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Obesity Surgery
Published in: Obesity Surgery 4/2020

01-04-2020 | Sleeve Gastrectomy | Original Contributions

Early Outcomes of Primary SADI-S: an Australian Experience

Authors: Amit Surve, Ravi Rao, Daniel Cottam, Aditya Rao, Leila Ide, Samuel Cottam, Benjamin Horsley

Published in: Obesity Surgery | Issue 4/2020

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Abstract

Introduction

Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) surgery is a modification of the traditional duodenal switch (DS) surgery. SADI-S is relatively a new bariatric surgical procedure and has gone by many names depending on the length of the common channel. In this study, we report our initial experience with this novel technique in the Australian population.

Methods

The medical records of 91 patients who underwent laparoscopic primary SADI-S surgery by one surgeon at a single Australian center from January 2017 through May 2019 were retrospectively studied.

Results

Ninety-one patients were identified for analysis. The mean age and preoperative body mass index (BMI) was 46.2 ± 9 years and 43.2 ± 5.7 kg/m2, respectively. The mean operative time and length of stay were 121.8+/- 25 minutes and 1.4 ± 0.8 days, respectively. At 12 and 24 months, the patients lost an average BMI of 15.2 ± 5.2 kg/m2 and 17.2 ± 5.9 kg/m2, respectively. The short-term and long-term complication rates were 4.3% and 0%, respectively. The mortality rate was 0%. Postoperatively, the obstructive sleep apnea, type 2 diabetes, hyperlipidemia, hypertension, and gastroesophageal reflux disease resolution rates were 94, 94, 75, 68, and 13%, respectively. There was no statistically significant difference between most of the preoperative and postoperative nutritional data.

Conclusions

SADI-S appears to be a safe bariatric surgical procedure with favorable outcomes at 2 years in the Australian population.
Appendix
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Literature
1.
Surve A, Cottam D, Sanchez-Pernaute A, et al. The incidence of complications associated with loop duodeno-ileostomy after single-anastomosis duodenal switch procedures among 1328 patients: a multicenter experience. Surg Obes Relat Dis. 2018;
2.
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
3.
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.CrossRef
4.
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.CrossRef
5.
Sánchez-Pernaute A, Rubio MA, Pérez-Aguirre E, et al. Single-anastomosis duodenoileal bypass with sleeve gastrectomy: metabolic improvement and weight loss in first 100 patients. Surg Obes Relat Dis. 2013;9:731–5.CrossRef
6.
Cottam A, Cottam D, Roslin M, et al. A matched cohort analysis of sleeve gastrectomy with and without 300 cm loop duodenal switch with 18-month follow-up. Obes Surg. 2016;26(10):2363–9.CrossRef
7.
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. 2016;30(9):3958–64.CrossRef
8.
Surve A, Zaveri H, Cottam D, et al. Mid-term outcomes of gastric bypass weight loss failure to duodenal switch. Surg Obes Relat Dis. 2016;12(9):1663–70.CrossRef
9.
Neichoy BT, Schniederjan B, Cottam DR, et al. Stomach intestinal pylorus-sparing surgery for morbid obesity. JSLS. 2018;22(1)
10.
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 Relat Dis. 2017;13(4):706–9.CrossRef
11.
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(5):1092–8.CrossRef
12.
Surve A, Zaveri H, Cottam D. Retrograde filling of the afferent limb as a cause of chronic nausea after single anastomosis loop duodenal switch. Surg Obes Relat Dis. 2016;12(4):e39–42.CrossRef
13.
Moon RC, Kirkpatrick V, Gaskins L, et al. Safety and effectiveness of single- versus double-anastomosis duodenal switch at a single institution. Surg Obes Relat Dis. 2019;15(2):245–52.CrossRef
14.
Surve A, Zaveri H, Cottam D, et al. Laparoscopic stomach intestinal pylorus-sparing surgery as a revisional option after failed adjustable gastric banding: a report of 27 cases with 36-month follow-up. Surg Obes Relat Dis. 2018;
15.
Topart P, Becouarn G. The single anastomosis duodenal switch modifications: a review of the current literature on outcomes. Surg Obes Relat Dis. 2017;13(8):1306–12.CrossRef
16.
Martini F, Paolino L, Marzano E, et al. Single-anastomosis pylorus-preserving bariatric procedures: review of the literature. Obes Surg. 2016;26(10):2503–15.CrossRef
17.
Brethauer SA, Kim J, El Chaar M, et al. ASMBS clinical issues committee. Standardized outcomes reporting in metabolic and bariatric surgery. Obes Surg. 2015;25:587–606.CrossRef
18.
American Diabetes Association. 2. Classification and diagnosis of diabetes: standards of medical care in diabetes-2019. Diabetes Care. 2019;42:S13.
19.
Doyle DJ, Garmon EH. American Society of Anesthesiologists Classification (ASA class). Treasure Island: StatPearls Publishing LLC; 2017.
20.
Aills L, Blankenship J, Buffington C, et al. ASMBS allied health nutritional guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008;4:S73–S108.CrossRef
21.
22.
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
23.
Nelson L, Moon RC, Teixeira AF, 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.CrossRef
24.
Shoar S, Poliakin L, Rubenstein R, et al. A single anastomosis duodeno-ileal switch (SADIS): a systematic review of efficacy and safety. Obes Surg. 2018;28(1):104–13.CrossRef
25.
Modi A, Agrawal A, Morgan F. Euglycemic diabetic ketoacidosis. Curr Diabetes Rev. 2017;13:315–21.CrossRef
26.
Ogawa W, Sakaguchi K. Euglycemic diabetic ketoacidosis induced by SGLT2 inhibitors: possible mechanism and contributing factors. J Diabetes Investig. 2016;7:135–8.CrossRef
27.
Lupoli R, Lembo E, Saldalamacchia G, et al. Bariatric surgery and long-term nutritional issues. World J Diabetes. 2017;8(11):464–74.CrossRef
28.
Enochs P. The laparoscopic stomach, intestinal and pylorus sparing (SIPS) procedure: a single center analysis of our first 100 patients. Surg Obes Relat Dis. 2015;11(6):S165–6.CrossRef
29.
Nelson L, Moon RC, Teixeira AF, et al. Safety and effectiveness of single anastomosis duodenal switch procedure: preliminary result from a single institution. Arq Bras Cir Dig. 2016;29Suppl 1(Suppl 1):80–4.CrossRef
Metadata
Title
Early Outcomes of Primary SADI-S: an Australian Experience
Authors
Amit Surve
Ravi Rao
Daniel Cottam
Aditya Rao
Leila Ide
Samuel Cottam
Benjamin Horsley
Publication date
01-04-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 4/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-04312-6

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