Dr Mohamed Abu Al Nagah Clinic
laparoscopic consultant

SASI Surgery

There are many different bariatric surgeries, and all of these surgeries reach the same goal, which is to lose excess weight and get rid of obesity. Choosing the appropriate bariatric surgery is the decision of the skilled surgeon after discussing with the patient, as every bariatric surgery has an advantage and benefit to fulfill the situation. When you meet with a specialized bariatric surgeon, he begins to ask you several questions, such as:
- What kind of food do you mostly eat?
- Is the time gap between your meals reasonable or not because of your constant hunger?
- Have you tried to follow traditional diet regimes such as following a healthy diet with a nutritionist and exercising regularly to get rid of excess weight but failed?
- After measuring your weight, is your body mass index (BMI) higher than 30?
- Do you suffer from chronic diseases such as hypertension and diabetes?
- Are you a heavy sugar and sweet eater and can't do without them?

How does a bariatric surgeon choose the appropriate bariatric surgery for the case?
After the previous questions, the surgeon begins to request the necessary analysis and X-rays and discusses with the patient the different types of bariatric surgeries to choose the appropriate one for him depending on many factors, including BMI, chronic diseases of the patient such as diabetes, and causes of weight gain. There are several types of safe bariatric surgeries performed by Dr. Mohamed Abo El Naga, which are:
- Tailored Gastric Sleeve surgery.
- Gastric Bypass surgery.
- SASI surgery.

What is SASI surgery?
It is one of the most successful bariatric surgeries that led to a breakthrough in the world of bariatric surgeries. Also, it is called Binary Division surgery because it combines Gastric Sleeve surgery and Gastric Bypass surgery. Therefore, it also unites the benefits of both. 

The first step is the removal of a large portion of the stomach including the part responsible for secreting the hunger hormone. This step leads to a small stomach size and rapid saturation with a small amount of food. 

The second step is to divert the path by reducing the link between the stomach and intestines, leading to decreased food absorption, especially sugars and carbohydrates while maintaining the absorption of vitamins and necessary elements of food for the body. 

Therefore, after SASI surgery or the binary division, the excess weight is lost, and the obesity is safely eliminated without the need to take vitamins for long periods and without reaching a state of body weakness due to losing many vitamins and necessary elements.

What are the benefits and advantages of SASI Surgery?
As we have already mentioned, SASI surgery is one of the most important bariatric surgeries that combines the advantages of Gastric Sleeve surgery and Gastric Bypass surgery. Therefore, it has several advantages, which are:
- Losing excessive weight and getting rid of obesity gradually and safely, because it preserves the absorption of vitamins and necessary elements from food.
Therefore, after the surgery, the patient does not reach a state of weakness and does not need to take vitamins for a long time.
- The SASI surgery helps get rid of type 2 diabetes, as it reduces the absorption of food intake, especially sugars and carbohydrates.
- The SASI surgery saves the obese patient from many diseases through losing excess weight and turning to better health.
- The SASI surgery protects the patient from hair loss or the appearance of dark circles under the eyes, after losing weight, due to the maintenance of the ability to absorb vitamins and the necessary elements from the food consumed.

Is the SASI surgery safe?
The SASI or binary division surgery is one of the most recent bariatric surgeries that has made a great difference in the bariatric surgery field because of combining of the benefits and advantages of two surgeries (Gastric Sleeve and Gastric Bypass), which are to lose excess weight safely and preserve vitamins and elements necessary in the body, and thus there is no need to take vitamins for long periods. Although SASI surgery is still under study and trial, it has proven its success and safety in many cases with the most skilled bariatric surgeons.

Unbelievable rumors about safe bariatric surgeries:
- Bariatric surgeries are unsafe and can lead to death.
- Bariatric surgeries can be performed by any doctor who is not specialized in bariatric surgeries.
- Bariatric surgeries cannot be performed for those over the age of 60 years.
- Bariatric surgeries are dangerous for 18 years old, and obesity should not be addressed through bariatric surgeries at that age.
- Before performing bariatric surgeries, the tests and X-rays required by a specialized bariatric surgeon are not important and have nothing to do with the surgery.
-After bariatric surgeries, the return to weight gain is certain, even if you adhere to the advice and instructions of the specialized surgeon.
- If you fail to lose weight through traditional methods such as a healthy diet with a nutritionist or a commitment to exercise regularly, bariatric surgeries will not help you to lose weight.
- Bariatric surgeries have slow and uncertain results in losing excess weight and getting rid of obesity.
- Bariatric surgeries are not able to get rid of type 2 diabetes associated with severe obesity.
- Bariatric surgeries are not able to avoid many serious diseases such as cardiovascular diseases, hypertension, and hypercholesterolemia.
- If you suffer from pain in the back and joints due to excessive weight and obesity, losing that excess weight with safe bariatric surgeries does not improve that pain.
- Bariatric surgeries harm pregnancy and lactation.
- Bariatric surgeries negatively affect the sexual and reproductive ability of men.

How to choose the right bariatric surgeon to perform your bariatric surgery?
- The bariatric surgeon must have a lot of experience and have performed many different bariatric surgeries.
- You must verify the results of the bariatric surgeries performed by the bariatric surgeon, and whether the cases have reached the desired results and weight in good health, by considering the success stories of his patients who performed the surgery and reached the perfect weight safely.
- The honesty of the bariatric surgeon is one of the most important characteristics that you should look for when you decide to perform the surgery. Credibility and honesty are the secrets of the success of any surgeon.
- Always search for the bariatric surgeon who specializes in bariatric surgeries, as specialization increases experience and skill and ensures the success of the surgery.
- You must make sure that your doctor will follow you up after the surgery to avoid any problems or side effects.
- A skilled surgeon is the one who will give you tips and instructions to lose weight healthily and not to gain weight again.

You can find all these aspects and criteria with Dr. Mohamed Abo El Naga, consultant of bariatric and laparoscopic surgeries.