Single-anastomosis duodenal ileostomy with sleeve is a safe and effective option for patients in an ambulatory surgical center.
Adult
Ambulatory Surgical Procedures
/ methods
Anastomosis, Surgical
/ methods
Body Mass Index
Combined Modality Therapy
Databases, Factual
Duodenum
/ surgery
Female
Gastrectomy
/ methods
Humans
Ileostomy
/ methods
Male
Middle Aged
Obesity, Morbid
/ diagnosis
Patient Safety
/ statistics & numerical data
Postoperative Complications
/ prevention & control
Retrospective Studies
Risk Assessment
Safety Management
/ methods
Treatment Outcome
United States
Ambulatory surgical center
Complications
SADI-S
Safety
Journal
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
ISSN: 1878-7533
Titre abrégé: Surg Obes Relat Dis
Pays: United States
ID NLM: 101233161
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
30
05
2019
revised:
23
07
2019
accepted:
11
09
2019
pubmed:
28
10
2019
medline:
26
8
2020
entrez:
27
10
2019
Statut:
ppublish
Résumé
The single-anastomosis duodenal ileostomy with sleeve gastrectomy (SADI-S) is gaining popularity in the United States as an alternative to the gastric bypass for patients with a high body mass index (BMI) or who are less likely to succeed with a sleeve. While SADI-S has similar weight loss to the gastric bypass, the complication rate is significantly lower, allowing surgeons to perform SADI-S in an ambulatory surgical center with a 23-hour stay. To determine if SADI-S can be safely performed in an ambulatory surgical setting. Private practice. All SADI-S procedures performed from August 2015 to March 2019 at 2 bariatric centers were included in this study. Patients selection for SADI-S in the ambulatory surgical center required no end organ damage, no evidence of severe sleep apnea, and BMI <55 for males and BMI <60 for females. All data were gathered retrospectively from prospectively kept databases. Thirty-day complication rates were analyzed using the Clavien-Dindo scale to assess the safety of performing SADI-S in an ambulatory surgical center. Eighty-two patients were included in this study. The sample was 72% female with an average age of 46 and BMI of 45. All patients received planned intravenous fluid within 3 days after the procedure. There were 2 (2.4%) grade IIIb to V complications. There were no mortalities in this series. SADI-S can be performed safely in an ambulatory surgery 23-hour setting with appropriate patient selection, perioperative support, and enhanced recovery after surgery protocols.
Sections du résumé
BACKGROUND
BACKGROUND
The single-anastomosis duodenal ileostomy with sleeve gastrectomy (SADI-S) is gaining popularity in the United States as an alternative to the gastric bypass for patients with a high body mass index (BMI) or who are less likely to succeed with a sleeve. While SADI-S has similar weight loss to the gastric bypass, the complication rate is significantly lower, allowing surgeons to perform SADI-S in an ambulatory surgical center with a 23-hour stay.
OBJECTIVES
OBJECTIVE
To determine if SADI-S can be safely performed in an ambulatory surgical setting.
SETTING
METHODS
Private practice.
METHODS
METHODS
All SADI-S procedures performed from August 2015 to March 2019 at 2 bariatric centers were included in this study. Patients selection for SADI-S in the ambulatory surgical center required no end organ damage, no evidence of severe sleep apnea, and BMI <55 for males and BMI <60 for females. All data were gathered retrospectively from prospectively kept databases. Thirty-day complication rates were analyzed using the Clavien-Dindo scale to assess the safety of performing SADI-S in an ambulatory surgical center.
RESULTS
RESULTS
Eighty-two patients were included in this study. The sample was 72% female with an average age of 46 and BMI of 45. All patients received planned intravenous fluid within 3 days after the procedure. There were 2 (2.4%) grade IIIb to V complications. There were no mortalities in this series.
CONCLUSION
CONCLUSIONS
SADI-S can be performed safely in an ambulatory surgery 23-hour setting with appropriate patient selection, perioperative support, and enhanced recovery after surgery protocols.
Identifiants
pubmed: 31653570
pii: S1550-7289(19)30999-2
doi: 10.1016/j.soard.2019.09.062
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1990-1993Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.