జీర్ణకోశ & జీర్ణ వ్యవస్థ

నైరూప్య

Single Anastomosis Gastro Ileal Bypass with Pyloric and Gastric Plication (SAGI PGP): A New Innovative Bariatric Operation

Ferman Faris Mohammed, Rafil Abdel Alwahab Aldaaod

Objectives: Objective is to analyze the operation results of 270 patients in 2013, 2014 and 2015. Setting: Soran Private Hospital/Department of general &laparoscopic surgery/ErbilIraq. Methods: The mean BMI of patients is 43.5 kg/m2 with female patient were 165 and male patients were 115. Type 2 DM was presenting in 68 patients. Hypertension in 48 Hypercholesterolemia in 104, Hypertriglyceridemia in 178 and sleep apnea in 20, polycystic ovarian syndrome in 34 patients. Case study was possible for 240 patients in the 1st year post operation and 200 patients for the 2nd year and 130 in the 3rd year. Results: EWL is above 90% at first year, 85% at year 2. All diabetic patients return to normal blood sugar level usually at the first month with no need for any kind of anti-diabetic medication. Conclusion: SAGI PGP is a novel operation with the least complication that can happen in any other type of bariatric surgeries and the best EWL that can be expected. This technique is combination of single anastmosis gastroileostomy with gastric and pyloric placation. It is a simplified version of biliopancreatic diversion duodenal switch. SAGI PGP is a new combination of bariatric techniques which introduce gastric placation the new simple but yet very effective diversion component which is replacing the duodenal switch and other difficult diversion modalities. Gastric placation is also considered a new territory in bariatric operations and it combination with malasorbative component is rarely done so we try to explore this area and to reach the best results for our patients.