Single Anastomosis Duodeno-ileal Bypass As a Revisional Procedure Following Sleeve Gastrectomy: Review of the Literature.
Ramón Vilallonga PuyAnamaria NedelcuArturo Cirera de TudelaMariano PalermoElia Pérez-AguirreBenito Miguel Josa-MartínezManuel Armengol CarrascoPatrick NoelAntonio TorresMarius NedelcuPublished in: Journal of laparoendoscopic & advanced surgical techniques. Part A (2021)
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.
Keyphrases
- weight loss
- roux en y gastric bypass
- gastric bypass
- bariatric surgery
- minimally invasive
- obese patients
- case control
- end stage renal disease
- risk factors
- ejection fraction
- systematic review
- glycemic control
- newly diagnosed
- weight gain
- peritoneal dialysis
- chronic kidney disease
- cardiovascular events
- type diabetes
- cardiovascular disease
- coronary artery bypass
- preterm infants
- acute coronary syndrome
- percutaneous coronary intervention
- atrial fibrillation
- gestational age
- patient reported