PMID- 32473786
OWN - NLM
STAT- MEDLINE
DCOM- 20210427
LR  - 20210427
IS  - 1878-7533 (Electronic)
IS  - 1550-7289 (Linking)
VI  - 16
IP  - 8
DP  - 2020 Aug
TI  - Short- to medium-term results of single-anastomosis duodeno-ileal bypass compared 
      with one-anastomosis gastric bypass for weight recidivism after laparoscopic 
      sleeve gastrectomy.
PG  - 1060-1066
LID - S1550-7289(20)30198-2 [pii]
LID - 10.1016/j.soard.2020.04.014 [doi]
AB  - BACKGROUND: Single-anastomosis duodeno-ileal bypass (SADI) and the 
      one-anastomosis gastric bypass (OAGB) are 2 revisional procedures to address the 
      problem of weight recidivism after laparoscopic sleeve gastrectomy (LSG). 
      OBJECTIVES: To evaluate the efficacy and safety of SADI and OAGB as revisional 
      bariatric surgery (RBS) in initially super-obese patients (body mass index [BMI] 
      >50 kg/m(2)). SETTING: Academic hospital, bariatric center of excellence, 
      Germany. METHODS: Observational study of outcomes in 84 initially super-obese 
      patients who had undergone RBS after LSG (SADI n = 42, OAGB n = 42) between July 
      2013 and April 2018. Follow-up examinations were performed at 1, 6, 12, 24, and 
      36 months after RBS. The variables analyzed included time between LSG and RBS, 
      BMI, excess weight loss, total weight loss, operation time, and complications. 
      RESULTS: The time interval between LSG and RBS was 45.5 +/- 22.8 and 43.5 +/- 24.2 
      months for SADI and OAGB, respectively. At the time of RBS, the mean BMI was 42.8 
      +/- 7.9 kg/m(2) for SADI and 43.4 +/- 9.2 kg/m(2) for OAGB. The follow-up 
      examinations rates (%) after SADI were 97.6, 92.8, 90.5, 78.6, 57.1, and 100, 
      97.6, 95.2, 85.7, and 59.5 after OAGB. The BMI at the follow-up examinations were 
      39.1 +/- 7.2, 34.2 +/- 6.9, 31.2 +/- 5.8, 30.2 +/- 5.3, 29.3 +/- 5.1 for SADI, and 39.5 +/- 
      8.1, 36.6 +/- 7.4, 34.7 +/- 7.9, 32.9 +/- 6.3, and 31.6 +/- 5.9 for OAGB. The mean 
      operating times for SADI and OAGB were 138 +/- 40 and 123 +/- 39 minutes, 
      respectively. Three patients in the SADI group and 1 patient in the OAGB group 
      developed a major complication within the first 30 postoperative days. 
      CONCLUSION: SADI and OAGB were effective second-step procedures for further 
      weight reduction after LSG in initially super-obese patients after short to 
      medium follow-up. There was a trend toward higher weight loss for SADI though 
      this did not reach statistical significance. Substantial differences concerning 
      surgery time and complications between the 2 procedures were not observed.
CI  - Copyright (c) 2020 American Society for Bariatric Surgery. Published by Elsevier 
      Inc. All rights reserved.
FAU - de la Cruz, Marlon
AU  - de la Cruz M
AD  - Department of Surgery, Klinikum Vest GmbH, Knappschaftskrankenhaus 
      Recklinghausen, Recklinghausen, Germany.
FAU - Busing, Martin
AU  - Busing M
AD  - Department of Surgery, Klinikum Vest GmbH, Knappschaftskrankenhaus 
      Recklinghausen, Recklinghausen, Germany.
FAU - Dukovska, Radostina
AU  - Dukovska R
AD  - Department of Surgery, Klinikum Vest GmbH, Knappschaftskrankenhaus 
      Recklinghausen, Recklinghausen, Germany.
FAU - Torres, Antonio Jose
AU  - Torres AJ
AD  - Department of Surgery, Hospital Clinico San Carlos, Universidad Complutense de 
      Madrid, Madrid, Spain.
FAU - Reiser, Markus
AU  - Reiser M
AD  - Department of Gastroenterology, Klinikum-Vest GmbH, Paracelsusklinik Marl, Marl, 
      Germany. Electronic address: markus.reiser@klinikum-vest.de.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20200421
PL  - United States
TA  - Surg Obes Relat Dis
JT  - Surgery for obesity and related diseases : official journal of the American 
      Society for Bariatric Surgery
JID - 101233161
SB  - IM
CIN - Surg Obes Relat Dis. 2020 Aug;16(8):1067-1068. PMID: 32591240
MH  - Gastrectomy/adverse effects
MH  - *Gastric Bypass/adverse effects
MH  - Germany
MH  - Humans
MH  - *Laparoscopy
MH  - *Obesity, Morbid/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - LSG
OT  - Laparoscopic sleeve gastrectomy
OT  - OAGB
OT  - One-anastomosis gastric bypass
OT  - Revisional surgery
OT  - SADI
OT  - Single-anastomosis duodeno-ileal bypass
OT  - Weight recidivism
OT  - Weight regain
EDAT- 2020/06/01 06:00
MHDA- 2021/04/28 06:00
CRDT- 2020/06/01 06:00
PHST- 2019/12/27 00:00 [received]
PHST- 2020/03/28 00:00 [revised]
PHST- 2020/04/09 00:00 [accepted]
PHST- 2020/06/01 06:00 [pubmed]
PHST- 2021/04/28 06:00 [medline]
PHST- 2020/06/01 06:00 [entrez]
AID - S1550-7289(20)30198-2 [pii]
AID - 10.1016/j.soard.2020.04.014 [doi]
PST - ppublish
SO  - Surg Obes Relat Dis. 2020 Aug;16(8):1060-1066. doi: 10.1016/j.soard.2020.04.014. 
      Epub 2020 Apr 21.