{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:11:05Z","timestamp":1785420665548,"version":"3.56.0"},"reference-count":32,"publisher":"Akademiai Kiado Zrt.","issue":"2","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,1,12]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    Az elh\u00edz\u00e1s n\u00e9pbetegs\u00e9g, mely nem csup\u00e1n eszt\u00e9tikai\n                    probl\u00e9ma, hanem a szervezet eg\u00e9sz\u00e9t \u00e9rint\u0151 k\u00f3rk\u00e9p, kezel\u00e9s\u00e9ben a seb\u00e9szeti\n                    beavatkoz\u00e1sok bizony\u00edtottan hat\u00e9konyabbak a konzervat\u00edv m\u00f3dszerekkel szemben. A\n                    k\u00f6zelm\u00faltban kidolgozott, sz\u00e9les k\u00f6rben m\u00e9g nem alkalmazott laparoszk\u00f3pos\n                    \u201esingle anastomosis sleeve ileal\u201d (SASI-) bypass a volumenredukci\u00f3s \u00e9s\n                    malabszorpt\u00edv bari\u00e1triai beavatkoz\u00e1sok el\u0151nyeit \u00f6tv\u00f6zi, ez\u00e1ltal a \u201enagyev\u0151\u201d \u00e9s\n                    \u201enassol\u00f3\u201d t\u00edpus\u00fa betegekn\u00e9l egyar\u00e1nt hat\u00e9kony lehet, mik\u00f6zben a felsz\u00edv\u00f3d\u00e1si\n                    zavar kock\u00e1zata minim\u00e1lis marad.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Vizsg\u00e1latunkban a\n                    munkacsoportunk \u00e1ltal 2022. augusztus 1. \u00e9s 2024. szeptember 1. k\u00f6z\u00f6tt elv\u00e9gzett\n                    SASI-bypassm\u0171t\u00e9tekkel szerzett tapasztalatainkat k\u00edv\u00e1njuk \u00f6sszefoglalni.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    Az indik\u00e1ci\u00f3 fel\u00e1ll\u00edt\u00e1s\u00e1ban \u00e9s a vizsg\u00e1latban a\n                    Nemzetk\u00f6zi Bari\u00e1triai T\u00e1rsas\u00e1g ir\u00e1nyelveit k\u00f6vett\u00fck. A m\u0171t\u00e9t els\u0151 f\u00e1zis\u00e1ban\n                    l\u00e9trehozott cs\u0151gyomor \u00e9s az ileum k\u00f6z\u00f6tt legfeljebb 4 cm sz\u00e9less\u00e9g\u0171 anastomosist\n                    k\u00e9sz\u00edtett\u00fcnk. A kontrollvizsg\u00e1latok a 3. \u00e9s a 6. posztoperat\u00edv h\u00f3napban\n                    t\u00f6rt\u00e9ntek. \u00d6nk\u00e9nt v\u00e1llalkoz\u00f3 2 betegben a gyomor\u00fcr\u00fcl\u00e9st izot\u00f3pos m\u00f3dszerrel\n                    tanulm\u00e1nyoztuk.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A vizsg\u00e1latba 25,\n                    SASI-bypassm\u0171t\u00e9ten \u00e1tesett beteget (17 n\u0151, 8 f\u00e9rfi) vontunk be (\u00e1tlag\u00e9letkor\n                    40,1 \u00b1 11,3 \u00e9v). Az \u00e1tlag preoperat\u00edv BMI 43,7 \u00b1 6,7 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    , a 3. havi\n                    kontroll idej\u00e9n az \u00e1tlag-BMI cs\u00f6kken\u00e9se 6,1 \u00b1 3,4 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    (13,9 \u00b1\n                    6,3%), a 6. havi kontrolln\u00e1l 11,6 \u00b1 6,2 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    (26,1 \u00b1 12,0%) volt. A\n                    magas v\u00e9rnyom\u00e1s 11 esetb\u0151l 9-ben, az inzulinrezisztencia 2-b\u0151l 2 esetben\n                    rendez\u0151d\u00f6tt. Posztoperat\u00edv reflux 6, alv\u00e1szavar 1, \u00e1ltal\u00e1nos gyenges\u00e9g 5,\n                    hajhull\u00e1s 9 esetben fordult el\u0151. Tart\u00f3s hasmen\u00e9s nem alakult ki. Izot\u00f3pos\n                    vizsg\u00e1lattal igazoltuk, hogy a gyomortartalom 90%-a az elvezet\u0151 ileumkacsba,\n                    10%-a a duodenumba t\u00e1vozik.