Single Anastomosis Duodeno-ileostomy (SADI-S) Versus One Anastomosis Gastric Bypass (OAGB-MGB) as Revisional Procedures for Patients with Weight Recidivism After Sleeve Gastrectomy: a Comparative Analysis of Efficacy and Outcomes
<h2>Purpose</h2> <p>Many revisional procedures are available for unsuccessful laparoscopic sleeve gastrectomy (LSG) in patients with complications or weight recidivism. Single anastomosis duodeno-ileal bypass (SADI-S) and one anastomosis gastric bypass (OAGB-MGB) are two revisional...
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2022
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| _version_ | 1864513567443648512 |
|---|---|
| author | Moataz Bashah (14148867) |
| author2 | Ammar Aleter (14151840) Jawher Baazaoui (14151843) Ayman El-Menyar (440103) Antonio Torres (228954) Asaad Salama (14151846) |
| author2_role | author author author author author |
| author_facet | Moataz Bashah (14148867) Ammar Aleter (14151840) Jawher Baazaoui (14151843) Ayman El-Menyar (440103) Antonio Torres (228954) Asaad Salama (14151846) |
| author_role | author |
| dc.creator.none.fl_str_mv | Moataz Bashah (14148867) Ammar Aleter (14151840) Jawher Baazaoui (14151843) Ayman El-Menyar (440103) Antonio Torres (228954) Asaad Salama (14151846) |
| dc.date.none.fl_str_mv | 2022-11-22T21:14:51Z |
| dc.identifier.none.fl_str_mv | 10.1007/s11695-020-04933-2 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Single_Anastomosis_Duodeno-ileostomy_SADI-S_Versus_One_Anastomosis_Gastric_Bypass_OAGB-MGB_as_Revisional_Procedures_for_Patients_with_Weight_Recidivism_After_Sleeve_Gastrectomy_a_Comparative_Analysis_of_Efficacy_and_Outcomes/21597609 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Medical biochemistry and metabolomics Nutrition and dietetics Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Surgery |
| dc.title.none.fl_str_mv | Single Anastomosis Duodeno-ileostomy (SADI-S) Versus One Anastomosis Gastric Bypass (OAGB-MGB) as Revisional Procedures for Patients with Weight Recidivism After Sleeve Gastrectomy: a Comparative Analysis of Efficacy and Outcomes |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h2>Purpose</h2> <p>Many revisional procedures are available for unsuccessful laparoscopic sleeve gastrectomy (LSG) in patients with complications or weight recidivism. Single anastomosis duodeno-ileal bypass (SADI-S) and one anastomosis gastric bypass (OAGB-MGB) are two revisional procedures to address the problem of weight recidivism. We aimed to evaluate the efficacy and outcomes of the 2 revisional approaches (SADI-S vs. OAGB-MGB).</p> <h2>Materials and Methods</h2> <p>A retrospective analysis of prospectively collected database of patients who underwent SADI-S or OAGB-MGB as a revisional procedure for weight recidivism after primary LSG with a minimum 1-year follow-up. Weight loss, comorbidities, nutritional deficiencies, complications, and outcomes were compared in the 2 procedures.</p> <h2>Results</h2> <p>Ninety-one patients were included in the study (42 SADI-S and 49 OAGB-MGB). There was a significant weight loss (total weight loss percentage, TWL%) at 1-year follow-up observed for SADI-S when compared to OAGB-MGB (23.7 ± 5.7 vs. 18.7 ± 8.5, p = 0.02). However, this difference was not statistically significant at 18 months (26.4 ± 7.3 vs. 21.2 ± 11.0, p = 0.25). Remission of comorbidities (diabetes mellitus and hypertension) was comparable. Although OAGB-MGB had higher complication rate than SADI-S, the difference was not statistically significant (p = 0.39). No mortality was reported in the study groups.</p> <h2>Conclusion</h2> <p>Both SADI-S and OAGB-MGB are effective and safe revisional procedures for weight regain after LSG. The short-term outcomes are comparable; however, SADI-S is associated with less upper gastrointestinal complications and could be a better option for patients suffering from GERD post-LSG. Moreover, the underlying bile reflux may get worse with OAGB-MGB. However, further prospective larger studies are needed.</p><h2>Other Information</h2> <p> Published in: Obesity Surgery<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11695-020-04933-2" target="_blank">http://dx.doi.org/10.1007/s11695-020-04933-2</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_baeadd738350c9a5881b99aeeda69717 |
