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Mid-term 4-Year Outcomes with Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy Surgery at a Single US Center
Background Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification. Purpose To analyze the outcomes with SAD...
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| Published in: | Obesity surgery 2018-10, Vol.28 (10), p.3062-3072 |
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| creator | Zaveri, Hinali Surve, Amit Cottam, Daniel Cottam, Austin Medlin, Walter Richards, Christina Belnap, LeGrand Cottam, Samuel Horsley, Benjamin |
| description | Background
Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification.
Purpose
To analyze the outcomes with SADI-S at 4 years.
Methods
Data from patients who underwent a primary SADI-S procedure performed by three surgeons at a single institution from June 2013 through February 2018 were retrospectively reviewed. All revision bariatric surgeries were excluded. Regression analyses were performed for all follow-up weight loss data.
Results
There were 437 patients in our database. The pre-operative mean body mass index (BMI) was 49.8 ± 8.8 kg/m
2
. The 30-day complication rate was 7.7%. The 30-day readmission, reoperation, and mortality rates were 1.8, 1.3, and 0.2%, respectively. The long-term complication rate was 10.9%. Seventy-nine patients were 4 years post SADI-S surgery and follow-up was possible for 44 patients (55.7%). At 4 years, patients had an average change in BMI of 18.1 ± 6 units with an excess weight loss (EWL) of 85.7 ± 27.3%. At 4 years, 97.6% patients were able to maintain HbA1c |
| doi_str_mv | 10.1007/s11695-018-3358-x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2056759102</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2056072153</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-c66debe37f8514c7c6fc01aa362eab38a0ba1b30b98927dde7472f8eb08d87553</originalsourceid><addsrcrecordid>eNp1kc1O3DAURi1UBAPtA7CpLHXTjeHansTOcjqFAQnEYsqiK8txbiCj_EztBGYkHh6jMCBVYuWFz_ddXx9CTjiccgB1FjhPs4QB10zKRLPNHplwBZrBVOgvZAJZCkxnQh6SoxBWAIKnQhyQQ5FlkCV8OiHPN1XBevQNnbK_aD29HXrXNRjoU9U_0GXV3tdIZ60Nfdd0oQr099AV2NqaXdVoa_pru7ZhR9eIj0gXEfboYmBLl4O_R7-ltqd213a3pHNs49CvZL-0dcBvb-cxubs4_zO_ZNe3i6v57Jo5qUTPXJoWmKNUpY5vdsqlpQNurUwF2lxqC7nluYQ8i7uqokA1VaLUmIMutEoSeUx-jr1r3_0bMPSmqYLDurYtdkMwApJUJRkHEdEf_6GrbvBx3ZECJXgiI8VHyvkuBI-lWfuqsX5rOJhXNWZUY6Ia86rGbGLm-1vzkDdYvCd2LiIgRiDEqzb-2sfoz1tfAJmfmh8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2056072153</pqid></control><display><type>article</type><title>Mid-term 4-Year Outcomes with Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy Surgery at a Single US Center</title><source>Springer Nature</source><creator>Zaveri, Hinali ; Surve, Amit ; Cottam, Daniel ; Cottam, Austin ; Medlin, Walter ; Richards, Christina ; Belnap, LeGrand ; Cottam, Samuel ; Horsley, Benjamin</creator><creatorcontrib>Zaveri, Hinali ; Surve, Amit ; Cottam, Daniel ; Cottam, Austin ; Medlin, Walter ; Richards, Christina ; Belnap, LeGrand ; Cottam, Samuel ; Horsley, Benjamin</creatorcontrib><description>Background
Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification.
Purpose
To analyze the outcomes with SADI-S at 4 years.
Methods
Data from patients who underwent a primary SADI-S procedure performed by three surgeons at a single institution from June 2013 through February 2018 were retrospectively reviewed. All revision bariatric surgeries were excluded. Regression analyses were performed for all follow-up weight loss data.
