Bowel Reconstruction to Treat Chronic Diarrhea and Hypoproteinemia Following Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy: a Single-Site Experience.
Bowel reconstruction
Chronic diarrhea
Common channel lengthening
Hypoproteinemia
SADI-S
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
pubmed:
19
5
2019
medline:
23
4
2020
entrez:
19
5
2019
Statut:
ppublish
Résumé
Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of the biliopancreatic diversion with duodenal switch (BPD-DS) surgery. A concern with SADI-S is chronic diarrhea and hypoproteinemia. Common channel lengthening (CCL) is a surgical procedure to increase absorption in the small intestine to decrease diarrhea. The aim of this study was to assess the occurrence and treatment of hypoproteinemia and chronic diarrhea with CCL following SADI-S surgery. Private practice in the USA. Patients were included if they underwent SADI-S from September 2013 to March 2018 and following surgery underwent CCL. Average operating time for laparoscopic CCL is 56.5 ± 4.6 min. The average bowel movements for the eight patients before laparoscopic CCL were 9.1 ± 4.7 a day. After the surgery, the bowel movements were reduced to 2.6 ± 0.4 a day. This difference was found to be statistically significantly different (p = .002). The two patients experiencing hypoproteinemia improved protein levels following CCL. CCL is an effective way to treat symptomatic chronic diarrhea after SADI-S when conservative treatments have failed.
Sections du résumé
BACKGROUND
Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of the biliopancreatic diversion with duodenal switch (BPD-DS) surgery. A concern with SADI-S is chronic diarrhea and hypoproteinemia. Common channel lengthening (CCL) is a surgical procedure to increase absorption in the small intestine to decrease diarrhea.
OBJECTIVES
The aim of this study was to assess the occurrence and treatment of hypoproteinemia and chronic diarrhea with CCL following SADI-S surgery.
SETTING
Private practice in the USA.
METHODS
Patients were included if they underwent SADI-S from September 2013 to March 2018 and following surgery underwent CCL.
RESULTS
Average operating time for laparoscopic CCL is 56.5 ± 4.6 min. The average bowel movements for the eight patients before laparoscopic CCL were 9.1 ± 4.7 a day. After the surgery, the bowel movements were reduced to 2.6 ± 0.4 a day. This difference was found to be statistically significantly different (p = .002). The two patients experiencing hypoproteinemia improved protein levels following CCL.
CONCLUSION
CCL is an effective way to treat symptomatic chronic diarrhea after SADI-S when conservative treatments have failed.
Identifiants
pubmed: 31102208
doi: 10.1007/s11695-019-03847-y
pii: 10.1007/s11695-019-03847-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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