A retrospective comparison of biliopancreatic diversion with duodenal switch with single anastomosis duodenal switch (SIPS-stomach intestinal pylorus sparing surgery) at a single institution with two year follow-up

Surve, Amit; Zaveri, Hinali; Cottam, Daniel; Belnap, Legrand; Cottam, Austin; Cottam, Samuel

doi:10.1016/j.soard.2016.11.020

Cited by 66 publications

(33 citation statements)

References 25 publications

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“…Los autores encontraron que en el 100% de los pacientes en la rama SIPS la DM remitió, comparado con el 75% en BGL, siendo estadísticamente significativo 18 . Surve et al, realizaron una comparación retrospectiva entre SIPS y BPD-DS 19 . SIPS tuvo menor tiempo operatorio, menor cantidad de filtraciones, menor diarrea a largo plazo, pero el %PEP a los dos años de seguimiento fue significativamente mejor con BPD-DS (95 versus 87%).…”

Section: Resultsunclassified

“…SIPS tuvo menor tiempo operatorio, menor cantidad de filtraciones, menor diarrea a largo plazo, pero el %PEP a los dos años de seguimiento fue significativamente mejor con BPD-DS (95 versus 87%). Sin embargo, no hubo diferencias significativas entre estas dos cirugías cuando se compararon parámetros nutricionales, tales como vitamina D, B1, B12, calcio, albúmina sérica, proteínas séricas totales, y parámetros metabólicos como glicemia en ayuno, hemoglobina glicosilada, insulina basal, y perfil lipídico 19 . Recientemente Zaveri et al, publicaron una serie de 437 pacientes que se sometieron a SIPS 20 .…”

Section: Resultsunclassified

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

Jara

Portenier

Luengas³

et al. 2019

Rev. cir.

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Anatomical modifications of the biliopancreatic diversion with duodenal switch: Do they have a future role in bariatric and metabolic surgery? Biliopancreatic Diversion with duodenal switch (BPD-DS) is the bariatric surgery that has shown the better results regarding long-term weight loss and comorbidities resolution. Nevertheless, BPD-DS´ adoption has been slow, mainly due to its nutritional complications, and technical complexity. Given this, some authors have proposed surgical variations of this effective procedure. These new procedures are based on reducing the anastomosis to only one, and doing it just a loop anastomosis (no biliopacreatic diversion). These changes might bring to us the advantages of BPD-DS, and eliminate some of its disadvantages. In this article, we show the results of these variations compared with BPD-DS, and how their promising results could be a new approach for obese population and bariatric surgery.

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Section: Resultsunclassified

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

Jara

Portenier

Luengas³

et al. 2019

Rev. cir.

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“…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.…”

Section: Discussionmentioning

confidence: 99%

“…Although several articles have proven the superiority of duodenal switch to RYGB, only a few surgeons perform this surgery due to its technical difficulty and possible malabsorption [37][38][39][40]. The SADI-S procedure is the modification of duodenal switch and retains the majority of efficacy while reducing the malnutrition problems [18]. More importantly, it decreases the technical complexity associated with duodenal switch without compromising outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…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].…”

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confidence: 99%

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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

Enochs

Bull

Surve³

et al. 2020

Surgery for Obesity and Related Diseases

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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

Mechanick

Apovian

Brethauer

et al. 2020

Obesity

324

464

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Objective The development of these updated clinical practice guidelines (CPGs) was commissioned by the American Association of Clinical Endocrinologists (AACE), The Obesity Society (TOS), American Society for Metabolic and Bariatric Surgery (ASMBS), Obesity Medicine Association (OMA), and American Society of Anesthesiologists (ASA) Boards of Directors in adherence with the AACE 2017 protocol for standardized production of CPGs, algorithms, and checklists. Methods Each recommendation was evaluated and updated based on new evidence from 2013 to the present and subjective factors provided by experts. Results New or updated topics in this CPG include: contextualization in an adiposity‐based chronic disease complications‐centric model, nuance‐based and algorithm/checklist‐assisted clinical decision‐making about procedure selection, novel bariatric procedures, enhanced recovery after bariatric surgery protocols, and logistical concerns (including cost factors) in the current health care arena. There are 85 numbered recommendations that have updated supporting evidence, of which 61 are revised and 12 are new. Noting that there can be multiple recommendation statements within a single numbered recommendation, there are 31 (13%) Grade A, 42 (17%) Grade B, 72 (29%) Grade C, and 101 (41%) Grade D recommendations. There are 858 citations, of which 81 (9.4%) are evidence level (EL) 1 (highest), 562 (65.5%) are EL 2, 72 (8.4%) are EL 3, and 143 (16.7%) are EL 4 (lowest). Conclusions Bariatric procedures remain a safe and effective intervention for higher‐risk patients with obesity. Clinical decision‐making should be evidence based within the context of a chronic disease. A team approach to perioperative care is mandatory, with special attention to nutritional and metabolic issues.

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A retrospective comparison of biliopancreatic diversion with duodenal switch with single anastomosis duodenal switch (SIPS-stomach intestinal pylorus sparing surgery) at a single institution with two year follow-up

Cited by 66 publications

References 25 publications

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

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

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

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