الفهرس 
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Abstract
Apart from their benefits, these procedures have certain drawbacks and necessitate long-term monitoring in general. Micronutrient malabsorption from the initial sections of the small intestine, for example, makes long-term reliance on supplemental prescriptions unavoidable in approaches that reduce absorption. As a novel bariatric technique, the single-anastomosis sleeve jejunal (SASJ) bypass has been created. In comparison to other bariatric methods, this technique has the advantage of displaying stomach and intestinal structure that is more akin to normal anatomy. Furthermore, initial studies revealed appropriate excess weight loss as well as comorbidity rehabilitation. Because of the resemblance to the original gastrointestinal structure, appropriate micronutrient resorption is possible, and as a result, less long-term supplement requirements are necessary. Also, in this strategy, early meal exposure to the ileum combined with enhanced GLP-1 and peptide YY release leads to higher beta cell stimulation for insulin secretion, less glucagon response, and faster stomach emptying. Another significant benefit of this method is its reversibility, which can be achieved in circumstances where the problems are life-threatening. The current prospective randomized study was conducted at GISC, Mansoura University aiming to assess the efficacy of SASJ bypass as a novel bariatric procedure compared to LSG and MGB. We included a total of 60 cases who were randomly divided into three equal groups; SASJ group (20 cases), LSG (20 cases), and MGB (20 cases). When comparing SASJ, LSG and MGB groups respectively, our results showed the following findings : No significant difference was noted between the three groups regarding preoperative demographic characteristics. The prevalence of obesity related comorbidities was comparable between the three groups. Preoperative laboratory investigations along with quality of life assessment also showed no significant difference between the same groups. Operative time showed significant difference between the three study groups. It was significantly prolonged in the SASJ group, compared to the other two groups. Intraoperative blood loss was not significantly different between the three groups. The incidence of post-operative complications did not significantly differ between the three groups. Bleeding was encountered only in one case in the sleeve group (5%). Port site infection was diagnosed only in one case in each group (5%). Conclusion: SASJ bypass is effective bariatric procedures regarding weight loss and comorbidity resolution, with a comparable safe perioperative outcome to MGB and LSG.