Results
There were 437 patients in our database. The pre-operative mean body mass index (BMI) was 49.8 ± 8.8 kg/m
2
. The 30-day complication rate was 7.7%. The 30-day readmission, reoperation, and mortality rates were 1.8, 1.3, and 0.2%, respectively. The long-term complication rate was 10.9%. Seventy-nine patients were 4 years post SADI-S surgery and follow-up was possible for 44 patients (55.7%). At 4 years, patients had an average change in BMI of 18.1 ± 6 units with an excess weight loss (EWL) of 85.7 ± 27.3%. At 4 years, 97.6% patients were able to maintain HbA1c < 6% with or without the use of diabetic medication. There was a statistically significant difference between most of the pre-operative and post-operative nutritional data.
Conclusions
SADI-S is a safe and effective procedure in both short- and mid-term data points. Diabetes resolution and weight loss appear similar to traditional RYDS and better than RYGB.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-018-3358-x</identifier><identifier>PMID: 29909514</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Gastrointestinal surgery ; Medicine ; Medicine & Public Health ; Obesity ; Original Contributions ; Surgery ; Surgical outcomes ; Surgical techniques</subject><ispartof>Obesity surgery, 2018-10, Vol.28 (10), p.3062-3072</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>Obesity Surgery is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-c66debe37f8514c7c6fc01aa362eab38a0ba1b30b98927dde7472f8eb08d87553</citedby><cites>FETCH-LOGICAL-c372t-c66debe37f8514c7c6fc01aa362eab38a0ba1b30b98927dde7472f8eb08d87553</cites><orcidid>0000-0001-8830-0291</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29909514$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zaveri, Hinali</creatorcontrib><creatorcontrib>Surve, Amit</creatorcontrib><creatorcontrib>Cottam, Daniel</creatorcontrib><creatorcontrib>Cottam, Austin</creatorcontrib><creatorcontrib>Medlin, Walter</creatorcontrib><creatorcontrib>Richards, Christina</creatorcontrib><creatorcontrib>Belnap, LeGrand</creatorcontrib><creatorcontrib>Cottam, Samuel</creatorcontrib><creatorcontrib>Horsley, Benjamin</creatorcontrib><title>Mid-term 4-Year Outcomes with Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy Surgery at a Single US Center</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification.
Purpose
To analyze the outcomes with SADI-S at 4 years.
Methods
Data from patients who underwent a primary SADI-S procedure performed by three surgeons at a single institution from June 2013 through February 2018 were retrospectively reviewed. All revision bariatric surgeries were excluded. Regression analyses were performed for all follow-up weight loss data.
Results
There were 437 patients in our database. The pre-operative mean body mass index (BMI) was 49.8 ± 8.8 kg/m
2
. The 30-day complication rate was 7.7%. The 30-day readmission, reoperation, and mortality rates were 1.8, 1.3, and 0.2%, respectively. The long-term complication rate was 10.9%. Seventy-nine patients were 4 years post SADI-S surgery and follow-up was possible for 44 patients (55.7%). At 4 years, patients had an average change in BMI of 18.1 ± 6 units with an excess weight loss (EWL) of 85.7 ± 27.3%. At 4 years, 97.6% patients were able to maintain HbA1c < 6% with or without the use of diabetic medication. There was a statistically significant difference between most of the pre-operative and post-operative nutritional data.
