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- Title
The Efficacy and Safety of Laparoscopic Single-Anastomosis Duodeno-ileostomy with Sleeve Gastrectomy (SADI-S) in Mid- and Long-Term Follow-Up: a Systematic Review.
- Authors
Esparham, Ali; Roohi, Samira; Ahmadyar, Soheil; Dalili, Amin; Moghadam, Hengameh Anari; Torres, Antonio José; Khorgami, Zhamak
- Abstract
This systematic review of 10 studies aimed to investigate the mid- and long-term results of duodeno-ileostomy with sleeve gastrectomy (SADI-S) according to the PRISMA guideline. Related articles, which reported outcomes of laparoscopic SADI-S with follow-up ≥ 3 years, were selected and analyzed. The percentage of excess weight loss (EWL) was 70.9–88.7%, and 80.4% at 6, and 10 years, respectively. The more common late complications were malabsorption (6.3%) and gastroesophageal reflux disease (GERD) (3.6%). The remission rates of hypertension, diabetes, GERD, obstructive sleep apnea, and dyslipidemia were 62.9%, 81.3%, 53.2%, 60.9%, and 69.7%, respectively. In conclusion, SADI-S is a safe and effective surgical technique with durable weight loss and a high rate of comorbidity resolution in mid and long term.
- Subjects
SLEEVE gastrectomy; LAPAROSCOPIC surgery; SLEEP apnea syndromes; OPERATIVE surgery; GASTROESOPHAGEAL reflux
- Publication
Obesity Surgery, 2023, Vol 33, Issue 12, p4070
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-023-06846-2