A Prospective Randomized Trial Comparing Single Anastomosis Dudenoileal Bypass Versus Single Anastomosis Gastroileal Bypass After Failed Laparoscopic Sleeve Gastrectomy | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 44, Issue 2, April 2025, Page 667-676 PDF (903.62 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2024.330103.1248 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Badr  ; Ahmed Negm; Hosam Elghadban; Mohamed Shetiwy
| ||||
| Department of General Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt. | ||||
| Abstract | ||||
| Background: The reported revision rate after sleeve gastrectomy (SG) is ~28–37% at 5–7 years. The most common reason for revision is unsatisfactory weight loss (WL) or weight regain. There are various surgical options available for revision after a failed primary SG. However, it is important to identify the most optimal revisional procedure for each patient. We aimed to compare between single anastomosis dudenoileal bypass (SADI) versus single anastomosis gastroileal bypass (SAGI-OAGB) as a revision surgery for weight regain after failed SG focusing on WL, resolution of comorbidities, and postoperative parameters. Patients and Methods: This prospective randomized study was conducted on 30 patients with failed laparoscopic SG to compare between SADI versus SAGI as a revision surgery for failed SG. Patients were divided into two equal groups: group Ӏ patients were subjected to laparoscopic (SAGI-OAGB) with a fixed common limb 3 M from the ileocecal valve, and group II patients were subjected to laparoscopic SADI with a fixed common limb 3 M from the ileocecal valve. Results: Group II exhibited a statistically significant difference from group I concerning excess WL, a lower mean hemoglobin A1c, and a longer mean length of hospital stay. Regarding the identified unfavorable outcomes, there was insignificant difference between the groups under study. Conclusion: The interventions applied in group II, which likely had a more significant impact on WL and glycemic control, were accompanied by better outcomes compared with the interventions in group I. | ||||
| Keywords | ||||
| Failed laparoscopic sleeve gastrectomy; revisional bariatric surgery; single anastomosis dudenoileal bypass; single anastomosis gastroileal bypass | ||||
|
Statistics Article View: 14 PDF Download: 10 |
||||
