Initial experience with laparoscopic revisional single anastomosis duodeno-ileal bypass (SADI-S) after failed sleeve gastrectomy

Michał Wysocki; Maciej Borys; Dorota Budzyńska; Magdalena Pisarska-Adamczyk; Piotr Małczak; Anna Rajtar; Andrzej Budzynski

doi:10.5114/wiitm.2023.128683

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

2/2023
vol. 18

Send email

Copy url:

Bariatric surgery

abstract:

Original paper

Initial experience with laparoscopic revisional single anastomosis duodeno-ileal bypass (SADI-S) after failed sleeve gastrectomy

Michał Wysocki

¹

,

Maciej Borys

¹

,

Dorota Budzyńska

¹

,

Magdalena Pisarska-Adamczyk

²

,

Piotr Małczak

³

,

Anna Rajtar

¹

,

Andrzej Budzynski

¹

Department of General Surgery and Surgical Oncology, Ludwik Rydygier Memorial Hospital, Krakow, Poland
Department of Medical Education, Jagiellonian University Medical College, Krakow, Poland
2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland

Videosurgery Miniinv 2023; 18 (2): 298–304

DOI: https://doi.org/10.5114/wiitm.2023.128683

Online publish date: 2023/06/15

View full text Get citation

EndNote

Papers, Reference Manager, RefWorks, Zotero

AMA

Wysocki M, Borys M, Budzyńska D, et al. Initial experience with laparoscopic revisional single anastomosis duodeno-ileal bypass (SADI-S) after failed sleeve gastrectomy. Videosurgery and Other Miniinvasive Techniques. 2023;18(2):298-304. doi:10.5114/wiitm.2023.128683.

APA

Wysocki, M., Borys, M., Budzyńska, D., Pisarska-Adamczyk, M., Małczak, P.,  & Rajtar, A. et al. (2023). Initial experience with laparoscopic revisional single anastomosis duodeno-ileal bypass (SADI-S) after failed sleeve gastrectomy. Videosurgery and Other Miniinvasive Techniques, 18(2), 298-304. https://doi.org/10.5114/wiitm.2023.128683

Chicago

Wysocki, Michał, Maciej Borys, Dorota Budzyńska, Magdalena Pisarska-Adamczyk, Piotr Małczak, Anna Rajtar,  and Andrzej Budzynski. 2023. "Initial experience with laparoscopic revisional single anastomosis duodeno-ileal bypass (SADI-S) after failed sleeve gastrectomy". Videosurgery and Other Miniinvasive Techniques 18 (2): 298-304. doi:10.5114/wiitm.2023.128683.

Harvard

Wysocki, M., Borys, M., Budzyńska, D., Pisarska-Adamczyk, M., Małczak, P., Rajtar, A.,  and Budzynski, A. (2023). Initial experience with laparoscopic revisional single anastomosis duodeno-ileal bypass (SADI-S) after failed sleeve gastrectomy. Videosurgery and Other Miniinvasive Techniques, 18(2), pp.298-304. https://doi.org/10.5114/wiitm.2023.128683

MLA

Wysocki, Michał et al. "Initial experience with laparoscopic revisional single anastomosis duodeno-ileal bypass (SADI-S) after failed sleeve gastrectomy." Videosurgery and Other Miniinvasive Techniques, vol. 18, no. 2, 2023, pp. 298-304. doi:10.5114/wiitm.2023.128683.

Vancouver

Wysocki M, Borys M, Budzyńska D, Pisarska-Adamczyk M, Małczak P, Rajtar A et al. Initial experience with laparoscopic revisional single anastomosis duodeno-ileal bypass (SADI-S) after failed sleeve gastrectomy. Videosurgery and Other Miniinvasive Techniques. 2023;18(2):298-304. doi:10.5114/wiitm.2023.128683.

PlumX metrics:

Introduction
Laparoscopic sleeve gastrectomy (SG) is currently the most commonly performed bariatric operation, but re-do surgery may be necessary in up to half of the patients. Single anastomosis duodeno-ileal bypass (SADI-S) is quickly gaining recognition as a revisional procedure after failed SG.

Aim
To discuss the surgical technique and analyze initial outcomes after introduction of SADI-S after SG with 1-year follow-up.

Material and methods
This is a retrospective cohort study of consecutive patients who underwent re-do bariatric surgery – revisional SADI-S – in 2021 at a secondary referral public hospital. All patients’ follow-up was completed 1 year after.

Results
14 consecutive patients, 6 (43%) males and 8 females, were included. Median maximal body mass index (BMI) was 52.29 (47.96–77.16) kg/m2, BMI before SADI-S was 43.09 (41.64–48.99) kg/m2. No perioperative morbidity was recorded. Four (28%) patients reported recurrent abdominal crampy pain and diarrhea that required dietary advisement and pharmacological therapy in the postoperative period. No reoperations, mortality or readmissions were recorded during 1-year follow-up. SADI-S was associated with further weight loss, resulting in median BMI of 37.55 (36.29–39.43) kg/m2 1 year after SADI-S. Observed additional percentage total weight loss (%TWL) 1 year after SADI-S was 18.65% (17.25–21.89%), while additional percentage excess body mass index loss (%EBMIL) was 35.88% (29.18–41.92%). There was 1 case of diabetes mellitus type 2 remission and improvement in glycemic control in 1 patient. 4/6 patients (66.67%) had improvement in control of hypertension.

Conclusions
SADI-S is promising re-do surgery after SG with low postoperative morbidity. Additional %TWL 1 year after SADI-S is ~19%, while additional %EBMIL is ~36%, with significant improvement of obesity-related comorbidities.

keywords:

Initial experience with laparoscopic revisional single anastomosis duodeno-ileal bypass (SADI-S) after failed sleeve gastrectomy

Michał Wysocki 1 , Maciej Borys 1 , Dorota Budzyńska 1 , Magdalena Pisarska-Adamczyk 2 , Piotr Małczak 3 , Anna Rajtar 1 , Andrzej Budzynski 1

single anastomosis duodeno-ileal bypass, SADI-S, revisional, re-do, sleeve gastrectomy, weight regain, insufficient weight loss

Michał Wysocki

¹

,

Maciej Borys

¹

,

Dorota Budzyńska

¹

,

Magdalena Pisarska-Adamczyk

²

,

Piotr Małczak

³

,

Anna Rajtar

¹

,

Andrzej Budzynski

¹