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Single- Versus Double-Anastomosis Duodenal Switch: Outcomes Stratified by Preoperative BMI.
Lind, Romulo P; Ghanem, Muhammad; Teixeira, Andre F; Jawad, Muhammad A; Osorio, Javier; Lazzara, Claudio; Sobrino, Lucia; Ortiz-Ciruela, David; de Gordejuela, Amador Garcia Ruiz.
Afiliação
  • Lind RP; Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA. Romulo.lind@orlandohealth.com.
  • Ghanem M; Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA.
  • Teixeira AF; Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA.
  • Jawad MA; Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA.
  • Osorio J; Bariatric and Metabolic Surgery Unit, Department of General and Digestive Surgery, Bellvitge University Hospital, Feixa Llarga S/N L'Hospitalet de Llobregat, 08907, Barcelona, Spain.
  • Lazzara C; Bariatric and Metabolic Surgery Unit, Department of General and Digestive Surgery, Bellvitge University Hospital, Feixa Llarga S/N L'Hospitalet de Llobregat, 08907, Barcelona, Spain.
  • Sobrino L; Bariatric and Metabolic Surgery Unit, Department of General and Digestive Surgery, Bellvitge University Hospital, Feixa Llarga S/N L'Hospitalet de Llobregat, 08907, Barcelona, Spain.
  • Ortiz-Ciruela D; Bariatric and Metabolic Surgery Unit, Department of General and Digestive Surgery, Bellvitge University Hospital, Feixa Llarga S/N L'Hospitalet de Llobregat, 08907, Barcelona, Spain.
  • de Gordejuela AGR; General Surgery Department, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Passeig de la Vall d'Hebron, 119, 08035, Barcelona, Spain.
Obes Surg ; 32(12): 3869-3878, 2022 12.
Article em En | MEDLINE | ID: mdl-36279044
PURPOSE: Describe and analyze the safety and weight loss performance of biliopancreatic diversion and duodenal switch (BPD-DS) and single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), verifying any possible superiority according to preoperative BMI. METHODS: Retrospective review of patients who underwent primary SADI-S or BPD-DS in three bariatric centers. Study groups were further stratified according to preoperative BMI (subgroup 1: BMI < 50; subgroup 2: 50 ≤ BMI < 55; subgroup 3: BMI ≥ 55). RESULTS: Four hundred and sixty patients underwent BPD-DS (n = 220) or SADI-S (n = 240). The mean LOS was 3.48 ± 3.7 and 3.13 ± 2.3 days for BPD-DS and SADI-S respectively (p = 0.235). The mean operative time was shorter in the SADI-S group (167.25 ± 33.6 vs 140.85 ± 56.7 min) (p < 0.00). The mean %EWL was 44.2, 62.4, and 69.4 for the BPD-DS group and 48.4, 64.5, and 67.1 for the SADI-S group at 6, 12, and 24 months respectively. The mean %TBWL was 25, 35.9, and 40.3 for the BPD-DS group, and 26.2, 35, and 36.9 for the SADI-S group at 6, 12, and 24 months respectively. Overall complication rates were comparable between BPD-DS and SADI-S groups (14% vs 18%) (p = 0.219). SADI-S showed greater emergency department visits (17% vs 7%) (p = 0.005); similar readmission rates (6% vs 7%) (p = 0.80); similar reoperation rates (3% vs 7%) (p = 0.102); and similar mortality rate (0.9% vs 0.4%), after BPD-DS and SADI-S respectively. CONCLUSION: BPD-DS achieved greater %TBWL at 2 years, but no superiority was perceived among study subgroups. SADI-S and BPD-DS showed similar overall complication rates.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Derivação Gástrica / Desvio Biliopancreático Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Derivação Gástrica / Desvio Biliopancreático Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos