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Early results of laparoscopic single-anastomosis duodeno-ileal bypass with sleeve gastrectomy: a case series from a single Polish bariatric center
INTRODUCTION The obesity epidemic has led to an increased prevalence of related conditions, such as type 2 diabetes (T2D) and hypertension. While laparoscopic sleeve gastrectomy is the most common metabolic bariatric surgery, up to 50% of patients may require revisional procedures due to weight regain or comorbidity recurrence. Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is emerging as an effective treatment option with promising short-term outcomes. AIM This study aimed to present the outcomes of patients who underwent SADI-S or revisional SADI. MATERIALS AND METHODS This retrospective, single-center cohort study included 12 patients who underwent SADI-S or SADI between February 2023 and March 2024. The patients were assessed for percentage of total weight loss (%TWL), remission of T2D and hypertension, length of hospital stay, operative time, and complications. All outcomes were reported according to the American Society for Metabolic and Bariat ric Surgery standards. RESULTS A total of 9 patients underwent primary SADI-S and 3 underwent revisional SADI. The mean (SD) %TWL was 27.9% (4.3%) at 6 months and 31.1% (5.9%) at 12 months after SADI and 21.2% (15.2%) and 14% (7.5%), respectively, after SADI-S. The mean (SD) preoperative body mass index was 42 (5.5) kg/m2 in the primary SADI-S group and 42.4 (9.3) kg/m2 in the revisional SADI group, and the mean (SD) follow-up was 10.1 (3.4) months. Full remission of T2D and hypertension was achieved in all patients within 6 months of surgery. There were no major complications, except for 1 case of intraoperative conversion to one-anastomosis gastric bypass. CONCLUSIONS SADI-S is associated with significant weight loss and comorbidity resolution with a low complication rate, though larger studies are needed for further validation of these results. © Authors, 2024.
Authors : Wityk M.; Bobowicz M.; Pryt M.; Dowgiałło-Gornowicz N.
Source : Termedia Publishing House Ltd.
Article Information
| Year | 2024 |
| Type | Article |
| DOI | 10.20452/wiitm.2024.17912 |
| ISSN | 18954588 |
| Volume | 19 |
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