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 reg...
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Termedia Publishing House
2024-11-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
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| Online Access: | https://www.mp.pl/videosurgery/issue/article/17912/ |
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| author | Mateusz Wityk Maciej Bobowicz Mateusz Pryt Natalia Dowgiałło-Gornowicz |
| author_facet | Mateusz Wityk Maciej Bobowicz Mateusz Pryt Natalia Dowgiałło-Gornowicz |
| author_sort | Mateusz Wityk |
| collection | DOAJ |
| description | 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 Bariatric 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. |
| format | Article |
| id | doaj-art-0b5aeb53c04e4910a37fe945ce913165 |
| institution | Kabale University |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Termedia Publishing House |
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| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-0b5aeb53c04e4910a37fe945ce9131652025-01-29T18:16:52ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882299-00542024-11-0119446046410.20452/wiitm.2024.17912Early results of laparoscopic single‑anastomosis duodeno‑ileal bypass with sleeve gastrectomy: a case series from a single Polish bariatric centerMateusz Wityk0Maciej Bobowicz1Mateusz Pryt2Natalia Dowgiałło-Gornowicz3Department of General and Oncological Surgery, Regional Health Centre, Lubin, PolandDepartment of Radiology, Medical University of Gdansk, Gdańsk, PolandDepartment of General and Oncological Surgery, Janusz Korczak Regional Specialist Hospital, Słupsk, PolandDepartment of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Olsztyn, PolandIntroduction: 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 Bariatric 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.https://www.mp.pl/videosurgery/issue/article/17912/bariatric surgerydiabeteshypertensionmetabolic surgeryobesity |
| spellingShingle | Mateusz Wityk Maciej Bobowicz Mateusz Pryt Natalia Dowgiałło-Gornowicz Early results of laparoscopic single‑anastomosis duodeno‑ileal bypass with sleeve gastrectomy: a case series from a single Polish bariatric center Videosurgery and Other Miniinvasive Techniques bariatric surgery diabetes hypertension metabolic surgery obesity |
| title | Early results of laparoscopic single‑anastomosis duodeno‑ileal bypass with sleeve gastrectomy: a case series from a single Polish bariatric center |
| title_full | Early results of laparoscopic single‑anastomosis duodeno‑ileal bypass with sleeve gastrectomy: a case series from a single Polish bariatric center |
| title_fullStr | Early results of laparoscopic single‑anastomosis duodeno‑ileal bypass with sleeve gastrectomy: a case series from a single Polish bariatric center |
| title_full_unstemmed | Early results of laparoscopic single‑anastomosis duodeno‑ileal bypass with sleeve gastrectomy: a case series from a single Polish bariatric center |
| title_short | Early results of laparoscopic single‑anastomosis duodeno‑ileal bypass with sleeve gastrectomy: a case series from a single Polish bariatric center |
| title_sort | early results of laparoscopic single anastomosis duodeno ileal bypass with sleeve gastrectomy a case series from a single polish bariatric center |
| topic | bariatric surgery diabetes hypertension metabolic surgery obesity |
| url | https://www.mp.pl/videosurgery/issue/article/17912/ |
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