Single Anastomosis Duodeno-Ileal bypass (SADI-S) as Primary or Two-Stage Surgery: Mid-Term Outcomes of a Single Canadian Bariatric Center.

One anastomosis duodenal switch (OADS) Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) Sleeve gastrectomy non-responders Two-stage surgery

Journal

Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714

Informations de publication

Date de publication:
16 Feb 2024
Historique:
received: 08 11 2023
accepted: 07 02 2024
revised: 06 02 2024
medline: 16 2 2024
pubmed: 16 2 2024
entrez: 16 2 2024
Statut: aheadofprint

Résumé

Compare primary single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) and two-stage SADI after sleeve gastrectomy (SG) in terms of weight loss, reduction/remission of comorbidities, and morbidity. Retrospective study including 179 patients treated laparoscopically between 2016 and 2020. A 50Fr bougie was used for the SG in the primary SADI-S (group 1) and 36/40Fr for the two-stage procedure (group 2). The duodeno-ileal anastomosis was performed at 250 cm from the ileocecal valve and at least 2 cm after the pylorus. Mean age was 44.1 years old, and there were 148 women and 31 men. There were 67 (37.4%) patients in group 1 and 112 (62.6%) in group 2, with 67% completing the 4-year follow-up. Mean preoperative body mass index (BMI) was 51.1 kg/m Both types of strategies are efficient at short and mid-term outcomes. Preoperative criteria will inform surgeon decision between a primary and a two-stage strategy.

Identifiants

pubmed: 38363495
doi: 10.1007/s11695-024-07095-7
pii: 10.1007/s11695-024-07095-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

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Auteurs

Alexis Deffain (A)

Department of Bariatric, Robotic and Minimally Invasive Surgery, CIUSSS Nord-de-L'Ile-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boul. Gouin Ouest Montréal, Québec, H4J 1C5, Canada. alexisdeffain@hotmail.com.

Ronald Denis (R)

Department of Bariatric, Robotic and Minimally Invasive Surgery, CIUSSS Nord-de-L'Ile-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boul. Gouin Ouest Montréal, Québec, H4J 1C5, Canada.

Radu Pescarus (R)

Department of Bariatric, Robotic and Minimally Invasive Surgery, CIUSSS Nord-de-L'Ile-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boul. Gouin Ouest Montréal, Québec, H4J 1C5, Canada.

Pierre Y Garneau (PY)

Department of Bariatric, Robotic and Minimally Invasive Surgery, CIUSSS Nord-de-L'Ile-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boul. Gouin Ouest Montréal, Québec, H4J 1C5, Canada.

Henri Atlas (H)

Department of Bariatric, Robotic and Minimally Invasive Surgery, CIUSSS Nord-de-L'Ile-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boul. Gouin Ouest Montréal, Québec, H4J 1C5, Canada.

Anne-Sophie Studer (AS)

Department of Bariatric, Robotic and Minimally Invasive Surgery, CIUSSS Nord-de-L'Ile-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boul. Gouin Ouest Montréal, Québec, H4J 1C5, Canada.

Classifications MeSH