A548 Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S): long term results and complications. A single institution experience

2019 ◽  
Vol 15 (10) ◽  
pp. S227
Author(s):  
Renato Roriz Silva ◽  
Ramon Vilallonga ◽  
Enric Caubet ◽  
Oscar Gonzales ◽  
Amador Garcia Ruiz de Gordejue ◽  
...  
2022 ◽  
Author(s):  
Andrés Sánchez-Pernaute ◽  
Miguel Ángel Rubio Herrera ◽  
Natalia Pérez Ferré ◽  
Carlos Sáez Rodríguez ◽  
Clara Marcuello ◽  
...  

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/m2. A total of 101 patients had type 2 diabetes, 91 arterial hypertension, 81 obstructive apnea, and 118 dyslipidemia. Limb length was 200 cm in 50 cases, 250 cm in 99, and 300 cm in 15. 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. Graphical Abstract


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pp. 236-243 ◽  
Author(s):  
Kong-Han Ser ◽  
Wei-Jei Lee ◽  
Jung-Chien Chen ◽  
Pei-Ling Tsai ◽  
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2017 ◽  
Vol 13 (10) ◽  
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2020 ◽  
Vol 16 (11) ◽  
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Author(s):  
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Daniel Cottam ◽  
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Legrand Belnap ◽  
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2019 ◽  
Vol 15 (10) ◽  
pp. S1-S2
Author(s):  
Amit Surve ◽  
Daniel Cottam ◽  
Benjamin Horsley ◽  
Samuel Cottam ◽  
Walter Medlin ◽  
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2021 ◽  
Vol 118 ◽  
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Author(s):  
Brendan Zhen Yang Law ◽  
Kim Ah-See ◽  
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2011 ◽  
Vol 25 (9) ◽  
pp. 2871-2878 ◽  
Author(s):  
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Stefano Partelli ◽  
Stefano Crippa ◽  
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