A Matched Cohort Analysis of Stomach Intestinal Pylorus Saving (SIPS) Surgery Versus Biliopancreatic Diversion with Duodenal Switch with Two-Year Follow-up

被引:49
作者
Cottam, Austin [1 ]
Cottam, Daniel [1 ]
Portenier, Dana [2 ]
Zaveri, Hinali [1 ]
Surve, Amit [1 ]
Cottam, Samuel [1 ]
Belnap, Legrand [1 ]
Medlin, Walter [1 ]
Richards, Christina [1 ]
机构
[1] Bariatr Med Inst, 1046 East 100 South, Salt Lake City, UT 84102 USA
[2] Duke Univ, Dept Surg, Duke Ctr Metab & Weight Loss Surg, Med Ctr, Durham, NC 27704 USA
关键词
SIPS; BPDDS; Duodenal switch; Diabetes resolution; Loop duodenal switch; Single anastomosis duodenal switch; Bariatric surgery; Obesity; Y GASTRIC BYPASS; ANASTOMOSIS DUODENOILEAL BYPASS; WEIGHT-LOSS; SLEEVE GASTRECTOMY; METABOLIC OUTCOMES; BARIATRIC SURGERY; PREDICTORS; SAFE;
D O I
10.1007/s11695-016-2341-7
中图分类号
R61 [外科手术学];
学科分类号
摘要
In bariatric surgery, the procedure with the highest average weight loss is the biliopancreatic diversion with duodenal switch (BPDDS). A new simplified duodenal switch called the stomach intestinal pylorus sparing (SIPS) surgery with less malabsorption and one fewer anastomosis claims to have similar outcomes when compared to the BPDDS. A retrospective matched cohort analysis of SIPS versus BPDDS patients in a single private practice was obtained by matching every BPDDS to a SIPS patient of the same gender and BMI. Excess weight loss percentage (EWL), BMI, and percentage total weight loss (%TWL) were compared. Additionally, comorbidity resolution, nutritional data, and complications were also compared. Data was analyzed using both descriptive and comparative statistics. Over 2 years, there was no statistical difference in weight loss between BPDDS and SIPS. There also was no difference in nutritional data between the two procedures pre- and post-op. Complication rates were lower in SIPS however, due to the small sample sizes this is not statistically significant. Weight loss and nutritional results between SIPS and BPDDS are similar at 2 years. However, there are fewer complications with SIPS.
引用
收藏
页码:454 / 461
页数:8
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