| identifier_str_mv | 10.1007/s11695-020-04933-2 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/21597609 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Single Anastomosis Duodeno-ileostomy (SADI-S) Versus One Anastomosis Gastric Bypass (OAGB-MGB) as Revisional Procedures for Patients with Weight Recidivism After Sleeve Gastrectomy: a Comparative Analysis of Efficacy and OutcomesMoataz Bashah (14148867)Ammar Aleter (14151840)Jawher Baazaoui (14151843)Ayman El-Menyar (440103)Antonio Torres (228954)Asaad Salama (14151846)Medical biochemistry and metabolomicsNutrition and dieteticsNutrition and DieteticsEndocrinology, Diabetes and MetabolismSurgery<h2>Purpose</h2> <p>Many revisional procedures are available for unsuccessful laparoscopic sleeve gastrectomy (LSG) in patients with complications or weight recidivism. Single anastomosis duodeno-ileal bypass (SADI-S) and one anastomosis gastric bypass (OAGB-MGB) are two revisional procedures to address the problem of weight recidivism. We aimed to evaluate the efficacy and outcomes of the 2 revisional approaches (SADI-S vs. OAGB-MGB).</p> <h2>Materials and Methods</h2> <p>A retrospective analysis of prospectively collected database of patients who underwent SADI-S or OAGB-MGB as a revisional procedure for weight recidivism after primary LSG with a minimum 1-year follow-up. Weight loss, comorbidities, nutritional deficiencies, complications, and outcomes were compared in the 2 procedures.</p> <h2>Results</h2> <p>Ninety-one patients were included in the study (42 SADI-S and 49 OAGB-MGB). There was a significant weight loss (total weight loss percentage, TWL%) at 1-year follow-up observed for SADI-S when compared to OAGB-MGB (23.7 ± 5.7 vs. 18.7 ± 8.5, p = 0.02). However, this difference was not statistically significant at 18 months (26.4 ± 7.3 vs. 21.2 ± 11.0, p = 0.25). Remission of comorbidities (diabetes mellitus and hypertension) was comparable. Although OAGB-MGB had higher complication rate than SADI-S, the difference was not statistically significant (p = 0.39). No mortality was reported in the study groups.</p> <h2>Conclusion</h2> <p>Both SADI-S and OAGB-MGB are effective and safe revisional procedures for weight regain after LSG. The short-term outcomes are comparable; however, SADI-S is associated with less upper gastrointestinal complications and could be a better option for patients suffering from GERD post-LSG. Moreover, the underlying bile reflux may get worse with OAGB-MGB. However, further prospective larger studies are needed.</p><h2>Other Information</h2> <p> Published in: Obesity Surgery<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11695-020-04933-2" target="_blank">http://dx.doi.org/10.1007/s11695-020-04933-2</a></p>2022-11-22T21:14:51ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s11695-020-04933-2https://figshare.com/articles/journal_contribution/Single_Anastomosis_Duodeno-ileostomy_SADI-S_Versus_One_Anastomosis_Gastric_Bypass_OAGB-MGB_as_Revisional_Procedures_for_Patients_with_Weight_Recidivism_After_Sleeve_Gastrectomy_a_Comparative_Analysis_of_Efficacy_and_Outcomes/21597609CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215976092022-11-22T21:14:51Z |
| spellingShingle | Single Anastomosis Duodeno-ileostomy (SADI-S) Versus One Anastomosis Gastric Bypass (OAGB-MGB) as Revisional Procedures for Patients with Weight Recidivism After Sleeve Gastrectomy: a Comparative Analysis of Efficacy and Outcomes Moataz Bashah (14148867) Medical biochemistry and metabolomics Nutrition and dietetics Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Surgery |
| status_str | publishedVersion |
| title | Single Anastomosis Duodeno-ileostomy (SADI-S) Versus One Anastomosis Gastric Bypass (OAGB-MGB) as Revisional Procedures for Patients with Weight Recidivism After Sleeve Gastrectomy: a Comparative Analysis of Efficacy and Outcomes |
| title_full | Single Anastomosis Duodeno-ileostomy (SADI-S) Versus One Anastomosis Gastric Bypass (OAGB-MGB) as Revisional Procedures for Patients with Weight Recidivism After Sleeve Gastrectomy: a Comparative Analysis of Efficacy and Outcomes |
| title_fullStr | Single Anastomosis Duodeno-ileostomy (SADI-S) Versus One Anastomosis Gastric Bypass (OAGB-MGB) as Revisional Procedures for Patients with Weight Recidivism After Sleeve Gastrectomy: a Comparative Analysis of Efficacy and Outcomes |
| title_full_unstemmed | Single Anastomosis Duodeno-ileostomy (SADI-S) Versus One Anastomosis Gastric Bypass (OAGB-MGB) as Revisional Procedures for Patients with Weight Recidivism After Sleeve Gastrectomy: a Comparative Analysis of Efficacy and Outcomes |
| title_short | Single Anastomosis Duodeno-ileostomy (SADI-S) Versus One Anastomosis Gastric Bypass (OAGB-MGB) as Revisional Procedures for Patients with Weight Recidivism After Sleeve Gastrectomy: a Comparative Analysis of Efficacy and Outcomes |
| title_sort | Single Anastomosis Duodeno-ileostomy (SADI-S) Versus One Anastomosis Gastric Bypass (OAGB-MGB) as Revisional Procedures for Patients with Weight Recidivism After Sleeve Gastrectomy: a Comparative Analysis of Efficacy and Outcomes |
| topic | Medical biochemistry and metabolomics Nutrition and dietetics Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Surgery |