The incidence of complications associated with loop duodeno-ileostomy after single-anastomosis duodenal switch procedures among 1328 patients: a multicenter experience

Surve, Amit; Cottam, Daniel; Sánchez‐Pernaute, Andrés; Torres, Antonio; Roller, Joshua; Kwon, Yong Hyun; Mourot, J; Schniederjan, Bleu; Neichoy, Bo; Enochs, Paul; Tyner, Michael; Bruce, Jon; Bovard, Scott; Roslin, Mitchell; Jawad, Muhammad A.; Teixeira, André; Srikanth, Myur S.; Free, Jason; Zaveri, Hinali; Pilati, David; Bull, Jamie; Belnap, Legrand; Richards, Christina; Medlin, Walter; Moon, Rena; Cottam, Austin; Sabrudin, Sarah; Cottam, Samuel; Dhorepatil, Aneesh

doi:10.1016/j.soard.2018.01.020

Cited by 82 publications

(57 citation statements)

References 62 publications

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“…As a result, there is potential to lower the risk of stricture and leak. In a study by Surve et al, the reported duodeno-ileostomy (DI) leak rate in 1328 SADS patients was 0.6% [7]. Interestingly, none of our patients experienced leak at the DI.…”

Section: Discussionmentioning

confidence: 48%

“…However, concerns about its protein calorie malnutrition have slowed its adoption. Several authors have reported on a variation where a calibrated vertical sleeve gastrectomy is combined with a single anastomosis to the bowel 3 m from the ileocecal valve [5][6][7]. This prospective multi-center study was designed to evaluate the weight loss, comorbidity resolution, and the 1-year nutritional outcomes of the single-anastomosis duodenal switch (SADS) procedure.…”

Section: Introductionmentioning

confidence: 99%

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Single Anastomosis Duodenal Switch: 1-Year Outcomes

Cottam¹,

Roslin

Enochs³

et al. 2020

OBES SURG

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Introduction Single-anastomosis duodenal switch has been suggested to be an effective bariatric procedure that offers excellent weight loss and by lengthening the common channel the potential to reduce micronutrient deficiencies. Purpose To evaluate the weight loss, comorbidity resolution and the 1-year nutritional outcomes of the single-anastomosis duodenal switch (SADS) procedure. Setting Multiple US Hospitals. Methods From October 2014 to January 2017, 120 patients were enrolled at six sites across the USA and underwent the SADS procedure. Weight loss, comorbidities, quality of life, and adverse events were followed post-procedure for 12 months. Results At 1, 6, and 12 months, 98.3%, 85.5%, and 77.1% of the patients were available for assessment, respectively. At 12 months, patients showed significantly reduced body mass index when compared to baseline (46.8 ± 5.8 vs 29.8 ± 4.4, P < 0.001 respectively). Sixty-five patients had type 2 diabetes at baseline; however, 11 patients lost to follow-up. Of the available data (54 patients), 96.3% of the patients had a resolution of type 2 diabetes by 12 months with a mean A1C reduction from 7.8 ± 1.6 to 5.3 ± 0.7. Additionally, there were reductions in hyperlipidemia, sleep apnea, and hypertension at 12 months. Patient gastroesophageal reflux disease satisfaction and quality of life (SF-36) scores were significantly higher at 12 months postprocedure (P < 0.001 in all cases) while 12-month protein levels remained at normal values. There were abnormalities of parathyroid hormone and vitamin D at 1 year with all other nutritional markers being not significantly different at 1 year from baseline. There were 10, IIIb, or greater complications according to the Clavien-Dindo scoring system during the study period, not all of which were related to the surgery. Conclusions SADS is a highly efficacious weight loss procedure with significant comorbidity reduction at 1 year. At 1 year, complications and vitamin and mineral deficits appear to be consistent with other malabsorption operations. Long-term follow-up is needed, especially around complications and vitamin deficiencies.

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Section: Discussionmentioning

confidence: 48%

Section: Introductionmentioning

confidence: 99%

Single Anastomosis Duodenal Switch: 1-Year Outcomes

Cottam¹,

Roslin

Enochs³

et al. 2020

OBES SURG

Self Cite

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“…Recently, there have been several reports on the outcomes of SADI-S procedure [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. One of the articles published by Neichoy et al [16] on the midterm outcomes of SADI-S reported EWL of 88% at 24 months.…”

Section: Discussionmentioning

confidence: 99%

“…The laparoscopic single-anastomosis duodenal-jejunal bypass with SG is based on the principle of duodenal switch and similar to SADI-S. One of the major differences between SADI-S and RYGB is the presence of distal anastomosis that can be the cause of postoperative complication like small bowel obstruction secondary to internal hernias and adhesions. There have been no reports of internal hernias or small bowel obstruction after primary SADI-S in the literature, an advantage that can be attributed to the avoidance of distal anastomosis [15].…”

Section: Discussionmentioning

confidence: 99%

“…Based on clinical knowledge, expert opinion, and published peer-reviewed scientific evidence, the International Federation for the Surgery of Obesity and Metabolic Disorders considered the SADI-S (and its variant [stomach intestinal pylorus-sparing surgery]) an established bariatric procedure [14]. In recent years, there have been few reports on the short-and mid-term outcomes of this procedure [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. In terms of weight loss, the SADI-S and RYGB had statistically similar weight loss; however, the weight loss was statistically higher in patients undergoing SADI-S procedure than SG [21,30].…”

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confidence: 99%

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