Effect of Laparoscopic Sleeve Gastrectomy versus Laparoscopic Single Anastomosis Sleeve Ileal Bypass (SASI) on Serum Iron

Document Type : Original Article

Authors

1 Department of General Surgery, Faculty of Medicine, Benha University, Egypt

2 Department of Internal Medicine, Faculty of Medicine, Benha University, Egypt

Abstract

Introduction: Nutritional deficiencies are usually associated with bariatric surgery. Iron metabolism is usually
affected following bariatric surgery.
Aim of work: Is to determine and compare the effect of laparoscopic sleeve gastrectomy (LSG) versus laparoscopic
single anastomosis sleeve ileal bypass (SASI) on Iron Profile.
Patients and methods: The study included 74 patients equally divided into two equal groups. Group A (n=37)
underwent LSG while Group B (n=37) underwent SASI. Follow-up was designed for the serum iron profile for 6
and 12 months.
Results: There was a statistically significant decrease in EWL% in SASI Group more than LSG Group (p=0.001*).
There was a statistically significant drop in the Iron profile components’ levels in SASI Group after 1,6 and 12
months compared with the corresponding baseline levels with non significant changes in the LSG group.
Conclusion: Both LSG and SASI are effective in the treatment of obesity however LSG has minimal effect on the
iron profile in comparison with SASI procedure so adherent follow up for the Iron profile is mandatory.

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Ain Shams Journal of Surgery
Volume 18, Issue 1
January 2025
Pages 50-56

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