Dr Heikal Mahmoud Clinic
weight gain problem

Sasi Bypass Surgery

Are you overly obese? Have you been suffering from obesity for many years until it has led to other health complications such as heart disease and type 2 diabetes? Do you want to lose extra weight? Have you tried diets and regular exercises and yet failed to achieve the desired goal?

There is no need to despair; Obesity is a disease like any other disease that can be eliminated. You should first choose the perfect doctor so that your success in getting rid of obesity is guaranteed, and that is what you will achieve when choosing Dr. Heikal Mahmoud, the most skilled bariatric surgeon in Egypt, to be your doctor on your journey to reach the ideal weight through bariatric surgery that suits you.

Bariatric surgery that suits me! Does this mean that there are multiple types of bariatric surgery?
For sure, There are many types of bariatric surgeries, and now we will discuss these types.

1- Gastric Sleeve surgery (J shape):
- The Gastric Sleeve surgery with Dr. Heikal Mahmoud is different from any gastric sleeve surgery with any other bariatric surgeon. He achieved this great difference by inventing an exceptional technique to eliminate obesity while preserving the possible benefits from vitamins and minerals in food.

The surgery is performed laparoscopically, where the stomach is cut to get rid of its excess size; Dr. Heikal Mahmoud cuts the stomach to become like the letter J, and thus the stomach is much smaller than before, allowing the patient to reduce the amount of food significantly.

J-shaped Gastric sleeve surgery retains the part responsible for absorbing beneficial nutrients and removes the part responsible for secreting the hunger hormone; thus the patient is the only controller of his appetite and the amount of food and drink he eats while making full use of all the nutritional values.

Therefore, Dr. Heikal Mahmoud’s patient is the only bariatric patient who will not continue to take vitamins and nutritional supplements for life, as is the case with other bariatric surgeon patients.

- Gastric Sleeve surgery is suitable for those who are constantly hungry with no control over the amounts of food and drink consumed, causing an expansion of stomach size, excessive weight gain, and thus obesity.

 2- Gastric bypass:
- The surgery is done laparoscopically, and Dr. Heikal Mahmoud cuts and minimizes the stomach to become like a small pocket which is then connected to the intestine after bypassing the first one and a half or two meters of the intestine; thus reducing the absorption of sugar and maintaining its blood rate in normal values, which helps type 2 diabetics to recover in addition to getting rid of obesity.

The special issue about Gastric Bypass surgery by Dr. Heikal Mahmoud is that 1.5 cm staples are used instead of 6 cm staples, which helps to feel full for a longer period and thus ensures that the patient will not gain weight again.

- Gastric bypass surgery is suitable for patients with hiatal hernia, gastroesophageal reflux, and type 2 diabetes as complications of obesity.

3- Sasi bypass surgery:
Sasi Bypass surgery is the evolution of bariatric surgery; combining Gastric Sleeve and Gastric Bypass surgeries at the same time.
It has been called the bilateral division as there would be two paths to food:
- The normal route (gastric sleeve): It starts from the esophagus, through the stomach, then the small intestine, and finally the large intestine.
- The second route (bypass): It starts from the esophagus through the stomach and finally the intestines.

Sasi surgery combines the advantages of gastric sleeve and gastric bypass surgeries, ensuring the best outcomes for the patient in terms of:
1- Final elimination of obesity and its complications.
2- Recovering from type 2 diabetes.
3- Ensuring that the weight does not return again.
4- Taking full advantage of the vitamins and minerals found in food.

The best candidates for Sasi Bypass surgery:
1- The patient should be at least 18 years old.
2- The patient's age should not exceed 65 years.
3- An obese patient should have a BMI of more than 30 with associating chronic diseases such as heart disease, blood vessels, and type 2 diabetes.
4- An obese patient must have a BMI of more than 35.
5- Those who have repeatedly tried to lose weight by traditional methods, such as following a hard diet or exercising.

Preparation for Sasi Bypass surgery:
1- Give your full medical history to Dr. Heikal Mahmoud, in terms of any chronic or acute diseases you suffer from and any medications you may be taking, especially blood fluidity medications and clotting medications.
2- If you are a smoker, you should stop smoking for at least two weeks before Sasi Bypass surgery.
3- If you are diabetic, you should review the dosage with your specialist doctor before undergoing surgery.
4- You will undergo a full examination and then do some laboratory tests to check on your general health before the surgery.
5- Fast for 12 hours before undergoing surgery.

Instructions to be followed after the Sasi Bypass surgery:
These instructions must be strictly observed and implemented to ensure the success of the surgery, including:
1. Ensure that no hard work or violent sport is performed until the healing of operation wounds.
2- Make sure to drink water in sufficient quantity, at least one and a half liters per day.
3. Stop smoking for at least two weeks after surgery.
4- Commitment to follow up regularly with the doctor.
5- Adherence to the diet of bariatric surgery.
6- Be sure to take vitamins for at least three months after Sasi Bypass surgery. 

How to avoid Sasi Bypass surgery complications? 
We advise you to choose, the best bariatric surgeon in Egypt, to avoid the following complications:
1- Food leakage outside the stomach may occur, but the doctor’s skill and experience ensure that this does not happen, as Dr. Heikal Mahmoud performs several tests that confirm the absence of gastric leakage before the surgery is completed.
2- Bleeding may occur; so the experience of the surgeon plays a major role in avoiding such complications.
3- Finally, an infection may occur at the site of the surgery wounds, and therefore the patient must be careful to keep the wounds clean by using antiseptics and changing the bandages frequently.