Single Anastomosis Gastro Ileal Bypass with Pyloric and Gastric Plication: A New Innovative Bariatric Operation

The document reports on a study of a novel bariatric surgery called Single Anastomosis Gastro Ileal Bypass with Pyloric and Gastric Plication (SAGI PGP), involving 270 patients with a mean BMI of 43.5 kg/m². The study found significant excess weight loss (EWL) of over 90% in the first year and 85% in the second year post-operation. Additionally, all patients with type 2 diabetes mellitus achieved normal blood sugar levels without medication, typically within the first month after surgery. Follow-up was conducted with 240 patients after one year, 200 after two years, and 130 after three years. The authors concluded that SAGI PGP is an effective, innovative operation with minimal complications, offering a simplified alternative to more complex bariatric procedures, and should be considered a standard option in bariatric surgery.