RT Journal Article
T1 Single-anastomosis duodenoileal bypass as a revisional or second-step operation after sleeve gastrectomy
A1 Sánchez Pernaute, Andrés
A1 Rubio Herrera, Miguel Ángel
A1 Pérez Ferré, Natalia
A1 Marcuello, Clara
A1 Torres García, Antonio José
A1 Pérez Aguirre, María Elia
AB Background: One-loop duodenal switch leads to weight loss and improvement or resolution of co-morbidities similar to standard duodenal switch, and it is technically less demanding.Objectives: To analyze the weight loss and metabolic improvement after conversion of sleeve gastrectomy to single-anastomosis duodenoileal bypass.Setting: University Hospital, Madrid, Spain.Methods: This was a retrospective cohort study. Patients submitted to sleeve gastrectomy with insufficient weight loss or programmed for a 2-step surgical approach were included. Single-anastomosis duodenoileostomy was completed if there was no stricture in the stomach and no severe symptoms of gastroesophageal reflux.Results: Fifty-one patients with a mean initial body mass index of 52 kg/m2 were included. Maximum excess weight loss after the sleeve procedure was 63%. Mean time to the second operation was 36 months. The common channel was 250 cm in 41 patients and 300 cm in 10 patients. The follow-up rate was 77% at 5 years. Excess weight loss and total weight loss were 79% and 39%, respectively, at 1 year from the second surgery and 79% and 41%, respectively, at 5 years. Furthermore, 47% of the patients with diabetes achieved complete remission after sleeve gastrectomy, and 94% achieved remission after conversion to single-anastomosis duodenoileal bypass. Final weight loss was significantly higher in those patients who achieved better weight loss after the sleeve gastrectomy than those who did not.Conclusions: Single-anastomosis duodenoileal bypass is a beneficial procedure after sleeve gastrectomy for those who fail to lose weight or those with co-morbidities or as a planned second step. (C) 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
PB Elsevier
SN 1550-7289
YR 2020
FD 2020-10
LK https://hdl.handle.net/20.500.14352/116607
UL https://hdl.handle.net/20.500.14352/116607
LA eng
NO Sánchez-Pernaute A, Rubio MÁ, Pérez N, Marcuello C, Torres A, Pérez-Aguirre E. Single-anastomosis duodenoileal bypass as a revisional or second-step operation after sleeve gastrectomy. Surg Obes Relat Dis. 2020 Oct;16(10):1491-1496. doi: 10.1016/j.soard.2020.05.022. Epub 2020 Jun 1. PMID: 32665113.
DS Docta Complutense
RD 10 abr 2025