Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S): short-term outcomes from a prospective cohort study.
Bariatric surgery
Duodenal switch
Hypoabsorptive surgery
SADI-S
Single anastomosis duodenal switch
Single anastomosis duodeno-ileal bypass
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:
Feb 2021
Feb 2021
Historique:
received:
04
05
2020
revised:
29
07
2020
accepted:
06
09
2020
pubmed:
8
11
2020
medline:
25
5
2021
entrez:
7
11
2020
Statut:
ppublish
Résumé
Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of the classic duodenal switch (DS). These modifications are intended to address concerns about DS, including malnutrition, longer operative times, and technical challenges, while preserving the benefits. To evaluate safety and outcomes of SADI-S as it compares to classic DS procedure. Bariatric Surgery Center of Excellence, University Hospital, Montreal, Canada. In a single-institution prospective cohort study, we compared safety and outcomes of the SADI-S versus DS procedures (ClinicalTrials.gov: NCT02792166; registered: 06/2016). Data is depicted as count (percentage) or median (interquartile range). There were 42 patients who underwent SADI-S, of whom 11 had it as a second-stage procedure (26%). There were 20 patients who underwent DS, of whom 12 had it as second-stage procedures (60%). Both groups were similar at baseline. The median age was 45 (14) years, 39 (63%) were female, the median body mass index (BMI) was 48.2 (7.7) kg/m The SADI-S procedure is safe, and its short-term outcomes, including weight loss and the resolution of co-morbidities, are similar to those of DS. SADI-S surgery also has promising potential as a second-stage procedure after sleeve gastrectomy.
Sections du résumé
BACKGROUND
BACKGROUND
Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of the classic duodenal switch (DS). These modifications are intended to address concerns about DS, including malnutrition, longer operative times, and technical challenges, while preserving the benefits.
OBJECTIVES
OBJECTIVE
To evaluate safety and outcomes of SADI-S as it compares to classic DS procedure.
SETTING
METHODS
Bariatric Surgery Center of Excellence, University Hospital, Montreal, Canada.
METHODS
METHODS
In a single-institution prospective cohort study, we compared safety and outcomes of the SADI-S versus DS procedures (ClinicalTrials.gov: NCT02792166; registered: 06/2016). Data is depicted as count (percentage) or median (interquartile range).
RESULTS
RESULTS
There were 42 patients who underwent SADI-S, of whom 11 had it as a second-stage procedure (26%). There were 20 patients who underwent DS, of whom 12 had it as second-stage procedures (60%). Both groups were similar at baseline. The median age was 45 (14) years, 39 (63%) were female, the median body mass index (BMI) was 48.2 (7.7) kg/m
CONCLUSIONS
CONCLUSIONS
The SADI-S procedure is safe, and its short-term outcomes, including weight loss and the resolution of co-morbidities, are similar to those of DS. SADI-S surgery also has promising potential as a second-stage procedure after sleeve gastrectomy.
Identifiants
pubmed: 33158766
pii: S1550-7289(20)30545-1
doi: 10.1016/j.soard.2020.09.015
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT02792166']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
414-424Informations de copyright
Copyright © 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.