\n                    <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>\n                    A SASI-bypass\n                    hat\u00e9konyan \u00f6tv\u00f6zi a restrikt\u00edv \u00e9s a malabszorpt\u00edv bari\u00e1triai m\u0171t\u00e9tek el\u0151nyeit,\n                    mik\u00f6zben \u2013 az eddigi ut\u00e1nk\u00f6vet\u00e9sek alapj\u00e1n \u2013 a felsz\u00edv\u00f3d\u00e1si zavar, a vitamin- \u00e9s\n                    nyomelemhi\u00e1ny kock\u00e1zata minim\u00e1lis marad. A preoperat\u00edv t\u00e1rsbetegs\u00e9gek \u00e9s a\n                    szedett gy\u00f3gyszerek tekintet\u00e9ben szignifik\u00e1ns regresszi\u00f3 v\u00e1rhat\u00f3 a m\u0171t\u00e9tet\n                    k\u00f6vet\u0151 els\u0151 f\u00e9l \u00e9vben.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A SASI-bypass kis\n                    kock\u00e1zat\u00fa, hat\u00e9kony fogy\u00e1st \u00e9s a t\u00fals\u00fallyal kapcsolatos t\u00e1rsbetegs\u00e9gek gyors\n                    regresszi\u00f3j\u00e1t eredm\u00e9nyez\u0151 beavatkoz\u00e1s, mely a k\u00f6zelj\u00f6v\u0151ben egyre gyakoribb\n                    m\u0171t\u00e9tt\u00edpus lehet a bari\u00e1triai seb\u00e9szetben. Orv Hetil. 2025; 166(2): 67\u201376.\n                  <\/jats:p>","DOI":"10.1556\/650.2025.33201","type":"journal-article","created":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T08:43:17Z","timestamp":1736844197000},"page":"67-76","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["\u00dajszer\u0171 bari\u00e1triai bypassm\u0171t\u00e9ttel (SASI) szerzett tapasztalataink"],"prefix":"10.1556","volume":"166","author":[{"given":"Bence","family":"Varga","sequence":"first","affiliation":[{"name":"J\u00e1sz-Nagykun-Szolnok V\u00e1rmegyei Het\u00e9nyi G\u00e9za K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet, \u00c1ltal\u00e1nos-Mellkasseb\u00e9szeti Oszt\u00e1ly Szolnok Magyarorsz\u00e1g"},{"name":"Budai Eg\u00e9szs\u00e9gk\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienn","family":"Tomb\u00e1cz","sequence":"additional","affiliation":[{"name":"J\u00e1sz-Nagykun-Szolnok V\u00e1rmegyei Het\u00e9nyi G\u00e9za K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet, Nukle\u00e1ris Medicina Oszt\u00e1ly Szolnok Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edit","family":"Lad\u00e1r","sequence":"additional","affiliation":[{"name":"J\u00e1sz-Nagykun-Szolnok V\u00e1rmegyei Het\u00e9nyi G\u00e9za K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet, \u00c1ltal\u00e1nos-Mellkasseb\u00e9szeti Oszt\u00e1ly Szolnok Magyarorsz\u00e1g"},{"name":"Budai Eg\u00e9szs\u00e9gk\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1rp\u00e1d","family":"Juh\u00e1sz","sequence":"additional","affiliation":[{"name":"J\u00e1sz-Nagykun-Szolnok V\u00e1rmegyei Het\u00e9nyi G\u00e9za K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet, \u00c1ltal\u00e1nos-Mellkasseb\u00e9szeti Oszt\u00e1ly Szolnok Magyarorsz\u00e1g"},{"name":"Budai Eg\u00e9szs\u00e9gk\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"DeBoer MD. Obesity, systemic inflammation, and increased risk for\n                    cardiovascular disease and diabetes among adolescents: a need for screening\n                    tools to target interventions. Nutrition 2013; 29: 379\u2013386.","DOI":"10.1016\/j.nut.2012.07.003"},{"key":"R2","unstructured":"Lim Y, Boster J. Obesity and comorbid conditions. StatPearls,\n                    Treasure Island, FL, 2024. Available from:\n                        https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK574535\/ [accessed:\n                    September 19, 2024]."