The Effectiveness of Single-Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy/One Anastomosis Duodenal Switch (SADI-S/OADS): an Updated Systematic Review.

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2021-01-16

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Abstract

Single-anastomosis duodenoileal bypass with sleeve gastrectomy/one anastomosis duodenal switch (SADI-S/OADS) was developed as a bariatric operation with reduced overall morbidity and lasting weight loss results. We performed a systematic review of the literature, including 14 studies reporting on weight loss, comorbidity resolution, postoperative complications, and nutritional deficiencies following SADI-S. Twelve months after SADI-S, the mean total body weight lost ranged from 21.5 to 41.2%, with no weight regain being observed after 24 months. The comorbidity resolution rate was 72.6% for diabetes, 77.2% for dyslipidemia, and 59.0% for hypertension cases. The need for reoperation was the most common postoperative complication. While several patients developed nutrient deficiencies, SADI-S seems to be an overall safe and effective bariatric operation.

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Bariatric surgery, Biliopancreatic bypass, Duodenal switch, Duodenoileal diversion, Omega loop, Pylorus sparing

Citation

Published Version (Please cite this version)

10.1007/s11695-020-05188-7

Publication Info

Spinos, Dimitrios, Konstantinos Skarentzos, Stepan M Esagian, Keri A Seymour and Konstantinos P Economopoulos (2021). The Effectiveness of Single-Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy/One Anastomosis Duodenal Switch (SADI-S/OADS): an Updated Systematic Review. Obesity surgery. 10.1007/s11695-020-05188-7 Retrieved from https://hdl.handle.net/10161/22503.

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Scholars@Duke

Seymour

Keri Anne Seymour

Associate Professor of Surgery

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