The incidence of complications associated with loop duodeno-ileostomy after single-anastomosis duodenal switch procedures among 1328 patients: a multicenter experience

被引：63

作者：

Surve, Amit ^{[1
]}

Cottam, Daniel ^{[1
]}

Sanchez-Pernaute, Andres ^{[2
]}

Torres, Antonio ^{[2
]}

Roller, Joshua ^{[3
]}

Kwon, Yong ^{[3
]}

Mourot, Joshua ^{[3
]}

Schniederjan, Bleu ^{[4
]}

Neichoy, Bo ^{[4
]}

Enochs, Paul ^{[5
]}

Tyner, Michael ^{[5
]}

Bruce, Jon ^{[5
]}

Bovard, Scott ^{[5
]}

Roslin, Mitchell ^{[6
]}

Jawad, Muhammad ^{[7
]}

Teixeira, Andre ^{[7
]}

Srikanth, Myur ^{[8
]}

Free, Jason ^{[9
]}

Zaveri, Hinali ^{[1
]}

Pilati, David ^{[5
]}

Bull, Jamie ^{[5
]}

Belnap, LeGrand ^{[1
]}

Richards, Christina ^{[1
]}

Medlin, Walter ^{[1
]}

Moon, Rena ^{[7
]}

Cottam, Austin ^{[1
]}

Sabrudin, Sarah ^{[6
]}

Cottam, Samuel ^{[1
]}

Dhorepatil, Aneesh ^{[1
]}

机构：

[1] Bariatr Med Inst, 1046 East 100 South, Salt Lake City, UT 84102 USA

[2] Hosp Clin San Carlos, Madrid, Spain

[3] Roller Weight Loss & Adv Surg, Fayetteville, AR USA

[4] Panhandle Weight Loss Ctr, Amarillo, TX USA

[5] Bariatr Specialists North Carolina, Cary, NC USA

[6] NS LIJ Lenox Hill Hosp, New York, NY USA

[7] Orlando Reg Med Ctr Inc, Orlando, FL USA

[8] Ctr Weight Loss Surg, Federal Way, WA USA

[9] Surg Gold Coast, Benowa, Qld, Australia

来源：

SURGERY FOR OBESITY AND RELATED DISEASES | 2018年 / 14卷 / 05期

关键词：

Incidence; Duodeno-ileostomy; Gastrojejunostomy; Single-anastomosis duodenal switch; Roux-en-Y gastric bypass; Biliopancreatic diversion with duodenal switch; ROUX-EN-Y; LAPAROSCOPIC GASTRIC BYPASS; MATCHED COHORT ANALYSIS; BILIOPANCREATIC DIVERSION; SLEEVE GASTRECTOMY; GASTROINTESTINAL COMPLICATIONS; GASTROJEJUNAL ANASTOMOSIS; SURGICAL COMPLICATIONS; SIPS SURGERY; OUTCOMES;

D O I：

10.1016/j.soard.2018.01.020

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: The single-anastomosis duodenal switch procedure is a type of duodenal switch that involves a loop anastomosis rather than traditional Roux-en-Y reconstruction. To date, there have been no multicenter studies looking at the complications associated with post-pyloric loop reconstruction. Objectives: The aim of the study was to report the incidence of complications associated with loop duodeno-ileostomy (DI) following single-anastomosis duodenal switch (SADS) procedures. Setting: Mixed of private and teaching facilities. Methods: The medical records of 1328 patients who underwent primary SADS procedure (single-anastomosis duodeno-ileal bypass with sleeve gastrectomy or stomach intestinal pylorus-sparing surgery) by 17 surgeons from 3 countries (United States, Spain, and Australia) at 9 centers over a 6-year period were retrospectively reviewed, and their results were compared with articles in the literature. Results: Mean preoperative body mass index was 51.6 kg/m(2). Of 1328 patients, 123 patients received a linear stapled duodeno-ileostomy (DI) and 1205 patients a hand-sewn DI. In the overall series, the anastomotic leak, ulcer, and bile reflux occurred in .6% (9/1328), .1% (2/1328), and .1% (2/1328), respectively. None of our patients experienced volvulus at the DI or an internal hernia. Overall, 5 patients (.3%) (3/123 [2.4%] with linear stapled DI versus 2/1205 [.1%] with hand-sewn DI [P < .05]) experienced stricture at the DI in this series. Conclusions: The overall incidence of complications associated with loop DI was lower than the reported incidence of anastomotic complications after Roux-en-Y gastric bypass and biliopancreatic diversion with duodenal switch. SADS procedures may cause much fewer anastomotic complications compared with Roux-en-Y gastric bypass and biliopancreatic diversion with duodenal switch. (C) 2018 American Society for Metabolic and Bariatric Surgery. All rights reserved.

引用

页码：594 / 601

页数：8

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