Management of Leak after Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy

Tudela, Arturo Cirera de; Vilallonga, Ramón; Ruiz-Úcar, Elena; Pasquier, Jorge; Castillo, Judit; Nedelcu, Anamaria; Fort, José Manuel; Armengol, Manel

doi:10.1089/lap.2020.0798

Cited by 9 publications

(3 citation statements)

References 35 publications

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“…The smaller diameter of the delivery system designed in the metal stent makes it easier to place across tight strictures. 6,32 Of 41 patients, 9 cases (21.9%) experienced SEMS migration and there was no significant difference in the SEMS migration rate between nitinol-based SEMS and polyesterbased SEMS. The strengths of this study are the large target group and being a single-center study with a similar surgeon and clinical team.…”

Section: Discussionmentioning

confidence: 95%

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Endoscopic Self-Expanding Metallic Stent Placement in the Management of Post Laparoscopic Sleeve Gastrectomy Complications

Goudarzi¹,

Obney

Hemmatizadeh³

et al. 2022

Journal of Digestive Endoscopy

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Introduction Endoscopic treatments have become popular by providing the best solution for healing complications while allowing oral nutrition. In this study, we aim to evaluate outcomes of the endoscopic-covered stents for staple line complications following bariatric surgery. Methods A prospective evaluation was performed for all patients treated for staple line complications after bariatric surgery. Bariatric patients with acute leaks, chronic gastrocutaneous fistulas, and anastomotic strictures refractory to endoscopic dilation after sleeve gastrectomy were included in this survey. Results From January 2019 to June 2020, 41 patients (12 with acute leaks, 16 with chronic fistulas, and 13 with strictures) were treated with endoscopic silicone-covered stents (polyester or nitinol). The mean follow-up was 3.5 months. Immediate symptomatic improvement occurred in 95.2% (91.7% of acute leaks, 81.2% of fistulas, and 92.3% of strictures). In addition, 87.8% of patients initiated oral feeding immediately after stenting. There was no mortality case in this population. Conclusion Although stent migration rarely occurs in subjects, the endoscopic silicone-covered stents strategy is one of the best treatments for anastomotic complications after bariatric surgery, providing rapid healing while simultaneously allowing for oral nutrition.

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Section: Discussionmentioning

confidence: 95%

“…The smaller diameter of the delivery system designed in the metal stent makes it easier to place across tight strictures. 6 32…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Self-Expanding Metallic Stent Placement in the Management of Post Laparoscopic Sleeve Gastrectomy Complications

Goudarzi¹,

Obney

Hemmatizadeh³

et al. 2022

Journal of Digestive Endoscopy

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“…We registered a 3.3% of early (30th day) post-operative complications, with 0.8% readmission rate and 1.7% reoperation rate, substantially similar to the studies of Surve et al [ 20 ] and Vilallonga et al [ 33 ]. We did not experience anastomosis, sleeve, or duodenal-stump leakages, when anastomotic leakage is one of the most serious complications after bariatric surgery [ 34 , 35 ]. Torres et al [ 19 ] reported 4% (2 cases/50 patients) anastomotic leakage in the early experience, while Surve et al [ 9 ] experienced 9 cases of this complication over 1328 patients (0.6%).…”

Section: Discussionmentioning

confidence: 99%

Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S): experience from a high-bariatric volume center

Pennestrì

Sessa

Prioli

et al. 2022

Langenbecks Arch Surg

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Purpose Biliopancreatic diversion with duodenal switch and single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) are technically demanding hypo-absorptive bariatric procedures generally indicated in super-obese patients (BMI ≥ 50 kg/m2). Data from the literature prove the procedure to be safe and effective, with promising bariatric and metabolic effects. Anyway, international societies support the creation of multicentric national and international registries to obtain more homogeneous data over the long period. We aimed to report our experience with this procedure. Methods Among 2313 patients who underwent bariatric procedures at our institution, between July 2016 and August 2021, 121 (5.2%) consenting patients were scheduled for SADI-S as primary (SADIS) or revisional procedure after sleeve gastrectomy (SADI) (respectively 87 and 34 patients). Early and late post-operative complications, operative time, post-operative stay, and follow-up data were analyzed. Results Overall, the median preoperative BMI was 52.3 (48.75–57.05) kg/m2 with a median age of 44 (39–51) years, the median operative time was 120 (100–155) min. Complications at 30th-day post-op were registered in 4 (3.3%) patients and late complications in 4 (3.3%) patients. At a median follow-up of 31 (14–39) months, the median percentage excess weight loss was 79.8 (55.15–91.45)%, and the median total weight loss was 57.0650 (43.3925–71.3475)%. Conclusion Our data, coherently with the literature, confirm that SADI-S is a safe, effective procedure with acceptable complications rate. Larger studies with longer follow-ups are necessary to draw definitive conclusions.

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Duodenoileal Anastomosis Testing

Vilallonga

Sánchez-Cordero

Beisani

2023

Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery

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Management of Leak after Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy

Cited by 9 publications

References 35 publications

Endoscopic Self-Expanding Metallic Stent Placement in the Management of Post Laparoscopic Sleeve Gastrectomy Complications

Endoscopic Self-Expanding Metallic Stent Placement in the Management of Post Laparoscopic Sleeve Gastrectomy Complications

Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S): experience from a high-bariatric volume center

Duodenoileal Anastomosis Testing

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