},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Kov\u00e1cs BN, S\u00fcdy R, Pet\u00e1k F. Respiratory consequences of obesity and\n                    diabetes. [Az elh\u00edz\u00e1s \u00e9s a cukorbetegs\u00e9g l\u00e9gz\u0151rendszeri k\u00f6vetkezm\u00e9nyei.] Orv\n                    Hetil. 2022; 163: 63\u201373. [Hungarian]","DOI":"10.1556\/650.2022.32335"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Colquitt J, Picot J, Loveman E, et al. Surgery for obesity. Cochrane\n                    Database Syst Rev. 2009 Apr 15; (2): CD003641.","DOI":"10.1002\/14651858.CD003641.pub3"},{"key":"R5","unstructured":"Hungarian Central Statistical Office. Nutritional distribution of\n                    society according to body mass index (BMI) in 2019. [K\u00f6zponti Statisztikai\n                    Hivatal (KSH). A n\u00e9pess\u00e9g megoszl\u00e1sa t\u00e1pl\u00e1lts\u00e1g szerint a testt\u00f6meg index (BMI)\n                    alapj\u00e1n 2019-ben.] Available from:\n                        https:\/\/www.ksh.hu\/stadat_files\/ege\/hu\/ege0039.html [accessed:\n                    September 20, 2024]. [Hungarian]"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Okunogbe A, Nugent R, Spencer G, et al. Economic impacts of\n                    overweight and obesity: current and future estimates for eight countries. BMJ\n                    Glob Health 2021; 6: e006351.","DOI":"10.1136\/bmjgh-2021-006351"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Jin X, Qiu T, Li L, et al. Pathophysiology of obesity and its\n                    associated diseases. Acta Pharm Sin B 2023; 13: 2403\u20132424.","DOI":"10.1016\/j.apsb.2023.01.012"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Whitlock G, Lewington S, Sherliker P, et al. Body-mass index and\n                    cause-specific mortality in 900 000 adults: collaborative analyses of 57\n                    prospective studies. Lancet 2009; 373: 1083\u20131096.","DOI":"10.1016\/S0140-6736(09)60318-4"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Adeola OL, Agudosi GM, Akueme NT, et al. The effectiveness of\n                    nutritional strategies in the treatment and management of obesity: a systematic\n                    review. Cureus 2023; 15: e45518.","DOI":"10.7759\/cureus.45518"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Szab\u00f3 Z, Koczka V, Figler M, et al. Physiological effects of diets\n                    with low energy and nutrient intake in certain chronic diseases \u2013 Fasting in the\n                    21st century. [Az id\u0151ben korl\u00e1tozott energia- \u00e9s t\u00e1panyagbevitellel j\u00e1r\u00f3\n                    \u00e9trendek \u00e9lettani hat\u00e1sai \u00e9s szerep\u00fck egyes kr\u00f3nikus megbeteged\u00e9sekben \u2013 B\u00f6jt\u00f6k\n                    a 21. sz\u00e1zadban.] Orv Hetil. 2022; 163: 726\u2013732. [Hungarian]","DOI":"10.1556\/650.2022.HO2698"},{"key":"R11","unstructured":"Tchang BG, Aras M, Kumar RB, et al. Pharmacologic treatment of\n                    overweight and obesity in adults. MDText.com, Inc., South Dartmouth, MA, 2024.\n                    Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK279038\/\n                    [accessed: September 19, 2024]."},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Winkler G, Kis JT, Arapovicsn\u00e9 Kiss K, et al. From GLP1 receptor\n                    agonists to triple hormone receptor activation supplemented with glucagon\n                    receptor agonism. [A GLP1-receptor-agonist\u00e1kt\u00f3l a gl\u00fckagonreceptor-agonizmussal\n                    kieg\u00e9sz\u00edtett h\u00e1rmashormonreceptor-aktiv\u00e1l\u00e1sig.] Orv Hetil. 