Single-anastomosis duodenoileal bypass with sleeve gastrectomy: metabolic improvement and weight loss in first 100 patients.

Abstract

BACKGROUND:

Single-anastomosis duodenoileal bypass with sleeve gastrectomy is a simplified 1-loop duodenal switch with a 200-250 common channel. Our objective was to analyze the weight loss and metabolic results of the technique on a series of 100 consecutively operated patients at a tertiary center university hospital.

METHODS:

A total of 100 patients consecutively underwent surgery. The criteria of inclusion were morbid obesity or metabolic disease. In the first 50 cases, the common/efferent limb measured 200 cm. The length was changed to 250 cm to reduce the hypoproteinemia rate.

RESULTS:

No mortality and no severe complications developed. The mean excess weight loss was >95% maintained during the follow-up period. More than 90% of the patients experimented complete remission of type 2 diabetes mellitus. Two conversions to a standard duodenal switch with a longer alimentary channel were required because of recurrent hypoproteinemia. Hypertension was controlled in 98% of the patients, with a 58% remission rate. The mean number of bowel movements was 2.5/d.

CONCLUSION:

Single-anastomosis duodenoileal bypass with sleeve gastrectomy is a simplified duodenal switch procedure that is safe and quicker to perform and offers good results for the treatment of both morbid obesity and its metabolic complications.

• Authors: Andrés Sánchez-Pernaute, Miguel Ángel Rubio, Elia Pérez Aguirre, Ana Barabash, Lucio Cabrerizo, Antonio Torres
• Journal: Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery (Surg Obes Relat Dis) 2013 Sep-Oct Vol. 9 Issue 5 Pg. 731-5 ISSN: 1878-7533 [Electronic] United States
• PMID: 22963820 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2013 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Topics

• Adult
• Aged
• Body Mass Index
• Diabetes Mellitus, Type 2 (prevention & control)
• Duodenum (surgery)
• Female
• Gastrectomy (methods)
• Gastric Bypass (methods)
• Humans
• Male
• Middle Aged
• Obesity, Morbid (surgery)
• Treatment Outcome
• Weight Loss