Single- Versus Double-Anastomosis Duodenal Switch : Outcomes Stratified by Preoperative BMI
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature..
PURPOSE: Describe and analyze the safety and weight loss performance of biliopancreatic diversion and duodenal switch (BPD-DS) and single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), verifying any possible superiority according to preoperative BMI.
METHODS: Retrospective review of patients who underwent primary SADI-S or BPD-DS in three bariatric centers. Study groups were further stratified according to preoperative BMI (subgroup 1: BMI < 50; subgroup 2: 50 ≤ BMI < 55; subgroup 3: BMI ≥ 55).
RESULTS: Four hundred and sixty patients underwent BPD-DS (n = 220) or SADI-S (n = 240). The mean LOS was 3.48 ± 3.7 and 3.13 ± 2.3 days for BPD-DS and SADI-S respectively (p = 0.235). The mean operative time was shorter in the SADI-S group (167.25 ± 33.6 vs 140.85 ± 56.7 min) (p < 0.00). The mean %EWL was 44.2, 62.4, and 69.4 for the BPD-DS group and 48.4, 64.5, and 67.1 for the SADI-S group at 6, 12, and 24 months respectively. The mean %TBWL was 25, 35.9, and 40.3 for the BPD-DS group, and 26.2, 35, and 36.9 for the SADI-S group at 6, 12, and 24 months respectively. Overall complication rates were comparable between BPD-DS and SADI-S groups (14% vs 18%) (p = 0.219). SADI-S showed greater emergency department visits (17% vs 7%) (p = 0.005); similar readmission rates (6% vs 7%) (p = 0.80); similar reoperation rates (3% vs 7%) (p = 0.102); and similar mortality rate (0.9% vs 0.4%), after BPD-DS and SADI-S respectively.
CONCLUSION: BPD-DS achieved greater %TBWL at 2 years, but no superiority was perceived among study subgroups. SADI-S and BPD-DS showed similar overall complication rates.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:32 |
|---|---|
| Enthalten in: |
Obesity surgery - 32(2022), 12 vom: 24. Dez., Seite 3869-3878 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Lind, Romulo P [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
BPD-DS |
|---|
| Anmerkungen: |
Date Completed 21.11.2022 Date Revised 06.12.2022 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1007/s11695-022-06315-2 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM347936490 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM347936490 | ||
| 003 | DE-627 | ||
| 005 | 20231226035017.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s11695-022-06315-2 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1159.xml |
| 035 | |a (DE-627)NLM347936490 | ||
| 035 | |a (NLM)36279044 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Lind, Romulo P |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Single- Versus Double-Anastomosis Duodenal Switch |b Outcomes Stratified by Preoperative BMI |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 21.11.2022 | ||
| 500 | |a Date Revised 06.12.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. | ||
| 520 | |a PURPOSE: Describe and analyze the safety and weight loss performance of biliopancreatic diversion and duodenal switch (BPD-DS) and single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), verifying any possible superiority according to preoperative BMI | ||
| 520 | |a METHODS: Retrospective review of patients who underwent primary SADI-S or BPD-DS in three bariatric centers. Study groups were further stratified according to preoperative BMI (subgroup 1: BMI < 50; subgroup 2: 50 ≤ BMI < 55; subgroup 3: BMI ≥ 55) | ||
| 520 | |a RESULTS: Four hundred and sixty patients underwent BPD-DS (n = 220) or SADI-S (n = 240). The mean LOS was 3.48 ± 3.7 and 3.13 ± 2.3 days for BPD-DS and SADI-S respectively (p = 0.235). The mean operative time was shorter in the SADI-S group (167.25 ± 33.6 vs 140.85 ± 56.7 min) (p < 0.00). The mean %EWL was 44.2, 62.4, and 69.4 for the BPD-DS group and 48.4, 64.5, and 67.1 for the SADI-S group at 6, 12, and 24 months respectively. The mean %TBWL was 25, 35.9, and 40.3 for the BPD-DS group, and 26.2, 35, and 36.9 for the SADI-S group at 6, 12, and 24 months respectively. Overall complication rates were comparable between BPD-DS and SADI-S groups (14% vs 18%) (p = 0.219). SADI-S showed greater emergency department visits (17% vs 7%) (p = 0.005); similar readmission rates (6% vs 7%) (p = 0.80); similar reoperation rates (3% vs 7%) (p = 0.102); and similar mortality rate (0.9% vs 0.4%), after BPD-DS and SADI-S respectively | ||
| 520 | |a CONCLUSION: BPD-DS achieved greater %TBWL at 2 years, but no superiority was perceived among study subgroups. SADI-S and BPD-DS showed similar overall complication rates | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a BPD-DS | |
| 650 | 4 | |a Bariatric surgery | |
| 650 | 4 | |a Duodenal switch | |
| 650 | 4 | |a SADI-S | |
| 650 | 4 | |a Weight loss | |
| 700 | 1 | |a Ghanem, Muhammad |e verfasserin |4 aut | |
| 700 | 1 | |a Teixeira, Andre F |e verfasserin |4 aut | |
| 700 | 1 | |a Jawad, Muhammad A |e verfasserin |4 aut | |
| 700 | 1 | |a Osorio, Javier |e verfasserin |4 aut | |
| 700 | 1 | |a Lazzara, Claudio |e verfasserin |4 aut | |
| 700 | 1 | |a Sobrino, Lucia |e verfasserin |4 aut | |
| 700 | 1 | |a Ortiz-Ciruela, David |e verfasserin |4 aut | |
| 700 | 1 | |a de Gordejuela, Amador Garcia Ruiz |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Obesity surgery |d 1991 |g 32(2022), 12 vom: 24. Dez., Seite 3869-3878 |w (DE-627)NLM090631897 |x 1708-0428 |7 nnns |
| 773 | 1 | 8 | |g volume:32 |g year:2022 |g number:12 |g day:24 |g month:12 |g pages:3869-3878 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s11695-022-06315-2 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 32 |j 2022 |e 12 |b 24 |c 12 |h 3869-3878 | ||