Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 8/2019

01-08-2019 | Sleeve Gastrectomy | Original Contributions

Bowel Reconstruction to Treat Chronic Diarrhea and Hypoproteinemia Following Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy: a Single-Site Experience

Authors: Benjamin Horsley, Daniel Cottam, Austin Cottam, Samuel Cottam, Hinali Zaveri, Amit Surve, Walter Medlin

Published in: Obesity Surgery | Issue 8/2019

Login to get access

Abstract

Background

Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of the biliopancreatic diversion with duodenal switch (BPD-DS) surgery. A concern with SADI-S is chronic diarrhea and hypoproteinemia. Common channel lengthening (CCL) is a surgical procedure to increase absorption in the small intestine to decrease diarrhea.

Objectives

The aim of this study was to assess the occurrence and treatment of hypoproteinemia and chronic diarrhea with CCL following SADI-S surgery.

Setting

Private practice in the USA.

Methods

Patients were included if they underwent SADI-S from September 2013 to March 2018 and following surgery underwent CCL.

Results

Average operating time for laparoscopic CCL is 56.5 ± 4.6 min. The average bowel movements for the eight patients before laparoscopic CCL were 9.1 ± 4.7 a day. After the surgery, the bowel movements were reduced to 2.6 ± 0.4 a day. This difference was found to be statistically significantly different (p = .002). The two patients experiencing hypoproteinemia improved protein levels following CCL.

Conclusion

CCL is an effective way to treat symptomatic chronic diarrhea after SADI-S when conservative treatments have failed.
Literature
1.
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.CrossRef
2.
Surve A, Zaveri H, Cottam D. A step-by-step surgical technique video with two reported cases of common channel lengthening in patients with previous stomach intestinal pylorus sparing surgery to treat chronic diarrhea. Surg Obes Rel Diss. 2017;13:706–9.CrossRef
3.
Sánchez-Pernaute A, Rubio MÁ, Conde M, et al. Single-anastomosis duodenoileal bypass as a second step after sleeve gastrectomy. Surg Obes Relat Dis. 2015;11:351–5.CrossRef
4.
5.
Sánchez-Pernaute A, Rubio MÁ, Pérez-Aguirre M, et al. Single-anastomosis duodenoileal bypass with sleeve gastrectomy: metabolic improvement and weight loss in first 100 patients. Surg Obes Rel Diss. 2013;9:731–5.CrossRef
6.
7.
8.
9.
10.
Surve A, Zaveri H, Cottam D, Richards C, Medlin W, Cottam A. Laparoscopic stomach intestinal pylorus sparing surgery in a patient with morbid obesity and situs inversus: first video case report.
11.
Surve A, Zaveri H, Cottam D. A safer and simpler technique of duodenal dissection and transection of the duodenal bulb for duodenal switch. Surg Obes Relat Dis. 2016;12(4):923–4.CrossRef
12.
Mitzman B, Cottam D, Goriparthi R, et al. Stomach intestinal pylorus sparing (SADI-S) surgery for morbid obesity: retrospective analyses of our preliminary experience. Obes Surg. 2016;26(9):2098–104.CrossRef
13.
Surve A, Zaveri H, Cottam D. A video case report of stomach intestinal pylorus sparing surgery with laparoscopic fundoplication: a surgical procedure to treat gastrointestinal reflux disease in the setting of morbid obesity. Surg Obes Relat Dis. 2016;12(5):1133–5.CrossRef
14.
Sánchez-Pernaute A, Rubio MÁ, Cabrerizo L, et al. Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) for obese diabetic patients. Surg Obes Relat Dis. 2015;11:1092–8.CrossRef
Metadata
Title
Bowel Reconstruction to Treat Chronic Diarrhea and Hypoproteinemia Following Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy: a Single-Site Experience
Authors
Benjamin Horsley
Daniel Cottam
Austin Cottam
Samuel Cottam
Hinali Zaveri
Amit Surve
Walter Medlin
Publication date
01-08-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 8/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-03847-y

Other articles of this Issue 8/2019

Obesity Surgery 8/2019 Go to the issue

Original Contributions

Genetic Determinants of Weight Loss After Bariatric Surgery

Review Article

Gastro-Intestinal Tract Cancers Following Bariatric Surgery: a Narrative Review

Brief Communication

Exploring the Effects of Telemedicine on Bariatric Surgery Follow-up: a Matched Case Control Study

Original Contributions

The HAALT Non-invasive Scoring System for NAFLD in Obesity

Letter to the Editor

Letter to the Editor Concerning: Sharma, P.; McCarty, T. R.; Yadav, S.; Ngu, J. N.; and Njei, B. (2019). Impact of Bariatric Surgery on Outcomes of Patients with Sickle Cell Disease: a Nationwide Inpatient Sample Analysis, 2004–2014. Obesity Surgery, 1–8

Original Contributions

Impact of Biliopancreatic Limb Length (70 cm vs 120 cm), with Constant 150 cm Alimentary Limb, on Long-Term Weight Loss, Remission of Comorbidities and Supplementation Needs After Roux-En-Y Gastric Bypass: a Prospective Randomized Clinical Trial