Efficacy and Drawbacks of Single-Anastomosis Duodeno-Ileal Bypass After Sleeve Gastrectomy in a Tertiary Referral Bariatric Center

Autor: Francesco Martini, Tarek Debs, Hubert Boudrie, Yves Anduze, Radwan Kassir, Arnaud Liagre, Stefano Valabrega, Niccolò Petrucciani, Olivier Van Haverbeke
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Single-anastomosis duodeno-ileal bypass
Reoperation
medicine.medical_specialty
Sleeve gastrectomy
Complications
Referral
Duodeno-ileal
Endocrinology
Diabetes and Metabolism
medicine.medical_treatment
Original Contributions
Revisional surgery
Gastric Bypass
030209 endocrinology & metabolism
anastomosis
Anastomosis
03 medical and health sciences
0302 clinical medicine
surgical
Weight loss
Gastrectomy
bariatric surgery
complications
obesity
revisional surgery
single-anastomosis duodeno-ileal bypass
sleeve gastrectomy
anastomosis
surgical
gastrectomy
humans
referral and consultation
reoperation
retrospective studies
treatment outcome
gastric bypass
morbid
medicine
Humans
Obesity
Referral and Consultation
Retrospective Studies
Bariatric surgery
Nutrition and Dietetics
Medical treatment
business.industry
Anastomosis
Surgical
Reflux
Postoperative complication
Surgery
Obesity
Morbid
Treatment Outcome
030211 gastroenterology & hepatology
medicine.symptom
business
Zdroj: Obesity Surgery
ISSN: 1708-0428
0960-8923
Popis: Background The need for revisional procedures after sleeve gastrectomy (SG) for insufficient weight loss or weight regain, gastroesophageal reflux, or other complications is reported to be 18–36% in studies with 10-year follow-up. Single-anastomosis duodeno-ileal bypass (SADI) may be performed as a revisional procedure after SG. This study aims to evaluate the short- and mid-term outcomes of SADI after SG in a referral center for bariatric surgery. Materials and Methods Data of patients who underwent SADI between March 2015 and March 2020 were collected prospectively and analyzed retrospectively. Follow-up comprised clinical and biochemical assessment at 1, 3, 6, 12, 18, and 24 months postoperatively, and once a year thereafter. Results Overall, 106 patients underwent SADI after a previous SG. The timeframe between SG and SADI was 50 ± 31.3 months. Postoperative mortality was observed in two cases (1.8%) and morbidity in 15.1% of patients. At 24 months, %total weight loss was 37.6 ± 12.3 and %excess weight loss 76.9 ± 25.2 (64 patients). Three patients were treated for malnutrition during follow-up, two with medical treatment and one with SADI reversal. Conclusion SADI after SG provides effective weight loss results in the short-term, even if in the present series the postoperative complication rate was non-negligible. Further trials are needed to establish the more advantageous revisional bariatric procedure after failed SG.
Databáze: OpenAIRE
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