Gastric Ischaemia After SADI with Right Gastric Artery Ligation.
Melanie MercadoQiuye ChengDaniel LiuKen LoiPublished in: Obesity surgery (2022)
There are several bariatric procedures used for the effective management of obesity that employ restrictive or malabsorptive components to achieve effective weight loss and reduction in metabolic disease. The single anastomosis duodeno-ileal (SADI) bypass was first introduced as a simplification of the biliopancreatic diversion with a duodenal switch [1], often accompanied by sleeve gastrectomy (SADI-S) or as an alternative gastric sleeve revision procedure to Roux-en-Y gastric bypass [2]. SADI was developed to address the technical complexity associated with other bypass reconstructions by involving only one anastomosis while preserving pyloric function, minimising dumping symptoms. This procedure has been proven to be safe and effective for sustained weight loss and resolution of metabolic disease, particularly in patients with a high carbohydrate diet [3, 4]. Currently, the SADI/SADI-S procedure is still considered a relatively novel technique with no absolute consensus over the exact surgical technique, and serious postoperative complications can still occur. A key discussion point is the utility of right gastric artery ligation depending on surgeon preference. This paper aims to describe the presentation and management of the first reported case of gastric ischaemia following sleeve to SADI revision with right gastric artery ligation.
Keyphrases
- weight loss
- roux en y gastric bypass
- gastric bypass
- bariatric surgery
- obese patients
- total knee arthroplasty
- minimally invasive
- glycemic control
- metabolic syndrome
- weight gain
- type diabetes
- adipose tissue
- insulin resistance
- total hip arthroplasty
- computed tomography
- robot assisted
- physical activity
- clinical practice
- case report
- molecular dynamics
- high fat diet induced