Single-Anastomosis Duodenal Ileostomy with Sleeve Gastrectomy "Continued Innovation of the Duodenal Switch"

Daniel Cottam; Samuel Cottam; Amit Surve

doi:10.1016/j.suc.2020.12.010

Single-Anastomosis Duodenal Ileostomy with Sleeve Gastrectomy "Continued Innovation of the Duodenal Switch"

Surg Clin North Am. 2021 Apr;101(2):189-198. doi: 10.1016/j.suc.2020.12.010.

Authors

Daniel Cottam¹, Samuel Cottam², Amit Surve²

Affiliations

¹ Bariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT 84102, USA. Electronic address: drdanielcottam@yahoo.com.
² Bariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT 84102, USA.

PMID: 33743963
DOI: 10.1016/j.suc.2020.12.010

Abstract

Single-anastomosis duodenal ileostomy with sleeve gastrectomy (SADI-S) is an important emerging procedure in bariatric surgery as an alternative to performing the Roux-en-Y gastric bypass (RYGB) or the Roux-en-Y duodenal switch. With this significant weight loss and low weight regain, SADI-S has low complication rates. SADI-S, because of its anatomic configuration, also does not increase ulcer risk in patients, with almost no ulcers observed. Because of the short common channel, malnutrition is a risk. Diabetes resolution is higher than with RYGB. Overall SADI-S is a safe and effective procedure for patients with higher body mass index and patients with diabetes.

Keywords: Bile acids; Complications; Malnutrition; Review; SADI-S; Weight loss.

Publication types

Review

MeSH terms

Duodenum / surgery*
Gastrectomy / methods*
Gastric Bypass / methods*
Humans
Obesity, Morbid / physiopathology
Obesity, Morbid / surgery*
Weight Loss