Conclusions
SADI-S is a safe and effective procedure in both short- and mid-term data points. Diabetes resolution and weight loss appear similar to traditional RYDS and better than RYGB.</description><subject>Gastrointestinal surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Original Contributions</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kc1O3DAURi1UBAPtA7CpLHXTjeHansTOcjqFAQnEYsqiK8txbiCj_EztBGYkHh6jMCBVYuWFz_ddXx9CTjiccgB1FjhPs4QB10zKRLPNHplwBZrBVOgvZAJZCkxnQh6SoxBWAIKnQhyQQ5FlkCV8OiHPN1XBevQNnbK_aD29HXrXNRjoU9U_0GXV3tdIZ60Nfdd0oQr099AV2NqaXdVoa_pru7ZhR9eIj0gXEfboYmBLl4O_R7-ltqd213a3pHNs49CvZL-0dcBvb-cxubs4_zO_ZNe3i6v57Jo5qUTPXJoWmKNUpY5vdsqlpQNurUwF2lxqC7nluYQ8i7uqokA1VaLUmIMutEoSeUx-jr1r3_0bMPSmqYLDurYtdkMwApJUJRkHEdEf_6GrbvBx3ZECJXgiI8VHyvkuBI-lWfuqsX5rOJhXNWZUY6Ia86rGbGLm-1vzkDdYvCd2LiIgRiDEqzb-2sfoz1tfAJmfmh8</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Zaveri, Hinali</creator><creator>Surve, Amit</creator><creator>Cottam, Daniel</creator><creator>Cottam, Austin</creator><creator>Medlin, Walter</creator><creator>Richards, Christina</creator><creator>Belnap, LeGrand</creator><creator>Cottam, Samuel</creator><creator>Horsley, Benjamin</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8830-0291</orcidid></search><sort><creationdate>20181001</creationdate><title>Mid-term 4-Year Outcomes with Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy Surgery at a Single US Center</title><author>Zaveri, Hinali ; Surve, Amit ; Cottam, Daniel ; Cottam, Austin ; Medlin, Walter ; Richards, Christina ; Belnap, LeGrand ; Cottam, Samuel ; Horsley, Benjamin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-c66debe37f8514c7c6fc01aa362eab38a0ba1b30b98927dde7472f8eb08d87553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Gastrointestinal surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Original Contributions</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Surgical techniques</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zaveri, Hinali</creatorcontrib><creatorcontrib>Surve, Amit</creatorcontrib><creatorcontrib>Cottam, Daniel</creatorcontrib><creatorcontrib>Cottam, Austin</creatorcontrib><creatorcontrib>Medlin, Walter</creatorcontrib><creatorcontrib>Richards, Christina</creatorcontrib><creatorcontrib>Belnap, LeGrand</creatorcontrib><creatorcontrib>Cottam, Samuel</creatorcontrib><creatorcontrib>Horsley, Benjamin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zaveri, Hinali</au><au>Surve, Amit</au><au>Cottam, Daniel</au><au>Cottam, Austin</au><au>Medlin, Walter</au><au>Richards, Christina</au><au>Belnap, LeGrand</au><au>Cottam, Samuel</au><au>Horsley, Benjamin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mid-term 4-Year Outcomes with Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy Surgery at a Single US Center</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>28</volume><issue>10</issue><spage>3062</spage><epage>3072</epage><pages>3062-3072</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification.
Purpose
To analyze the outcomes with SADI-S at 4 years.
Methods
Data from patients who underwent a primary SADI-S procedure performed by three surgeons at a single institution from June 2013 through February 2018 were retrospectively reviewed. All revision bariatric surgeries were excluded. Regression analyses were performed for all follow-up weight loss data.
Results
There were 437 patients in our database. The pre-operative mean body mass index (BMI) was 49.8 ± 8.8 kg/m
2
. The 30-day complication rate was 7.7%. The 30-day readmission, reoperation, and mortality rates were 1.8, 1.3, and 0.2%, respectively. The long-term complication rate was 10.9%. Seventy-nine patients were 4 years post SADI-S surgery and follow-up was possible for 44 patients (55.7%). At 4 years, patients had an average change in BMI of 18.1 ± 6 units with an excess weight loss (EWL) of 85.7 ± 27.3%. At 4 years, 97.6% patients were able to maintain HbA1c < 6% with or without the use of diabetic medication. There was a statistically significant difference between most of the pre-operative and post-operative nutritional data.
Conclusions
SADI-S is a safe and effective procedure in both short- and mid-term data points. Diabetes resolution and weight loss appear similar to traditional RYDS and better than RYGB.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29909514</pmid><doi>10.1007/s11695-018-3358-x</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-8830-0291</orcidid></addata></record> |
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| source | Springer Nature |
| subjects | Gastrointestinal surgery Medicine Medicine & Public Health Obesity Original Contributions Surgery Surgical outcomes Surgical techniques |
| title | Mid-term 4-Year Outcomes with Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy Surgery at a Single US Center |
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