2023; 164: 1656\u20131664.\n                    [Hungarian]","DOI":"10.1556\/650.2023.32894"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Syn NL, Cummings DE, Wang LZ, et al. Association of\n                    metabolic-bariatric surgery with long-term survival in adults with and without\n                    diabetes: a one-stage meta-analysis of matched cohort and prospective controlled\n                    studies with 174\u00a0772 participants. Lancet 2021; 397(10287):\n                    1830\u20131841.","DOI":"10.1016\/S0140-6736(21)00591-2"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Major P, Kowalczuk A, Wysocki M, et al. Effects of bariatric surgery\n                    on cardiovascular risk factors among morbidly obese patients. Pol Przegl Chir.\n                    2017; 89: 41\u201349.","DOI":"10.5604\/01.3001.0009.7176"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Schauer PR, Kashyap SR, Wolski K, et al. Bariatric surgery versus\n                    intensive medical therapy in obese patients with diabetes. N Engl J Med. 2012;\n                    366: 1567\u20131576.","DOI":"10.1056\/NEJMoa1200225"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Madura JA, DiBaise JK. Quick fix or long-term cure? Pros and cons of\n                    bariatric surgery. F1000 Med Rep. 2012; 4: 19.","DOI":"10.3410\/M4-19"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Weiner RA, Theodoridou S, Weiner S. Failure of laparoscopic sleeve\n                    gastrectomy \u2013 further procedure? Obes Facts 2011; 4(Suppl 1):\n                    42\u201346.","DOI":"10.1159\/000327343"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Lupoli R, Lembo E, Saldalamacchia G, et al. Bariatric surgery and\n                    long-term nutritional issues. World J Diabetes 2017; 8:\n                    464\u2013474.","DOI":"10.4239\/wjd.v8.i11.464"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Mahdy T, Al Wahedi A, Schou C. Efficacy of single anastomosis sleeve\n                    ileal (SASI) bypass for type-2 diabetic morbid obese patients: gastric\n                    bipartition, a novel metabolic surgery procedure. A retrospective cohort study.\n                    Int J Surg. 2016; 34: 28\u201334.","DOI":"10.1016\/j.ijsu.2016.08.018"},{"key":"R20","unstructured":"ASMBS\/IFSO Guidelines on Indications for Metabolic and Bariatric\n                    Surgery. 2022. Available from:\n                        https:\/\/www.worldobesity.org\/news\/ifso-asmbs-publish-new-guidelines-for-bariatric-surgery\n                    [accessed: September 19, 2024]."},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Emile SH, Mahdy T, Schou C, et al. Systematic review of the outcome\n                    of single-anastomosis sleeve ileal (SASI) bypass in treatment of morbid obesity\n                    with proportion meta-analysis of improvement in diabetes mellitus. Int J Surg.\n                    2021; 92: 106024.","DOI":"10.1016\/j.ijsu.2021.106024"},{"key":"R22","unstructured":"American Society for Metabolic and Bariatric Surgery (ASMBS).\n                    Estimate of bariatric surgery numbers, 2011\u20132020. Available from:\n                        https:\/\/asmbs.org\/resources\/estimate-of-bariatric-surgery-numbers\n                    [accessed: October, 2024]."},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Sipt\u00e1r M, T\u00f3th K, Csongor A et al. Efficacy of laparoscopic sleeve\n                    gastrectomy on morbidly obese patients. [K\u00f3rosan elh\u00edzott betegeken v\u00e9gzett\n                    laparoszk\u00f3pos cs\u0151gyomork\u00e9pz\u00e9s eredm\u00e9nyess\u00e9g\u00e9nek vizsg\u00e1lata.] Orv Hetil. 