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- Title
Bowel Reconstruction to Treat Chronic Diarrhea and Hypoproteinemia Following Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy: a Single-Site Experience.
- Authors
Horsley, Benjamin; Cottam, Daniel; Cottam, Austin; Cottam, Samuel; Zaveri, Hinali; Surve, Amit; Medlin, Walter
- Abstract
Background: Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of the biliopancreatic diversion with duodenal switch (BPD-DS) surgery. A concern with SADI-S is chronic diarrhea and hypoproteinemia. Common channel lengthening (CCL) is a surgical procedure to increase absorption in the small intestine to decrease diarrhea. Objectives: The aim of this study was to assess the occurrence and treatment of hypoproteinemia and chronic diarrhea with CCL following SADI-S surgery. Setting: Private practice in the USA. Methods: Patients were included if they underwent SADI-S from September 2013 to March 2018 and following surgery underwent CCL. Results: Average operating time for laparoscopic CCL is 56.5 ± 4.6 min. The average bowel movements for the eight patients before laparoscopic CCL were 9.1 ± 4.7 a day. After the surgery, the bowel movements were reduced to 2.6 ± 0.4 a day. This difference was found to be statistically significantly different (p =.002). The two patients experiencing hypoproteinemia improved protein levels following CCL. Conclusion: CCL is an effective way to treat symptomatic chronic diarrhea after SADI-S when conservative treatments have failed.
- Subjects
UNITED States; SLEEVE gastrectomy; DIARRHEA; BILIOPANCREATIC diversion; SMALL intestine; THERAPEUTICS; ILEAL conduit surgery
- Publication
Obesity Surgery, 2019, Vol 29, Issue 8, p2387
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-019-03847-y