Background: Bariatric surgery has become the most valuable approach in managing morbid obesity where it can
achieve sustained great weight loss. The restrictive, malabsorptive and mixed procedures, have shown to achieve
promising and good results in weight loss.
Patient and methods: It is a prospective observational study which was held in Menoufia University, general
surgery department between September 2018 and October 2021. Eighty obese patients with their body mass index
(BMI) between 35kg/m2 and 60 kg/m2, and their age ranging between 18 and 65 years were included. All of them
underwent laparoscopic sleeve ileal bypass SASI bypass. We studied the impact of SASI bypass on weight loss and
metabolic comorbidities.
Result: There were high statistically significant differences during the follow-up period as regards pre and postoperative
BMI, type 2 diabetes mellitus, hyperlipidemia (p < 0.001).
Conclusions: SASI bypass seemed to be safe and effective bariatric procedure that confers significant loss of
weight and improvement of obesity related comorbidities.