The single anastomosis duodenal switch modifications: a review of the current literature on outcomes

Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures – 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists

“…The length of the efferent alimentary limb (anastomosis to colon) varies from 150 to 300 cm. These procedures have been shown to be safe and as effective as a Roux‐en‐Y DS with a trend toward fewer nutritional deficiencies at mid‐term (3 to 5 years) follow‐up . When compared with LAGB and RYGB, single‐anastomosis DS was most effective for weight loss in patients age 70 years and over .…”

Comparative analysis of the single-anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) to established bariatric procedures: an assessment of 2-year postoperative data illustrating weight loss, type 2 diabetes, and nutritional status in a single US center

“…Recently, there have been several reports on the outcomes of SADI-S procedure [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. One of the articles published by Neichoy et al [16] on the midterm outcomes of SADI-S reported EWL of 88% at 24 months.…”

“…Based on clinical knowledge, expert opinion, and published peer-reviewed scientific evidence, the International Federation for the Surgery of Obesity and Metabolic Disorders considered the SADI-S (and its variant [stomach intestinal pylorus-sparing surgery]) an established bariatric procedure [14]. In recent years, there have been few reports on the short-and mid-term outcomes of this procedure [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. In terms of weight loss, the SADI-S and RYGB had statistically similar weight loss; however, the weight loss was statistically higher in patients undergoing SADI-S procedure than SG [21,30].…”

Modificaciones anatómicas de la derivación biliopancreática con cruce duodenal: ¿Tienen algún rol futuro en la cirugía bariátrica y metabólica?

“…Sin embargo, la adopción de esta técnica quirúrgica no ha sido la esperada, ya sea por sus déficits nutricionales publicados o por su complejidad técnica 1,2 . En el afán de hacer llegar estos beneficios a una mayor población, algunos autores han publicado sus resultados con técnicas simplifi-cadas, manteniendo los beneficios metabólicos de la BPD-DS 3 . En este camino, los procedimientos con solo una anastomosis tipo loop, entre el duodeno y otro segmento del intestino delgado, han sido propuestos durante la última década.…”