2026-06-08T05:59:40Zhttps://docta.ucm.es/rest/oai/requestoai:docta.ucm.es:20.500.14352/714712024-10-10T13:03:19Zcom_20.500.14352_14col_20.500.14352_15
Docta Complutense
author
Sánchez Pernaute, Andrés
author
Rubio Herrera, Miguel Ángel
author
Pérez Ferré, Natalia
author
Sáez Rodríguez, Carlos
author
Marcuello, Clara
author
Pañella, Clara
author
Lopez Antoñanzas, Leyre
author
Torres, Antonio
author
Pérez Aguirre, María Elia
2023-06-22T10:42:44Z
2023-06-22T10:42:44Z
2022-01-15
0960-8923
10.1007/s11695-021-05879-9
https://hdl.handle.net/20.500.14352/71471
https://doi.org/10.1007/s11695-021-05879-9
Background
Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is a simplification of the duodenal switch (DS) in which the alimentary limb is eliminated, and the common channel is lengthened from 200 to 300 cm. Short-term results have demonstrated that SADI-S is safe and reproducible and that weight loss and comorbidities resolution are comparable to biliopancreatic diversion or DS.
Objective
To analyze the long-term outcomes of SADI-S.
Methods
From May 2007 to December 2015, 164 patients were consecutively submitted to a one-step SADI-S. The mean age was 47 years, and the mean body mass index (BMI) was 45.8 kg/m2. A total of 101 patients had type 2 diabetes, 91 arterial hypertension, 81 obstructive apnea, and 118 dyslipidemia. Limb length was 200 cm in 50 cases, 250 cm in 99, and 300 cm in 15.
Results
There was no mortality. One patient had a gastric leak, and 2 patients had an anastomotic leak. A total of 25% of the patients were lost to follow-up at 10 years. Excess weight loss and total weight loss were 87% and 38% at 5 years and 80% and 34% at 10 years. A total of 12 patients were submitted to revisional surgery for hypoproteinemia. Preoperatively 41 diabetics were under insulin treatment; at 5 years, 7 remained with insulin and 12 at 10 years. Mean glycemia was 104 mg/dL at 5 years and 118 mg/dL at 10 years. Mean HbA1c was 5.51% at 5 years and 5.86 at 10 years.
Conclusion
In the long term, SADI-S offers satisfactory weight loss and comorbidities resolution.
eng
Atribución 3.0 España
Long-Term Results of Single-Anastomosis Duodeno-ileal Bypass with Sleeve Gastrectomy (SADI-S)
journal article
URL
https://docta.ucm.es/bitstreams/3e3d8e14-2603-4407-b392-2390809b164b/download
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637323
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Sánchez-Pernaute2022_Article_Long-TermResultsOfSingle-Anast.pdf
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File
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d8b4ef3698e1e6c7707ed29ce9659635
31147
text/plain
Sánchez-Pernaute2022_Article_Long-TermResultsOfSingle-Anast.pdf.txt