Single- Versus Double-Anastomosis Duodenal Switch: Outcomes Stratified by Preoperative BMI

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. Graphical abstract.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:32

Enthalten in:

Obesity surgery - 32(2022), 12 vom: 24. Okt., Seite 3869-3878

Sprache:

Englisch

Beteiligte Personen:

Lind, Romulo P. [VerfasserIn]
Ghanem, Muhammad [VerfasserIn]
Teixeira, Andre F. [VerfasserIn]
Jawad, Muhammad A. [VerfasserIn]
Osorio, Javier [VerfasserIn]
Lazzara, Claudio [VerfasserIn]
Sobrino, Lucia [VerfasserIn]
Ortiz-Ciruela, David [VerfasserIn]
de Gordejuela, Amador Garcia Ruiz [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

BPD-DS
Bariatric surgery
Duodenal switch
SADI-S
Weight loss

Anmerkungen:

© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s11695-022-06315-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2132771391

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