Article ; Online: Long-Term Results of Single-Anastomosis Duodeno-ileal Bypass with Sleeve Gastrectomy (SADI-S).
2022 Volume 32, Issue 3, Page(s) 682–689
Abstract: Background: Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is a simplification of the duodenal switch (DS) in which the alimentary limb is eliminated, and the common channel is lengthened from 200 to 300 cm. Short-term results ... ...
Abstract | Background: Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is a simplification of the duodenal switch (DS) in which the alimentary limb is eliminated, and the common channel is lengthened from 200 to 300 cm. Short-term results have demonstrated that SADI-S is safe and reproducible and that weight loss and comorbidities resolution are comparable to biliopancreatic diversion or DS. Objective: To analyze the long-term outcomes of SADI-S. Methods: From May 2007 to December 2015, 164 patients were consecutively submitted to a one-step SADI-S. The mean age was 47 years, and the mean body mass index (BMI) was 45.8 kg/m Results: There was no mortality. One patient had a gastric leak, and 2 patients had an anastomotic leak. A total of 25% of the patients were lost to follow-up at 10 years. Excess weight loss and total weight loss were 87% and 38% at 5 years and 80% and 34% at 10 years. A total of 12 patients were submitted to revisional surgery for hypoproteinemia. Preoperatively 41 diabetics were under insulin treatment; at 5 years, 7 remained with insulin and 12 at 10 years. Mean glycemia was 104 mg/dL at 5 years and 118 mg/dL at 10 years. Mean HbA1c was 5.51% at 5 years and 5.86 at 10 years. Conclusion: In the long term, SADI-S offers satisfactory weight loss and comorbidities resolution. |
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MeSH term(s) | Anastomosis, Surgical/methods ; Diabetes Mellitus, Type 2/surgery ; Duodenum/surgery ; Gastrectomy/methods ; Gastric Bypass/adverse effects ; Humans ; Insulin ; Middle Aged ; Obesity, Morbid/surgery ; Retrospective Studies ; Weight Loss |
Chemical Substances | Insulin |
Language | English |
Publishing date | 2022-01-15 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1070827-3 |
ISSN | 1708-0428 ; 0960-8923 |
ISSN (online) | 1708-0428 |
ISSN | 0960-8923 |
DOI | 10.1007/s11695-021-05879-9 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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