OBES SURG (2017) 27:3344–3348 DOI 10.1007/s11695-017-2931-z VIDEO SUBMISSION Technical Options for Malabsorption Issues After Single Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy 1 1 1 1 Ramon Vilallonga & José Maria Balibrea & Anna Curell & Oscar Gonzalez & 1 2 3 1 Enric Caubet & Andrea Ciudin & Angel Michael Ortiz-Zúñiga & José Manuel Fort Published online: 26 September 2017 Springer Science+Business Media, LLC 2017 Abstract SADI-S, after presenting with severe protein-calorie malnutri- Background Laparoscopic single anastomosis duodenoileal tion, nutritional deficiencies, poor quality of life, or increased bypass with sleeve gastrectomy (SADI-S) is a recently devel- number of bowel movements. oped one- or two-stage operation based on biliopancreatic Results Mean preoperative BMI was 24.0 kg/m (20.4– diversion that is used to treat morbid obesity. Some midterm 27.5 kg/m ). Four patients underwent SADI-S to SADJ-S outcomes suggest that malabsorption is a possible complica- conversions and one underwent a SADI-S to Roux-en-Y tion following the procedure. Therefore, conversion to a less duodenojejunal bypass. All cases were performed malabsorptive procedure may be required. We aim to describe laparoscopically. No relevant postoperative complications or and analyze the outcomes after laparoscopic conversion of mortality was reported and the mean hospital stay was SADI-S
Obesity Surgery – Springer Journals
Published: Sep 26, 2017
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