SASI bypass
SASI Bypass offered in Phoenix, Mesa, & Tempe, AZ
6–8 Weeks continued healing
The SASI bypass can be a stand-alone procedure or done as a revision after a sleeve gastrectomy to promote additional weight loss or treat gastric reflux.
SASI surgery is a bariatric procedure that combines two weight loss surgeries: sleeve gastrectomy and intestinal bypass. It involves removing a portion of the stomach to create a smaller, sleeve-shaped stomach and rerouting the digestive system.
SASI Bypass Benefits:
Benefits of SASI bypass:
Reduced stomach volume and reroutes 80% of ingested food that triggers changes intestinal hormone secretion. These changes help reduce feelings of hunger, promote fullness, facilitating weight loss without the usual pangs of hunger or food-related stress associated with traditional diet patterns.
The decreased stomach volume results in a longer-lasting sense of fullness. Meal size will be decreased and must be consumed slowly. Although stomach capacity may slightly increase over several months, it never returns to its prior size. Eating too much or too quickly can lead to stomach discomfort.
Because a large amount of food bypasses the small intestine, not all of it undergoes digestion and absorption, especially fats. When food directly reaches the middle part of the small intestine, the feeling of fullness is intense, curbing appetite and influencing food choices.
Sleeve-Bypass Procedure
The SASI surgery involves a two-step process.
Initially, a traditional sleeve operation is performed, which entails the removal of approximately 80% of the stomach lengthwise, leaving behind a banana-shaped tube with a capacity of around 100-150ml. The larger portion of the stomach is completely removed from the abdominal cavity.
Then, a new connection, called an anastomosis, is created between the remaining gastric tube and the middle segment of the small intestine. This change enables food to follow two directions: the natural route through the pylorus and the duodenum, and a direct path through the newly created connection to the middle portion of the small intestine.
Research has indicated that approximately 80% of ingested food bypasses the small intestine and enters the lower small intestine directly following the surgery, while the remaining 20% follows the normal digestive route.
Unlike conventional bypass procedures like roux-en-y, gastric bypass and mini bypass, which divert food entirely away from the duodenum and the initial part of the small intestine, the SASI surgery maintains stimulation of all segments of the intestines by ingested food.
Including the reduction of vitamin and micronutrient deficiencies and the minimization of the risk of bacterial overgrowth in the bypassed section of the intestine.
Importantly, this surgery is performed using laparoscopic techniques, similar to other bariatric surgeries.
Am I a Candidate for SASI Bypass?
Candidates often have a BMI of 40 or higher, indicating severe obesity. In some cases, individuals with a BMI of 35-39.9 may also be considered if they have significant obesity-related health issues.
Candidates often need to demonstrate that they have made previous attempts to lose weight through diet, exercise, and other non-surgical methods without long-term success.
Candidates often need to demonstrate that they have made previous attempts to lose weight through diet, exercise, and other non-surgical methods without long-term success. SASI bypass can also be an option for those who have previously had a sleeve gastrectomy.
Candidates should be willing to make significant lifestyle changes, including dietary modifications and regular exercise, both before and after surgery.
Many healthcare providers require candidates to undergo a psychological evaluation to assess their readiness for the emotional and behavioral changes that come with bariatric surgery.
Your age, overall health, and any medical conditions may also be considered when determining candidacy.
Candidates should have a clear understanding of the risks, benefits, and potential outcomes of the surgery and provide informed consent.
Ultimately, the decision to undergo any bariatric surgery should be made with the help of an experienced bariatric surgeon who can evaluate your individual circumstances, discuss your goals, and assess whether the procedure is appropriate for you. They will consider your medical history, current health status, and other factors to make an informed recommendation.
FAQ
Remember that this information is general, and it's essential to have a thorough discussion with a healthcare provider or bariatric surgeon to address your specific questions and concerns regarding surgery. They can provide you with tailored information and guidance based on your individual circumstances.
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