, it needs further research on long term period to assess the malnutrition effect of both bariatric procedures.
The limitations of this study are the short term follow up period of 6 months and the small number of patients, so longer follow up period and larger sample size are recommended in the upcoming studie