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- Title
Single Anastomosis Duodeno-ileal Bypass As a Revisional Procedure Following Sleeve Gastrectomy: Review of the Literature.
- Authors
Vilallonga, Ramon; Nedelcu, Anamaria; Cirera de Tudela, Arturo; Palermo, Mariano; Pérez-Aguirre, Elia; Josa-Martínez, Benito Miguel; Armengol Carrasco, Manuel; Noel, Patrick; Torres, Antonio; Nedelcu, Marius
- Abstract
Laparoscopic sleeve gastrectomies (LSGs) can experience weight-loss failure and conversion to another bariatric procedure. An analysis of the bariatric literature concerning the single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) as revisional surgery after LSG in terms of safety and efficacy identified 607 studies. Fifty-nine studies were analyzed for full content review and 9 primary studies (398 patients) were included. Revisional single anastomosis duodeno-ileal bypass (SADI) was performed in 294 patients at a mean interval of 37.7 months (range 11–179). Total weight loss (%) varies from 20.5% to 46.2%. Early complications after surgery occurred in 4.1% surgeries including leak (7 cases −1.9%). Mortality was nil. SADI after LSG, after failed sleeve gastrectomy or as a sequential procedure, offers a satisfactory weight loss result. Both early and late term complications are acceptable.
- Subjects
SLEEVE gastrectomy; SURGICAL anastomosis; SURGICAL complications; LITERATURE reviews; WEIGHT loss; GASTRIC bypass; ILEAL conduit surgery
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2022, Vol 32, Issue 1, p12
- ISSN
1092-6429
- Publication type
Article
- DOI
10.1089/lap.2021.0511