Failed Sleeve Gastrectomy: Single Anastomosis Duodenoileal Bypass or Roux-en-Y Gastric Bypass? A Multicenter Cohort Study
| Autor: | Eric J. Hazebroek, Edo O. Aarts, Abel Boerboom, Frits J. Berends, Ignace M. C. Janssen, Dingeman J. Swank, René M J Wiezer, Phillip J. Dijkhorst |
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| Rok vydání: | 2018 |
| Předmět: |
Laparoscopic surgery
Reoperation Sleeve gastrectomy medicine.medical_specialty Weight loss Gastric bypass Endocrinology Diabetes and Metabolism medicine.medical_treatment Original Contributions 030209 endocrinology & metabolism Anastomosis Morbid obesity 03 medical and health sciences 0302 clinical medicine Gastrectomy Medicine Humans SG Retrospective Studies Bariatric surgery Nutrition and Dietetics business.industry SADI Reflux Roux-en-Y anastomosis Dysphagia Surgery Obesity Morbid Treatment Outcome RYGB duodenoileal bypass 030211 gastroenterology & hepatology medicine.symptom business Cohort study |
| Zdroj: | Obesity Surgery |
| ISSN: | 1708-0428 |
| Popis: | Background Sleeve gastrectomy (SG) has become the most performed bariatric procedure to induce weight loss worldwide. Unfortunately, a significant portion of patients show insufficient weight loss or weight regain after a few years. Objective To investigate the effectiveness of the single anastomosis duodenoileal (SADI) bypass versus the Roux-en-Y gastric bypass (RYGB) on health outcomes in morbid obese patients who had undergone SG previously, with up to 2 years of follow-up. Methods From 2007 to 2017, 140 patients received revisional laparoscopic surgery after SG in four specialized Dutch bariatric hospitals. Data was analyzed retrospectively and included comparisons for indication of surgery, vitamin/mineral deficiencies, and complications; divided into short-, medium-term. To compare weight loss, linear regression and linear mixed models were used. Results Conversion of a SG to SADI was performed in 66 patients and to RYGB in 74 patients. For patients in which additional weight loss was the main indication for surgery, SADI achieved 8.7%, 12.4%, and 19.4% more total body weight loss at 6, 12, and 24 months compared to RYGB (all p |
| Databáze: | OpenAIRE |
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