The Effectiveness of Single-Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy/One Anastomosis Duodenal Switch (SADI-S/OADS): an Updated Systematic Review

被引:43
作者
Spinos, Dimitrios [1 ,2 ]
Skarentzos, Konstantinos [2 ,3 ]
Esagian, Stepan M. [2 ]
Seymour, Keri A. [4 ]
Economopoulos, Konstantinos P. [2 ,4 ]
机构
[1] Univ Hosp Derby & Burton NHS Trust, Derby Royal Hosp, Derby, England
[2] Soc Jr Doctors, Surg Working Grp, Athens, Greece
[3] Democritus Univ Thrace, Sch Hlth Sci, Dept Med, Alexandroupolis, Greece
[4] Duke Univ, Med Ctr, Dept Surg, 2301 Erwin Rd, Durham, NC 27710 USA
关键词
Bariatric surgery; Biliopancreatic bypass; Pylorus sparing; Duodenal switch; Duodenoileal diversion; Omega loop;
D O I
10.1007/s11695-020-05188-7
中图分类号
R61 [外科手术学];
学科分类号
摘要
Single-anastomosis duodenoileal bypass with sleeve gastrectomy/one anastomosis duodenal switch (SADI-S/OADS) was developed as a bariatric operation with reduced overall morbidity and lasting weight loss results. We performed a systematic review of the literature, including 14 studies reporting on weight loss, comorbidity resolution, postoperative complications, and nutritional deficiencies following SADI-S. Twelve months after SADI-S, the mean total body weight lost ranged from 21.5 to 41.2%, with no weight regain being observed after 24 months. The comorbidity resolution rate was 72.6% for diabetes, 77.2% for dyslipidemia, and 59.0% for hypertension cases. The need for reoperation was the most common postoperative complication. While several patients developed nutrient deficiencies, SADI-S seems to be an overall safe and effective bariatric operation.
引用
收藏
页码:1790 / 1800
页数:11
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