The Single-Anastomosis Sleeve-Ileal (SASI) procedure combines a sleeve gastrectomy with one connection between the stomach and the distal small intestine (≈ 2.5–3 m from the colon).
Who are suitable candidates?
BMI ≥ 35, regardless of associated health problems.
Repeated unsuccessful weight-loss attempts.
Presence of reflux symptoms, where a bypass component may help.
ADVANTAGES
Durable weight loss: Usually 25–30% TWL.
Hormonal appetite suppression: Via GLP-1, PYY, and reduced ghrelin.
High metabolic effect: Improves or resolves diabetes in up to 60–80% of patients.
