Laparoscopic single anastmosis sleeve ileum bypass (SASI bypass ) : Technique and Preliminary Results

occurred. At 12 months; mean BMI and excess weight significantly improved (41.9 7.9 kg/m and 48.0 22.1 kg, respectively), po0.01. Total %EWL and %WL were 24.4 15.6%, and 10.2 4.8%, respectively (p40.05). Additionally, all metabolic parameters including mean plasma glucose (128.9 55.3 vs 102.7 27.3 mg/dl), LDL cholesterol (103.6 35.8 vs 89.2 30.0 mg/dl), triglycerides (177.3 139.1 vs 117.6 59.3 mg/dl), HDL cholesterol (46.3 11.6 vs 54.1 12.7 mg/dl), and hemoglobin A1C (7.3 1.9 vs 6.1 1.0%), significantly improved (po0.01). Type 2 diabetes (T2DM) and hypertension also improved in 39 (75%), and 27 (37%) patients, respectively. Insulin and oral anti-diabetic agents requirements decreased from baseline (po0.01). Six (5.7%) late complications were reported in the studied cohort. Conclusion: The results of our study suggest that primary inadequate weight loss after RYGB is not associated with suboptimal metabolic outcomes. Further research is needed to confirm these results in the long term.