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Obesity Surgery
Published in: Obesity Surgery 5/2018

01-05-2018 | Original Contributions

Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy/One Anastomosis Duodenal Switch (SADI-S/OADS) IFSO Position Statement

Authors: Wendy A. Brown, Geraldine Ooi, Kelvin Higa, Jacques Himpens, Antonio Torres, on behalf of the IFSO-appointed task force reviewing the literature on SADI-S/OADS

Published in: Obesity Surgery | Issue 5/2018

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Abstract

The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) has played an integral role in educating both the metabolic surgical and the medical community at large about the role of innovative and new surgical and or endoscopic interventions in treating adiposity-based chronic diseases. The single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is also called the one anastomosis duodenal switch (OADS). This is a relatively new procedure that has been proposed as an alternative to the currently accepted duodenal switch (DS) procedure. The IFSO commissioned a task force (Appendix 1) to determine if SADI-S/OADS is an effective and safe procedure and if it should be considered a surgical option for the treatment of adiposity and adiposity-based chronic diseases. The following position statement is issued by the IFSO SADI-S/OADS task force and approved by the IFSO Executive Board. This statement is based on current clinical knowledge, expert opinion and published peer-reviewed scientific evidence. It will be reviewed in 2 years.
Appendix
Available only for authorised users
Literature
1.
DeMeester TR et al. Experimental and clinical results with proximal end-to-end duodenojejunostomy for pathologic duodenogastric reflux. Ann Surg. 1987;206(4):414–26.CrossRefPubMedPubMedCentral
2.
Traverso LW, Longmire Jr WP. Preservation of the pylorus in pancreaticoduodenectomy. Surg Gynecol Obstet. 1978;146(6):959–62.PubMed
3.
4.
Marceau P et al. Biliopancreatic diversion with gastrectomy as surgical treatment of morbid obesity. Obes Surg. 1991;1(4):381–7.CrossRefPubMed
5.
O’Brien P, McPhail T, Chaston T, et al. Systematic review of medium-term weight loss after bariatric operations. Obes Surg. 2006;16(8):1032–40.CrossRefPubMed
6.
Marceau P, Biron S, Marceau S, et al. Long-term metabolic outcomes 5 to 20 years after biliopancreatic diversion. Obes Surg. 2015;25(9):1584–93.CrossRefPubMed
7.
Angrisani L, et al. Bariatric surgery and endoluminal procedures: IFSO Worldwide Survey 2014. Obes Surg. 2017.
8.
Sanchez-Pernaute A et al. Proximal duodenal-ileal end-to-side bypass with sleeve gastrectomy: proposed technique. Obes Surg. 2007;17(12):1614–8.CrossRefPubMed
9.
Mitzman B, Cottam D, Goriparthi R, et al. Stomach intestinal pylorus sparing (SIPS) surgery for morbid obesity: retrospective analyses of our preliminary experience. Obes Surg. 2016;26(9):2098–104.CrossRefPubMed
10.
Lee WJ, Lee KT, Kasama K, et al. Laparoscopic single-anastomosis duodenal-jejunal bypass with sleeve gastrectomy (SADJB-SG): short-term result and comparison with gastric bypass. Obes Surg. 2014;24(1):109–13.CrossRefPubMed
11.
Huang CK, Goel R, Tai CM, et al. Novel metabolic surgery for type II diabetes mellitus: loop duodenojejunal bypass with sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech. 2013;23(6):481–5.CrossRefPubMed
12.
Karcz WK, Kuesters S, Marjanovic G, et al. Duodeno-enteral omega switches—more physiological techniques in metabolic surgery. Wideochir Inne Tech Maloinwazyjne. 2013;8(4):273–9.PubMedPubMedCentral
13.
Balibrea JM, Vilallonga R, Hidalgo M, et al. Mid-term results and responsiveness predictors after two-step single-anastomosis duodeno-ileal bypass with sleeve gastrectomy. Obes Surg. 2017;27(5):1302–8.CrossRefPubMed
14.
Chiappetta S, Stier C, Scheffel O, et al. The first case report of failed single-anastomosis-duodeno-ileal bypass converted to one anastomosis gastric bypass/mini-gastric bypass. Int J Surg Case Rep. 2017;35:68–72.CrossRefPubMedPubMedCentral
