title: A New Concept in Bariatric Surgery. Single Anastomosis Gastro-Ileal (SAGI): Technical Details and Preliminary Results.
abstract: In one anastomosis gastric bypass (OAGB), the measurement of the afferent limb starting at the angle of Treitz may result in insufficient absorptive surface of the intestine of the remaining efferent limb. To address this concern, we recently modified the technique of OAGB by constructing the gastrointestinal anastomosis at a fixed distance from the ileocecal valve (i.e., 300 cm). We adopted the new concept and named it the single anastomosis gastro-ileal bypass (SAGI).
  
  
  
  Seven consecutive patients with morbid obesity underwent the SAGI procedure.
  
  
  
  There were no intraoperative complications and there were no deaths. The mean excess weight (EW) loss was 55.1 % at 3 months and 82.1 % at 6 months.
  
  
  
  The SAGI procedure may constitute a safer alternative to the conventional OAGB.
authors.affiliation: Department of Surgery, Montebelluna Treviso Hospital, Montebelluna, Italy. nnwdel@tin.it.
authors.forename: Maurizio
authors.initials: M
authors.lastname: De Luca
authors.affiliation: The European School of Laparoscopic Surgery, Brussels, Brussels, Belgium.
authors.forename: Jacques
authors.initials: J
authors.lastname: Himpens
authors.affiliation: University Federico II of Naples, Naples, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Angrisani
authors.affiliation: Department of Surgery, University Tor Vergata, Rome, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Di Lorenzo
authors.affiliation: Department of Surgery, Sunderland Royal Hospital, Sunderland, UK.
authors.forename: Kamal
authors.initials: K
authors.lastname: Mahawar
authors.affiliation: Department of Surgery, Montebelluna Treviso Hospital, Montebelluna, Italy.
authors.forename: Cesare
authors.initials: C
authors.lastname: Lunardi
authors.affiliation: Department of Surgery, Montebelluna Treviso Hospital, Montebelluna, Italy.
authors.forename: Natale
authors.initials: N
authors.lastname: Pellicanò
authors.affiliation: Department of Surgery, Montebelluna Treviso Hospital, Montebelluna, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Clemente
authors.affiliation: Brigham and Women's Hospital, Boston Massachusetts, MC, USA.
authors.forename: Scott
authors.initials: S
authors.lastname: Shikora
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D050110:Bariatric Surgery / Q000379:methods*; D005260:Female; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D010865:Pilot Projects; D015431:Weight Loss
keywords: Billroth 2 anastomosis; Malabsorpitive procedure; One anastomosis gastric bypass; Single anastomosis duodenal-ileal; Single anastomosis gastro-ileal