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- Title
Single-Anastomosis Pylorus-Preserving Bariatric Procedures: Review of the Literature.
- Authors
Martini, Francesco; Paolino, Luca; Marzano, Ettore; D'Agostino, Jacopo; Lazzati, Andrea; Schneck, Anne-Sophie; Sánchez-Pernaute, Andrés; Torres, Antonio; Iannelli, Antonio
- Abstract
Single-anastomosis pylorus-preserving procedures (SAPPP) were recently introduced into bariatric surgery in order to combine the physiologic advantages of a post-pyloric reconstruction with the technical advantages of an omega loop. Surgery consists of a sleeve gastrectomy that is performed first, followed by a duodeno-enterostomy. Two main variants exist: proximal and distal SAPPP, with duodeno-jejunostomy and duodeno-ileostomy, respectively. This review describes the SAPPP reported in the literature and analyzes their outcomes in comparison with the most frequently performed bariatric techniques. Preliminary results appear as promising in terms of both safety and effectiveness on weight loss and comorbidities improvement.
- Subjects
BARIATRIC surgery; PYLORUS; SURGICAL anastomosis; GASTRECTOMY; JEJUNOSTOMY; ILEOSTOMY
- Publication
Obesity Surgery, 2016, Vol 26, Issue 10, p2503
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-016-2310-1