Rena C Moon1, Vincent Kirkpatrick1, Lori Gaskins1, Andre F Teixeira1, Muhammad A Jawad2. 1. Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, Orlando, Florida. 2. Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, Orlando, Florida. Electronic address: muhammad.jawad@orlandohealth.com.
Abstract
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.
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 DSpatients, 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.
Authors: Wendy A Brown; Guillermo Ponce de Leon Ballesteros; Geraldine Ooi; Kelvin Higa; Jacques Himpens; Antonio Torres; Scott Shikora; Lilian Kow; Miguel F Herrera Journal: Obes Surg Date: 2021-01-06 Impact factor: 4.129
Authors: Amit Surve; Ravi Rao; Daniel Cottam; Aditya Rao; Leila Ide; Samuel Cottam; Benjamin Horsley Journal: Obes Surg Date: 2020-04 Impact factor: 4.129
Authors: Romulo P Lind; Muhammad Ghanem; Andre F Teixeira; Muhammad A Jawad; Javier Osorio; Claudio Lazzara; Lucia Sobrino; David Ortiz-Ciruela; Amador Garcia Ruiz de Gordejuela Journal: Obes Surg Date: 2022-10-24 Impact factor: 3.479