Safety and effectiveness of single- versus double-anastomosis duodenal switch at a single institution
Copyright © 2018 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved..
BACKGROUND: Biliopancreatic diversion with duodenal switch (DS) is known to be superior in weight loss to other bariatric procedures, but with the disadvantage of increased complication rates. Single-anastomosis duodenal-ileal bypass (SADI-S) is reported to have similar weight loss with lower complication rates compared with traditional DS.
OBJECTIVES: The aim of this study was to compare weight loss and complication rate between SADI-S and double-anastomosis DS at a single institution.
SETTING: Academic hospital, United States.
METHODS: A retrospective chart review was performed on 185 patients who underwent laparoscopic or robot-assisted laparoscopic DS between March 1, 2015 and December 10, 2017. A total of 111 patients had SADI-S, and 74 patients underwent double-anastomosis DS.
RESULTS: Baseline patient characteristics were comparable between the 2 groups. The mean preoperative body mass index was 56.3 kg/m2 and 54.4 kg/m2 in SADI-S and double-anastomosis DS patients, respectively. Thirteen (11.7%) and 4 (5.4%) patients were readmitted within 30 days after SADI-S and double-anastomosis DS, respectively (P = .16). Percentage of total weight loss was 22.0%, 38.5%, and 44.2% in the SADI-S group and 20.2%, 38.0%, and 48.4% in the double-anastomosis DS group at 6, 12, and 24 months, respectively. The majority of patients had vitamin A and E levels in the normal range. However, 40% to 60% of the patients had low levels of vitamin D after the procedure.
CONCLUSIONS: SADI-S and double-anastomosis DS are comparable in terms of weight loss and complication rate. However, close nutritional follow-up is warranted for both procedures.
| Errataetall: |
CommentIn: Surg Obes Relat Dis. 2019 May;15(5):e20-e21. - PMID 31043335 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:15 |
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| Enthalten in: |
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery - 15(2019), 2 vom: 05. Feb., Seite 245-252 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Moon, Rena C [VerfasserIn] |
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| Links: |
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| Themen: |
Comparative Study |
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| Anmerkungen: |
Date Completed 16.03.2020 Date Revised 16.03.2020 published: Print-Electronic CommentIn: Surg Obes Relat Dis. 2019 May;15(5):e20-e21. - PMID 31043335 Citation Status MEDLINE |
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| doi: |
10.1016/j.soard.2018.11.004 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 500 | |a CommentIn: Surg Obes Relat Dis. 2019 May;15(5):e20-e21. - PMID 31043335 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2018 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Biliopancreatic diversion with duodenal switch (DS) is known to be superior in weight loss to other bariatric procedures, but with the disadvantage of increased complication rates. Single-anastomosis duodenal-ileal bypass (SADI-S) is reported to have similar weight loss with lower complication rates compared with traditional DS | ||
| 520 | |a OBJECTIVES: The aim of this study was to compare weight loss and complication rate between SADI-S and double-anastomosis DS at a single institution | ||
| 520 | |a SETTING: Academic hospital, United States | ||
| 520 | |a METHODS: A retrospective chart review was performed on 185 patients who underwent laparoscopic or robot-assisted laparoscopic DS between March 1, 2015 and December 10, 2017. A total of 111 patients had SADI-S, and 74 patients underwent double-anastomosis DS | ||
| 520 | |a RESULTS: Baseline patient characteristics were comparable between the 2 groups. The mean preoperative body mass index was 56.3 kg/m2 and 54.4 kg/m2 in SADI-S and double-anastomosis DS patients, respectively. Thirteen (11.7%) and 4 (5.4%) patients were readmitted within 30 days after SADI-S and double-anastomosis DS, respectively (P = .16). Percentage of total weight loss was 22.0%, 38.5%, and 44.2% in the SADI-S group and 20.2%, 38.0%, and 48.4% in the double-anastomosis DS group at 6, 12, and 24 months, respectively. The majority of patients had vitamin A and E levels in the normal range. However, 40% to 60% of the patients had low levels of vitamin D after the procedure | ||
| 520 | |a CONCLUSIONS: SADI-S and double-anastomosis DS are comparable in terms of weight loss and complication rate. However, close nutritional follow-up is warranted for both procedures | ||
| 650 | 4 | |a Comparative Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Complication | |
| 650 | 4 | |a Double anastomosis | |
| 650 | 4 | |a Duodenal switch | |
| 650 | 4 | |a Effectiveness | |
| 650 | 4 | |a SADI-S | |
| 650 | 4 | |a Safety | |
| 650 | 4 | |a Single anastomosis | |
| 650 | 4 | |a Traditional | |
| 700 | 1 | |a Kirkpatrick, Vincent |e verfasserin |4 aut | |
| 700 | 1 | |a Gaskins, Lori |e verfasserin |4 aut | |
| 700 | 1 | |a Teixeira, Andre F |e verfasserin |4 aut | |
| 700 | 1 | |a Jawad, Muhammad A |e verfasserin |4 aut | |
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