Anemia and iron metabolism disorders after single anastomosis sleeve ileal (SASI) bypass. Is it a real problem?

PURPOSE: SASI (single anastomosis sleeve ileal) bypass can lead to nutritional deficiencies, including disorders of iron metabolism and anemia. This study aims to evaluate the effect of SASI bypass on weight loss, anemia, and iron deficiency in patients with obesity during the follow-up period. METHODS: This study is a retrospective analysis of prospectively collected data from patients who underwent SASI bypass at our hospital between January 2020 and February 2022. RESULTS: The mean age of the patients was 42 years (range 22-58). The average duration of the follow-up period was 26 months. The mean percentage of excess weight loss (%EWL) was 90.1%, and total weight loss (%TWL) was 30.5%. During the postoperative observation period, anemia was identified in ten patients (25%), comprising 70% with normocytic anemia, 10% with microcytic anemia, and two macrocytic anemia cases (20%). Iron deficiency was observed in two patients (5%). CONCLUSION: SASI bypass is an effective bariatric procedure in weight loss outcomes. However, there may be an increased risk of anemia and iron metabolism disruptions associated with this procedure. The common limb length (250 vs. 300 cm) did not significantly impact hemoglobin, iron, TIBC, ferritin levels, or anemia incidence among patients undergoing SASI bypass. The decrease in postoperative ferritin levels signifies a depletion in tissue iron reserves, thereby emphasizing the necessity for surveillance of iron homeostasis parameters following SASI bypass.

Effect of SASI procedure (Single Anastomosis Sleeve Ileal) on the symptoms of gastroesophageal reflux disease in bariatric patients - a review of the literature.

The problem of gastroesophageal reflux disease among bariatric patients is constantly growing. While bariatric surgery is the most effective method of treating obesity and related diseases, not all surgical procedures lead to improvement or resolution of gastroesophageal reflux disease. The search for the "ideal" surgical procedure for this group of patients is ongoing. The relatively recently introduced SASI procedure seems to have a beneficial effect on GERD symptoms and may be an alternative anti-reflux procedure in obese patients. The presented paper is a review of the latest literature on the impact of SASI procedure on the symptoms of gastroesophageal reflux disease.

[Professional adaptation of nurses as a factor influencing the efficiency of medical care for hospitalised patients]. / Adaptacja zawodowa pielegniarek jako element wplywajacy na sprawnosc opieki medycznej nad pacjentem hospitalizowanym.

Adaptation is defined as a specific kind of human accommodation to a particular environment. Such definition allows to describe professional adaptation as a process which prepares an employee to work effectively in a given position. Professional adaptation may comprise an employee's adaptation for professional work as well as his working community. An employee learns to perform his professional as well as social duties in a new workplace. Professional adaptation is one of the components of management in employment policy which influences the effectiveness of operation of the health care system. In the present study the author tries to answer the following questions. What are the factors influencing the course of nurses' professional adaptation? How do nurses evaluate the course of their professional adaptation? Do nurses think that the process of professional adaptation influences the effectiveness of medical operations performed by nurses with regard to hospitalised patients? The research included 120 section nurses employed for the first time in maintenance departments of different hospitals (not including clinical hospitals). The research was conducted in the autumn of 2000 in the whole country. A questionnaire for section nurses was employed. As a result of the analysis of the data obtained in the research the posed questions (among other things) were answered. The investigated nurses positively assess the course of professional adaptation which they underwent at the beginning of their professional careers. Among the factors influencing the course of professional adaptation the following were named among others: adaptation programme, choice of adaptation tutor, organisation of the working process and allocation of tasks during adaptation, the relations in the group, the equipment in departments. According to the investigated nurses correct course, properly prepared and realised professional adaptation programme helps to reduce professional difficulties and is conductive to improve the quality and effectiveness of medical care for hospitalised patients.