RT Journal Article
T1 Single-anastomosis duodenoileal bypass with sleeve gastrectomy: metabolic improvement and weight loss in first 100 patients
A1 Sánchez Pernaute, Andrés
A1 Rubio Herrera, Miguel Ángel
A1 Pérez Aguirre, María Elia
A1 Barabash Bustelo, Ana
A1 Cabrerizo García, Lucio
A1 Torres García, Antonio José
AB Background: Single-anastomosis duodenoileal bypass with sleeve gastrectomy is a simplified 1-loop duodenal switch with a 200-250 common channel. Our objective was to analyze the weight loss and metabolic results of the technique on a series of 100 consecutively operated patients at a tertiary center university hospital.Methods: A total of 100 patients consecutively underwent surgery. The criteria of inclusion were morbid obesity or metabolic disease. In the first 50 cases, the common/efferent limb measured 200 cm. The length was changed to 250 cm to reduce the hypoproteinemia rate.Results: No mortality and no severe complications developed. The mean excess weight loss was >95% maintained during the follow-up period. More than 90% of the patients experimented complete remission of type 2 diabetes mellitus. Two conversions to a standard duodenal switch with a longer alimentary channel were required because of recurrent hypoproteinemia. Hypertension was controlled in 98% of the patients, with a 58% remission rate. The mean number of bowel movements was 2.5/d.Conclusion: Single-anastomosis duodenoileal bypass with sleeve gastrectomy is a simplified duodenal switch procedure that is safe and quicker to perform and offers good results for the treatment of both morbid obesity and its metabolic complications.(C) 2013 American Society for Metabolic and Bariatric Surgery. All rights reserved
PB ELSEVIER SCIENCE INC
SN 1550-7289
YR 2013
FD 2013-09
LK https://hdl.handle.net/20.500.14352/116143
UL https://hdl.handle.net/20.500.14352/116143
LA eng
NO Becerril S, Cienfuegos JA, Rodríguez A, Catalán V, Ramírez B, Valentí V, Moncada R, Unamuno X, Gómez-Ambrosi J, Frühbeck G. Single anastomosis duodeno-ileal bypass with sleeve gastrectomy generates sustained improvement of glycemic control compared with sleeve gastrectomy in the diet-induced obese rat model. J Physiol Biochem. 2024 Feb;80(1):149-160. doi: 10.1007/s13105-023-00993-x. Epub 2023 Nov 7. PMID: 37935948; PMCID: PMC10810039.
DS Docta Complutense
RD 7 abr 2025