Evaluation of Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) as a New Operation for Morbid Obesity | ||||
| The Medical Journal of Cairo University | ||||
| Article 146, Volume 86, September, September 2018, Page 3323-3329 PDF (350.58 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2018.60303 | ||||
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| Authors | ||||
| ESSAM ELDIN ZAYED, M.D.; WAEL HABLAS, M.D.; SAMEH G. ATTIA, M.D.; AHMED S. HUSSIN ATTA, M.Sc. | ||||
| The Departments of General Surgery* and Clinical Pathology**, Faculty of Medicine, Al-Azhar University Hospitals | ||||
| Abstract | ||||
| Abstract Background: Obesity is a serious worldwide health prob-lem; it has been shown to predispose to various diseases particularly cardiovascular diseases, diabetes disease, sleep apnea and osteoarthritis. There are non-surgical methods for weight loss as behavior modification, dietary control, exercise and drug therapy, but there are many surgical techniques that has less recurrence rate. Aim of the Study: Is to evaluate Single anastomosis duodeno-ileal bypass with sleeve gastrectomy as a suitable operation for the morbidly obese patient and for those with significant metabolic disorders. Patients and Methods: A prospective study was held in Al-Azhar University Hospitals and Ain Sham University Hospitals between January 2016 and January 2018. A total of 30 patients with fulfilled the criteria for bariatric surgery e.g., BMI >40kg/m2 or >35kg/m2 with associated comorbidity with failed diet for more than two years. Results: Male to female ratio was 40% (12 male patients) to 60% (18 female patients). Mean age was 32 years ranging from 20 years to 56 years. The mean preoperative weight was 142.53kg ranging from 100kg to 210kg, the maximum weight was for a 28 years old male with BMI 77.13kg/m2 and the minimum weight was for a 25 years old female with BM 43.28kg/m2. The mean operative time was 216.6 minutes ranging from 150 to 360 minutes. The mean postoperative hospital stay was 6 days ranging from 3 days to 13 days. The table shows weight loss through the follow-up period; mean weight decreased from 142.53kg±32.174kg preoperatively to 131.697kg±29.0021 kg at one month, 111.200kg±23.1774 kg at six months, 97.713kg±19.5476 kg at one year and 81.753 kg±14.8329kg at two years. Conclusion: Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy is a novel bariatric operation based on the principles of biliopancreatic diversion (BPD). SADI-S can be done either laparoscopically or through an open access. In this study, we have found that the Laparoscopic Single-anastomosis duodeno-ileal bypass with sleeve gastrec-tomy provides an innovative approach to one of our major health problems. | ||||
| Keywords | ||||
| Duodeno-ileal bypass – Gastrectomy – Laparos-copy – Obesity | ||||
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