15.
Cottam A, Cottam D, Medlin W, et al. A matched cohort analysis of single anastomosis loop duodenal switch versus Roux-en-Y gastric bypass with 18-month follow-up. Surg Endosc. 2016a;30(9):3958–64.CrossRefPubMed
16.
Cottam A, Cottam D, Portenier D, et al. A matched cohort analysis of stomach intestinal pylorus saving (SIPS) surgery versus biliopancreatic diversion with duodenal switch with two-year follow-up. Obes Surg. 2017;27(2):454–61.CrossRefPubMed
17.
Cottam A et al. A matched cohort analysis of sleeve gastrectomy with and without 300 cm loop duodenal switch with 18-month follow-up. Obes Surg. 2016b;26(10):2363–9.CrossRefPubMed
18.
Grueneberger JM, Karcz-Socha I, Marjanovic G, et al. Pylorus preserving loop duodeno-enterostomy with sleeve gastrectomy—preliminary results. BMC Surg. 2014;14:20.CrossRefPubMedPubMedCentral
19.
Huang CK, Tai CM, Chang PC, et al. Loop duodenojejunal bypass with sleeve gastrectomy: comparative study with Roux-en-Y gastric bypass in type 2 diabetic patients with a BMI <35 kg/m2, first year results. Obes Surg. 2016;26(10):2291–301.CrossRefPubMed
20.
Huang CK, Wang MY, Das SS, et al. Laparoscopic conversion to loop duodenojejunal bypass with sleeve gastrectomy for intractable dumping syndrome after Roux-en-Y gastric bypass-two case reports. Obes Surg. 2015;25(5):947.CrossRefPubMed
21.
Lee WJ, Almulaifi AM, Tsou JJ, et al. Duodenal-jejunal bypass with sleeve gastrectomy versus the sleeve gastrectomy procedure alone: the role of duodenal exclusion. Surg Obes Relat Dis. 2015;11(4):765–70.CrossRefPubMed
22.
Morales H et al. Gastrectomia vertical y derivacion duodeno-ileal de anastomosis unica termino-lateral en bariatria: Experiencia en 100 casos [Spanish]. Bariatrica e Metabolica Iberoamericana. 2012;2(3):76–80.
23.
Nelson L et al. Safety and effectiveness of single anastomosis duodenal switch procedure: preliminary results from a single institution. Arq Bras Cir Dig. 2016;29(Suppl 1):80–4.CrossRefPubMedCentral
24.
Sanchez-Pernaute A et al. Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). One to three-year follow-up. Obes Surg. 2010;20(12):1720–6.CrossRefPubMed
25.
Sanchez-Pernaute A et al. Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) for obese diabetic patients. Surg Obes Relat Dis. 2015b;11(5):1092–8.CrossRefPubMed
26.
Sanchez-Pernaute A et al. Single-anastomosis duodenoileal bypass as a second step after sleeve gastrectomy. Surg Obes Relat Dis. 2015a;11(2):351–5.CrossRefPubMed
27.
Sanchez-Pernaute A et al. Single-anastomosis duodenoileal bypass with sleeve gastrectomy: metabolic improvement and weight loss in first 100 patients. Surgery Obes Relat Dis. 2013;9(5):731–5.CrossRef
28.
Summerhays C, Cottam D, Cottam A. Internal hernia aomparative study with Roux-en-tch surgery. Surg Obes Relat Dis. 2016;12(1):e13–5.CrossRefPubMed
29.
Surve A, Zaveri H, Cottam D, et al. A retrospective comparison of biliopancreatic diversion with duodenal switch with single anastomosis duodenal switch (SIPS-stomach intestinal pylorus sparing surgery) at a single institution with two year follow-up. Surg Obes Relat Dis. 2017;13(3):415–22.CrossRefPubMed
30.
Vilallonga R et al. Robotically assisted single anastomosis duodenoileal bypass after previous sleeve gastrectomy implementing high valuable technology for complex procedures. J Obes. 2015;2015:586419.CrossRefPubMedPubMedCentral
31.
Kim J. American Society for Metabolic and Bariatric Surgery statement on single-anastomosis duodenal switch. Surg Obes Relat Dis. 2016;12(5):944–5.CrossRefPubMed
Metadata
Title
Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy/One Anastomosis Duodenal Switch (SADI-S/OADS) IFSO Position Statement
Authors
Wendy A. Brown
Geraldine Ooi
Kelvin Higa
Jacques Himpens
Antonio Torres
on behalf of the IFSO-appointed task force reviewing the literature on SADI-S/OADS
Publication date
01-05-2018
Publisher
Springer US
Published in
Obesity Surgery / Issue 5/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-018-3201-4

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