Clinical outcomes and complications of single anastomosis duodenal-ileal bypass with sleeve gastrectomy:A 2-year follow-up study in Bogotá,Colombia  

作　　者：Andres Ospina Jaramillo Angie Carolina Riscanevo Bobadilla Mariana Ospina Espinosa Alvaro Valencia Humberto Jiménez Maria del Pilar Montilla Velásquez Maria Bastidas 

机构地区：[1]Department of General Surgery,Clínica Reina Sofia,Colsanitas,BogotáD.C 110151,Colombia [2]Department of General Surgery,Fundación Universitaria Sanitas,BogotáD.C 11162,Colombia [3]Department of General Surgery,Universidad del Rosario,Bogotá110151,Colombia [4]Department of Epidemiology,Fundación Universitaria Sanitas,Bogotá110151,Colombia

出　　处：《World Journal of Clinical Cases》2023年第21期5035-5046,共12页世界临床病例杂志

摘　　要：BACKGROUND The global prevalence of obesity has increased over the past 40 years,and bariatric surgery has proven to be the most effective therapy for long-term weight loss.Its principles are based on modifying the brain-gut axis by altering the gastrointestinal anatomy and affecting the function of gastrointestinal hormones,thereby modifying satiety signals.Single anastomosis duodeno-ileal bypass with sleeve gastrectomy(SADI-S)combines both techniques and has become an alternative to gastric bypass and biliopancreatic diversion procedures for treating severe obesity and associated metabolic diseases in selected patients.AIM To describe the outcomes and complications of SADI-S.METHODS We retrospectively analyzed the data of patients who underwent SADI-S laparoscopically at the Clínica Reina Sofía in Bogotá,Colombia.This study assessed the therapeutic effectiveness of SADI-S in terms of short-term preoperative clinical characteristics,postoperative complications,comorbidities,nutritional deficiencies,and intraoperative complications during a 2-year follow-up.RESULTS Sixty-one patients with a mean body mass index(BMI)of 50±7.1 kg/m2 underwent laparoscopic SADI-S.The mean operative time and hospital stays were 143.8±42 min and 2.3±0.8 d,respectively.The mean follow-up period was 18 mo,and the mean BMI decreased to 28.5±12.2 kg/m2.The excess BMI loss was 41.8%±13.5%,and the weight loss percentage was 81.1%±17.0%.Resolution of obesity-related comorbidities,including type 2 diabetes mellitus,hypertension,dyslipidemia,and obstructive sleep apnea,was achieved and defined as complete or partial remission.No intraoperative complications were observed.Short-term complications were observed in four(6.8%)patients.However,larger studies with longer follow-up periods are required to draw definitive conclusions.CONCLUSION SADI-S has a low intraoperative and postoperative complication rate and is effective for weight loss and improving obesity-related comorbidities,including hypertension,type 2 diabetes mellitus,dyslipid

关 键 词：Extreme obesity Bariatric surgery Body mass index Metabolic syndrome Cardiovascular diseases COMPLICATIONS 

分 类 号：R656.6[医药卫生—外科学]