One-Anastomosis Gastric Bypass (OABG) vs. Single Anastomosis Duodeno-Ileal Bypass (SADI) as revisional procedure following Sleeve Gastrectomy: results of a multicenter study

被引：10

作者：

Gallucci, Pierpaolo ^{[1
]}

Marincola, Giuseppe ^{[1
]}

Pennestri, Francesco ^{[1
,2
]}

Procopio, Priscilla Francesca ^{[1
,2
]}

Prioli, Francesca ^{[1
]}

Salvi, Giulia ^{[1
,2
]}

Ciccoritti, Luigi ^{[1
]}

Greco, Francesco ^{[1
]}

Velotti, Nunzio ^{[3
]}

Schiavone, Vincenzo ^{[3
]}

Franzese, Antonio ^{[3
]}

Mansi, Federica ^{[3
]}

Uccelli, Matteo ^{[4
]}

Cesana, Giovanni ^{[4
]}

Musella, Mario ^{[3
]}

Olmi, Stefano ^{[4
,5
]}

Raffaelli, Marco ^{[1
,2
]}

机构：

[1] Fdn Policlin Univ Agostino Gemelli IRCCS, Ctr Dipartimentale Chirurg Endocrina & Obes, UOC Chirurg Endocrina & Metabol, Rome, Italy

[2] Univ Cattolica Sacro Cuore, Ctr Ric Chirurg Ghiandole Endocrine & Obes, Rome, Italy

[3] Univ Napoli Federico II, Osped Univ Federico II, Dipartimento Sci Biomed Avanzate, Naples, Italy

[4] Policlin San Marco, Ctr Chirurg Laparoscopica & Bariatr, Dipartimento Chirurg Gen & Oncol, Grp San Donato, Zingonia, BG, Italy

[5] Univ Vita Salute San Raffaele, Milan, Italy

来源：

LANGENBECKS ARCHIVES OF SURGERY | 2024年 / 409卷 / 01期

关键词：

Revisional surgery; One-Anastomosis Gastric Bypass (OAGB); Single Anastomosis Duodeno-Ileal Bypass (SADI); Complications; Suboptimal clinical response; Recurrence of weight;

D O I：

10.1007/s00423-024-03306-y

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose Sleeve Gastrectomy (SG) is the most performed bariatric surgery, but a considerable number of patients may require revisional procedures for suboptimal clinical response/recurrence of weight (SCR/RoW). Conversion options include One-Anastomosis Gastric Bypass (OAGB) and Single Anastomosis Duodeno-Ileal Bypass (SADI). The study aims to compare SADI vs. OAGB as revisional procedures in terms of early and mid-term complications, operative time, postoperative hospital stay and clinical outcomes.Methods All patients who underwent OAGB or SADI as revisional procedures following SG for SCR/RoW at three high-volume bariatric centers between January 2014 and April 2021 were included. Propensity score matching (PSM) analysis was performed. Demographic, operative, and postoperative outcomes of the two groups were compared.Results One hundred and sixty-eight patients were identified. After PSM, the two groups included 42 OAGB and 42 SADI patients. Early (<= 30 days) postoperative complications rate did not differ significantly between OAGB and SADI groups (3 bleedings vs. 0, p = 0.241). Mid-term (within 2 years) complications rate was significantly higher in the OAGB group (21.4% vs. 2.4%, p = 0.007), mainly anastomotic complications and reflux disease (12% of OAGBs). Seven OAGB patients required conversion to another procedure (Roux-en-Y Gastric Bypass-RYGB) vs. none among the SADI patients (p = 0.006).Conclusions SADI and OAGB are both effective as revisional procedures for SCR/RoW after SG. OAGB is associated with a significantly higher rate of mid-term complications and a not negligible rate of conversion (RYGB). Larger studies are necessary to draw definitive conclusions.

引用

页数：11

共 46 条

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