What is SASI surgery?
SASI Surgery in Egypt is a breakthrough in bariatric surgery as it is a combination of gastric sleeve and gastric bypass surgeries.
Thus, the advantages of the two processes are taken:
Gastric sleeve: About 80% of the stomach size is cut and removed, thus reducing the amount of eating and getting rid of the hunger hormone, and hunger becomes a rare feeling.
Gastric bypass: The intestinal pathway is diverted with part of it overtaken and thus reduced absorption of many nutrients and sugars.
The SASI achieves many advantages, as there will be two pathways of eating in the body:
1- The natural path: about 30% of the food passes thorough it, and a portion of the nutrients and vitamins needed for the body is absorbed. This avoids taking vitamins for long periods after the operation.
2- The bypath route: 70% of the food passes here, where the absorption of sugars, sweets and many nutrients is reduced to achieve a spectacular drop in weight as well as cure from diabetes type 2 disease if present.
Who is the best candidate for The SASI Operation?
1- An obese patient suffering from an increase in BMI above 35 kg or 30 in the presence of other organic diseases.
2- An obese patient who has not responded to weight loss methods as exercise and diets.
3- An obese patient from the age of 16-65 years.
4- An obese patient who likes to eat in large quantities or sugars and sweets lovers.
5- An obese patient who does not intend to take vitamins after the operation for long periods.
6- An obese patient suffering from type 2 diabetes.
The history of SASI Operation:
Invented the process of SASI or bilateral division, a Spanish doctor called Santorus in 2013, after which doctors began to perform it and spread it in many countries of the world.
See a simplified explanation for the SASI operation from Dr. Osama Khalil in these minutes, click here
The meaning of SASI abbreviation:
Laparoscopic Single Anastomosis Sleeve Ileum Bypass is the scientific term for SASI surgery.
That is simply a combination of gastric sleeve and gastric bypass. It is also called the process of bilateral division because through it two pathways of food are made by the body, the natural path and the transformational path.
SASI... Joker of the Bariatric surgeries:
Dr. Osama Khalil called SASI Operation, the Joker of Bariatric surgeries, because of his belief in the importance of this surgery and its distinguished future in the world of bariatric surgeries in getting rid of obesity and diabetes together. Although scientific research is still inadequate, as it has not been proven its efficacy on the long run.
The procedure takes about one hour, and the patient stays in the hospital for one day. He can enjoy his normal life and get back to work in a few days.
Steps of the SASI surgery in details:
1- The patient is generally anesthesized.
2- The surgeon performs 5 small incisions not more than 2 cm to insert the laparoscopic surgical instruments.
3- The surgeon performs the operation with the medical staff holding the laparoscopic tools with his hands and monitoring the progress of the operation through a monitor screen connected to a front camera. Where a complete picture of the organs and internal viscera of the patient is shown on monitor screen.
4- Surgical openings are stitched cosmetically after the operation.
5- The patient moves from the operating room to the recovery room and from there to a regular room after recovery. To stay there for one day.
SASI and pregnancy:
When can I get pregnant after SASI surgery?
A question that comes to mind many obese women who are planning to become pregnant. To answer: Dr. Osama Khalil advises his patients to wait one year after the operation to ensure that the fetus gets the nutrients, vitamins and minerals necessary for its growth.
It is well known that bariatric surgeries contribute a lot to solving the problem of delayed pregnancy in some cases, as obesity is an obstacle to pregnancy.
5 Benefits of the SASI surgery:
1- Gets rid of obesity and reach the ideal weight in a short time and completely safe.
2- Recovery from type 2 diabetes by up to 98%.
3- Gets rid of the tiring complications of obesity such as high blood pressure, high cholesterol levels, bone and joint diseases.
4- The operation is performed laparoscopicaly, which gives the patient many advantages, the most important of which is the lack of pain and the speed of the recovery period.
5- You do not need to commit to taking vitamins for long periods.
When will I get the perfect weight after the SASI operation?
Reaching the perfect weight and achieving the dream of agility is no longer a distant wish. Within a year of the SASI operation, the patient can reach the ideal weight of course with the continue follow-up with the specialist and compliance with post-operative instructions.
The patient also loses about 60% of his weight in the first 6 months.
Dr. Osama Khalil always emphasizes the importance of following post-operative instructions to adhere to a healthy diet and exercise regularly. The surgery is not magic, it is the beginning of the road and the cornerstone of a healthy life.
SASI... A solution to the vitamin problem:
Sticking to medication for long periods is an annoying issue. Many patients get bored of taking medications for long periods.
The SASI surgery was created to provide the solution for obese patients and to eliminate the problem of regular taking vitamins after the operation. You do not need to continue to take vitamins and supplements after the SASI surgery for long periods. This is because about 30% of the food is on its natural pathway (esophagus-stomach-intestine) and therefore the nutrients, vitamins and minerals needed for a healthy body are absorbed.
5 tips to avoid the failure of the SASI surgery:
Laparoscopic SASI, like other bariatric surgeries, needs to be adhered to the doctor's instructions in order to succeed. An competent and experienced doctor is the first and main factor for successful bariatric processes, but the patient's commitment is of great importance.
Therefore, Dr. Osama Khalil recommends 5 tips to avoid the failure of the SASI surgery:
1- Drink enough water daily. At least 2 liters per day.
2- Avoid eating while drinking together. Because the new stomach can't tolerate both of them.
3- Avoid soda drinks due to pressing on the stomach wall with its effervesence, causing the stomach to expand again and the operation in turn fails.
4- Chew well before swallowing to avoid gastric disorders and pain.
5- Exercise regularly to avoid the appearance of sagging and maintain the results of the operation. And enjoy a healthy life characterized by fitness and vitality.
Complications of SASI surgery:
Like all surgeries, the SASI surgery carries with it a percentage of complications, which does not exceed 1% of the total cases.
These complications include:
1- The possibility of leakage, which Dr. Osama Khalil avoids with many techniques.
2- Possible bleeding.
3- The possibility of infection of the wound.
4- The possibility of malnutrition as a result of not following post-operative instructions, especially in the first months.
What is the secret behind variation in bariatric surgeries cost?
In the world of bariatric surgery, the prices of bariatric surgery vary from doctor to doctor, so what is the secret behind this disparity?
The prices of bariatric surgery vary according to:
1- General Condition of the case.
2- The hospital where the operation will be performed, the quality and efficiency of the operation.
3- Surgical tools and staples that will be used in the surgery. Are they American-made or not? And is it a single-time use or not?
4- The type of laparoscope to be used in the operation.