Laparoscopic Single Anastomosis

Introduction:

Types of Laparoscopic Single Anastomosis:

There are two primary types of Laparoscopic Single Anastomosis procedures:

1. Sleeve Gastrectomy with Duodeno-Ileal Anastomosis (SG-DIA): In this procedure, a large portion of the stomach is removed, leaving a banana-shaped “sleeve” behind. The remaining portion of the stomach is then connected to the lower part of the small intestine (duodeno-ileal anastomosis). This restricts food intake and reduces calorie absorption.
2. Loop Duodenal Switch (LDS): LDS involves creating a smaller stomach pouch similar to sleeve gastrectomy. Additionally, a loop is formed in the small intestine, which is then connected to the new stomach pouch. This results in a restriction of food intake and reduces calorie absorption, similar to SG-DIA.

Conditions for Laparoscopic Single Anastomosis:

Laparoscopic Single Anastomosis is recommended for individuals who meet specific criteria, including:

1. Obesity: Candidates should have a Body Mass Index (BMI) of 35 or higher with obesity-related health conditions or a BMI of 40 or higher without comorbidities.
2. Failed Non-Surgical Interventions: Individuals who have unsuccessfully tried non-surgical weight loss methods like diet and exercise may be considered for this procedure.
3. Obesity-Related Health Issues: Candidates with obesity-related health conditions like type 2 diabetes, high blood pressure, sleep apnea, or heart disease may benefit from Laparoscopic Single Anastomosis as it can improve or resolve these conditions.

Treatment Process:

1. Preoperative Assessment:Before the surgery, patients undergo a thorough evaluation, including physical and psychological assessments, to ensure they are suitable candidates.
2. Surgery:The surgery is performed under general anesthesia, and small incisions are made in the abdomen. The surgeon removes a portion of the stomach, creating a sleeve or pouch, and forms the necessary anastomosis.
3. Recovery:Patients typically stay in the hospital for a few days and gradually transition from a liquid to a solid diet over several weeks.
4. Follow-Up Care:Regular follow-up appointments with the healthcare team are essential for monitoring weight loss, nutritional status, and addressing any potential complications.

Benefits of Laparoscopic Single Anastomosis

1. Significant and sustainable weight loss
2. Improvement or resolution of obesity-related health conditions
3. Lower risk of complications compared to open surgeries
4. Faster recovery and shorter hospital stay
5. Enhanced quality of life and increased mobility.

Conclusion: