WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Hasan Wadee`a Hasan*, Dr. Ahmed A. Ibraheem and Dr. Sabah Noori Abdulraheem AlKhazaali

ABSTRACT

Background: Obesity is a major public health issue that is connected with an increased risk of cardiovasculardisease, diabetes, and cancer. Bariatric surgery, as opposed to non-surgical care, has been shown in studies toresult in greater and more permanent weight reduction Recently, single anastomosis sleeve jejunal bypass (SASJ)has emerged as a novel procedure and is theorized to be associated with a lower incidence of malnutrition due tothe presence of two pathways for food. Aim of Study: To assess intraoperative and postoperative outcomes ofsingle anastomosis sleeve jejunal bypass, sleeve gastrectomy and one anastomosis gastric bypass. Patients andmethods: This is a prospective cohort study that has been conducted in Baghdad Teaching Hospital and PrivateNursing Hospital/ Medical city, Baghdad, during the period from the 1st of June 2021 to the 1st of January 2023.The study included 90 patients who underwent either OAGB, LSG, or SASJ. Patients were followed-up for oneyear to assess the following parameters: weight loss, quality of life, postoperative complications, and remission ofhypertension, type II diabetes, obstructive sleep apnea. Results: No significant difference between the three studygroups was detected regarding weight loss, quality of life, intraoperative blood loss, remission rates of type IIdiabetes, hypertension and obstructive sleep apnea. Postoperative complication rate was similar between the threegroups, except for LSG which showed significantly higher incidence of gastroesophageal reflux disease. Patientswho underwent OAGB had significant hypoalbuminemia. The intraoperative time of SASJ was significantlylonger than OAGB and LSG. Conclusion: Based on the findings of the present study, SASJ is a safe procedurethat is not associated with increased rate of nutritional complications. Regarding effectiveness, the weight loss andremission of obesity related comorbidities were similar to those of OAGB and LSG.