Mid-term 4-Year Outcomes with Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy Surgery at a Single US Center
BACKGROUND: Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification.
PURPOSE: To analyze the outcomes with SADI-S at 4 years.
METHODS: Data from patients who underwent a primary SADI-S procedure performed by three surgeons at a single institution from June 2013 through February 2018 were retrospectively reviewed. All revision bariatric surgeries were excluded. Regression analyses were performed for all follow-up weight loss data.
RESULTS: There were 437 patients in our database. The pre-operative mean body mass index (BMI) was 49.8 ± 8.8 kg/m2. The 30-day complication rate was 7.7%. The 30-day readmission, reoperation, and mortality rates were 1.8, 1.3, and 0.2%, respectively. The long-term complication rate was 10.9%. Seventy-nine patients were 4 years post SADI-S surgery and follow-up was possible for 44 patients (55.7%). At 4 years, patients had an average change in BMI of 18.1 ± 6 units with an excess weight loss (EWL) of 85.7 ± 27.3%. At 4 years, 97.6% patients were able to maintain HbA1c < 6% with or without the use of diabetic medication. There was a statistically significant difference between most of the pre-operative and post-operative nutritional data.
CONCLUSIONS: SADI-S is a safe and effective procedure in both short- and mid-term data points. Diabetes resolution and weight loss appear similar to traditional RYDS and better than RYGB.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:28 |
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| Enthalten in: |
Obesity surgery - 28(2018), 10 vom: 16. Okt., Seite 3062-3072 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zaveri, Hinali [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 23.10.2019 Date Revised 07.12.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.1007/s11695-018-3358-x |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM285537261 |
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| 245 | 1 | 0 | |a Mid-term 4-Year Outcomes with Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy Surgery at a Single US Center |
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| 500 | |a Date Revised 07.12.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification | ||
| 520 | |a PURPOSE: To analyze the outcomes with SADI-S at 4 years | ||
| 520 | |a METHODS: Data from patients who underwent a primary SADI-S procedure performed by three surgeons at a single institution from June 2013 through February 2018 were retrospectively reviewed. All revision bariatric surgeries were excluded. Regression analyses were performed for all follow-up weight loss data | ||
| 520 | |a RESULTS: There were 437 patients in our database. The pre-operative mean body mass index (BMI) was 49.8 ± 8.8 kg/m2. The 30-day complication rate was 7.7%. The 30-day readmission, reoperation, and mortality rates were 1.8, 1.3, and 0.2%, respectively. The long-term complication rate was 10.9%. Seventy-nine patients were 4 years post SADI-S surgery and follow-up was possible for 44 patients (55.7%). At 4 years, patients had an average change in BMI of 18.1 ± 6 units with an excess weight loss (EWL) of 85.7 ± 27.3%. At 4 years, 97.6% patients were able to maintain HbA1c < 6% with or without the use of diabetic medication. There was a statistically significant difference between most of the pre-operative and post-operative nutritional data | ||
| 520 | |a CONCLUSIONS: SADI-S is a safe and effective procedure in both short- and mid-term data points. Diabetes resolution and weight loss appear similar to traditional RYDS and better than RYGB | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a 4 years | |
| 650 | 4 | |a Long term | |
| 650 | 4 | |a Obesity | |
| 650 | 4 | |a Outcomes | |
| 650 | 4 | |a SADI-S | |
| 650 | 4 | |a SIPS | |
| 650 | 4 | |a Single anastomosis duodeno-ileal bypass with sleeve gastrectomy | |
| 650 | 4 | |a Stomach intestinal pylorus-sparing surgery | |
| 650 | 4 | |a Weight loss | |
| 650 | 7 | |a Glycated Hemoglobin A |2 NLM | |
| 700 | 1 | |a Surve, Amit |e verfasserin |4 aut | |
| 700 | 1 | |a Cottam, Daniel |e verfasserin |4 aut | |
| 700 | 1 | |a Cottam, Austin |e verfasserin |4 aut | |
| 700 | 1 | |a Medlin, Walter |e verfasserin |4 aut | |
| 700 | 1 | |a Richards, Christina |e verfasserin |4 aut | |
| 700 | 1 | |a Belnap, LeGrand |e verfasserin |4 aut | |
| 700 | 1 | |a Cottam, Samuel |e verfasserin |4 aut | |
| 700 | 1 | |a Horsley, Benjamin |e verfasserin |4 aut | |
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