Single-Anastomosis Duodeno-Ileal bypass with Sleeve gastrectomy (SADI-S). Absolute results at 5 years

Sánchez‐Pernaute, Andrés; Herrera, Miguel Angel Rubio; Antona, Esteban Martín; Matía, Pilar; Aguirre, Elia Pérez; Torres, Antonio

doi:10.1016/j.soard.2016.08.479

Cited by 9 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Importantly, the SADI-S is based on BPD-DS, but it requires only one anastomosis [ 7 ]. Reducing the number of intestinal anastomoses should have some advantages over previous procedures, such as a lower probability of post-operative leaks or anastomosis strictures and obstructive problems related to internal herniation, a shortened operative time, and consequently less anesthetic-derived complications [ 8 ]. After initial interesting results [ 7 ], the technique became popular all over the world [ 9 ].…”

Section: Purposementioning

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

View full text Add to dashboard Cite

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.

show abstract

Section: Purposementioning

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

View full text Add to dashboard Cite

show abstract

“…SADI-S can also be used as revisional surgery after failed adjustable gastric banding and gastric bypasses [7,8]. Based on retrospective and multicentric studies, SADI-S is effective in achieving good initial loss and weight maintenance with acceptable long-term "nutritional complications" [4,5,[9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…With the intent to simplify the surgical procedure, reduce the operative time, decrease the potential complication rate and to maintain the outcome of the original procedure (BPD-DS), Sánchez-Pernaute and Torres and coworkers introduced in the clinical practice in 2007 a novel operation [ 3 ], in which only one anastomosis is performed, the “Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy” or SADI-S [ 4 ]. After initial promising results [ 3 ], the technique became popular all over the world [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Robotic vs laparoscopic approach for single anastomosis duodenal-ileal bypass with sleeve gastrectomy: a propensity score matching analysis

et al. 2022

View full text Add to dashboard Cite

Biliopancreatic diversion with duodenal switch and single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) are technically demanding hypo-absorptive bariatric procedures. They are often indicated in superobese patients (BMI ≥ 50 kg/m2), as robotic platform could improve ergonomics against a thick abdominal wall, preventing bending of instruments and simplifying hand-sewn anastomoses. We aimed to report our experience with robotic SADI-S (R-group) and to compare outcomes with the laparoscopic (L-group) approach. Among 2143 patients who underwent bariatric procedures at our institution between July 2016 and June 2021, 116 (5.4%) consenting patients were scheduled for SADI-S as primary or revisional procedure: 94 L-group, 22 R-group. R-group and L-group patients were matched using PSM analysis to overcome patients selection bias. Postoperative complications, operative time (OT), post-operative stay (POS) and follow-up data were compared. After PSM, 44 patients (22 patients for each group) were compared (Chi-square 0.317, p = 0.985). Median age, gender, median BMI, preoperative rates of comorbidities, previous abdominal bariatric and non-bariatric surgeries and type of surgical procedures (SADI-S/SADI) were comparable. Median OT was shorter in the L-group (130 Vs 191 min, p < 0.001). 30-days’ re-operative complications and late complications rates were comparable. At 25-months’ mean follow-up, the median Percentage Excess Weight Loss (72%) was comparable between the groups (p = 0.989). L-group and R-group were comparable in terms of re-operative complication rate and short-term outcomes. The robotic platform may increase the rate of single step procedure in challenging cases. Larger studies with longer follow-up and cost-analysis are necessary to draw definitive conclusions.

show abstract

“…After a SG, RYGB can be performed as a revisional procedure in patients with insufficient weight loss results or functional complications such as severe gastroesophageal reflux disease (GERD). In recent years, the single anastomosis duodenoileal bypass (SADI) procedure has shown good results as a second step after SG [63][64][65] .…”

Section: Secondary Surgery: Sleeve To Rygbmentioning

confidence: 99%

Optimizing bariatric procedures

Boerboom¹

View full text Add to dashboard Cite

show abstract

Single-Anastomosis Duodeno-Ileal bypass with Sleeve gastrectomy (SADI-S). Absolute results at 5 years

Cited by 9 publications

References 0 publications

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

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

Robotic vs laparoscopic approach for single anastomosis duodenal-ileal bypass with sleeve gastrectomy: a propensity score matching analysis

Optimizing bariatric procedures

Contact Info

Product

Resources

About