2023;\n                    164: 1749\u20131754. [Hungarian]","DOI":"10.1556\/650.2023.32918"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Elbanna H, Ghnnam W, Negm A, et al. Impact of preoperative body mass\n                    index on the final outcome after laparoscopic sleeve gastrectomy for morbid\n                    obesity. Ulus Cerrahi Derg. 2016; 32: 238\u2013243.","DOI":"10.5152\/UCD.2016.3275"},{"key":"R25","doi-asserted-by":"crossref","unstructured":"Yeung KT, Penney N, Ashrafian L, et al. Does sleeve gastrectomy\n                    expose the distal esophagus to severe reflux? A systematic review and\n                    meta-analysis. Ann Surg. 2020; 271: 257\u2013265.","DOI":"10.1097\/SLA.0000000000003275"},{"key":"R26","doi-asserted-by":"crossref","unstructured":"Tarnowski W, Barski K, Jaworski P, et al. Single anastomosis sleeve\n                    ileal bypass (SASI): a single-center initial report. Wideochir Inne Tech\n                    Maloinwazyjne 2022; 17: 365\u2013371.","DOI":"10.5114\/wiitm.2022.114943"},{"key":"R27","doi-asserted-by":"crossref","unstructured":"Emile SH, Madyan A, Mahdy T, et al. Single anastomosis sleeve ileal\n                    (SASI) bypass versus sleeve gastrectomy: a case-matched multicenter study. Surg\n                    Endosc. 2021; 35: 652\u2013660.","DOI":"10.1007\/s00464-020-07430-w"},{"key":"R28","doi-asserted-by":"crossref","unstructured":"Mahdy T, Emile SH, Madyan A, et al. Evaluation of the efficacy of\n                    single anastomosis sleeve ileal (SASI) bypass for patients with morbid obesity:\n                    a multicenter study. Obes Surg. 2020; 30: 837\u2013845.","DOI":"10.1007\/s11695-019-04296-3"},{"key":"R29","doi-asserted-by":"crossref","unstructured":"Mahdy T, Emile SH, Alwahedi A, et al. Roux-en-Y gastric bypass with\n                    long biliopancreatic limb compared to single anastomosis sleeve ileal (SASI)\n                    bypass in treatment of morbid obesity. Obes Surg. 2021; 31:\n                    3615\u20133622.","DOI":"10.1007\/s11695-021-05457-z"},{"key":"R30","doi-asserted-by":"crossref","unstructured":"Zhang W, Fan M, Wang C, et al. Hair loss after metabolic and\n                    bariatric surgery: a systematic review and meta-analysis. Obes Surg. 2021; 31:\n                    2649\u20132659.","DOI":"10.1007\/s11695-021-05311-2"},{"key":"R31","doi-asserted-by":"crossref","unstructured":"Stenard F, Iannelli A. Laparoscopic sleeve gastrectomy and\n                    gastroesophageal reflux. World J Gastroenterol. 2015; 21:\n                    10348\u201310357.","DOI":"10.3748\/wjg.v21.i36.10348"},{"key":"R32","unstructured":"Juh\u00e1sz \u00c1, Lad\u00e1r E, Nyikos R. Bariatrics with a complex approach.\n                    [Bari\u00e1tria komplex megk\u00f6zel\u00edt\u00e9sben.] Virtu\u00f3z Kiad\u00f3, Budapest, 2024.\n                    [Hungarian]"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/2\/article-p67.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/2\/article-p67.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/2\/article-p67.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:42:46Z","timestamp":1785418966000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/2\/article-p67.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,12]]},"references-count":32,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.1556\/650.2025.33201","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,12]]}}}