A safer and simpler technique of duodenal dissection and transection of the duodenal bulb for duodenal switch

Surve, Amit; Zaveri, Hinali; Cottam, Daniel

doi:10.1016/j.soard.2016.02.022

Cited by 25 publications

(6 citation statements)

References 5 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A loop DI was performed at approximately 300 cm from the ileocecal valve. At each center, a totally hand-sewn technique was used, but the choice of single-or double-layer technique and type of suture was left to each individual surgeon [8] (Fig. 1).…”

Section: Treatmentsmentioning

confidence: 99%

Single Anastomosis Duodenal Switch: 1-Year Outcomes

Cottam¹,

Roslin

Enochs³

et al. 2020

OBES SURG

Self Cite

View full text Add to dashboard Cite

Introduction Single-anastomosis duodenal switch has been suggested to be an effective bariatric procedure that offers excellent weight loss and by lengthening the common channel the potential to reduce micronutrient deficiencies. Purpose To evaluate the weight loss, comorbidity resolution and the 1-year nutritional outcomes of the single-anastomosis duodenal switch (SADS) procedure. Setting Multiple US Hospitals. Methods From October 2014 to January 2017, 120 patients were enrolled at six sites across the USA and underwent the SADS procedure. Weight loss, comorbidities, quality of life, and adverse events were followed post-procedure for 12 months. Results At 1, 6, and 12 months, 98.3%, 85.5%, and 77.1% of the patients were available for assessment, respectively. At 12 months, patients showed significantly reduced body mass index when compared to baseline (46.8 ± 5.8 vs 29.8 ± 4.4, P < 0.001 respectively). Sixty-five patients had type 2 diabetes at baseline; however, 11 patients lost to follow-up. Of the available data (54 patients), 96.3% of the patients had a resolution of type 2 diabetes by 12 months with a mean A1C reduction from 7.8 ± 1.6 to 5.3 ± 0.7. Additionally, there were reductions in hyperlipidemia, sleep apnea, and hypertension at 12 months. Patient gastroesophageal reflux disease satisfaction and quality of life (SF-36) scores were significantly higher at 12 months postprocedure (P < 0.001 in all cases) while 12-month protein levels remained at normal values. There were abnormalities of parathyroid hormone and vitamin D at 1 year with all other nutritional markers being not significantly different at 1 year from baseline. There were 10, IIIb, or greater complications according to the Clavien-Dindo scoring system during the study period, not all of which were related to the surgery. Conclusions SADS is a highly efficacious weight loss procedure with significant comorbidity reduction at 1 year. At 1 year, complications and vitamin and mineral deficits appear to be consistent with other malabsorption operations. Long-term follow-up is needed, especially around complications and vitamin deficiencies.

show abstract

Section: Treatmentsmentioning

confidence: 99%

Single Anastomosis Duodenal Switch: 1-Year Outcomes

Cottam¹,

Roslin

Enochs³

et al. 2020

OBES SURG

Self Cite

View full text Add to dashboard Cite

show abstract

“…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%

“…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].…”

mentioning

confidence: 99%

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

Self Cite

View full text Add to dashboard Cite

“…Another important technical aspect of the procedure is the preservation of the gastroepiploic perforators to the stomach. Normally, we take these down when doing a DS [15]. However, when performing this procedure, due to the variable lesser curve anatomy and blood supply, we choose to preserve at least 3 perforating vessels rather than trust that the left gastric has not been divided.…”

Section: Discussionmentioning

confidence: 99%