SADI-S surgery
| SADI-S surgery | |
|---|---|
 Cutting lines | |
| Specialty | gastroenterology |
SADI-S (Single anastomosis duodeno–ileal bypass with sleeve gastrectomy) is a bariatric surgical technique to lose weight.
The SADI-S is a type of bariatric surgery with a single surgical anastomosis. It has a restrictive component when reducing the greater curvature of the stomach, but especially a malabsorptive component, as the common channel is also reduced. The objective of this surgical technique is to lessen the intestinal loop where nutrients are absorbed.
Technique
It can be performed by laparotomy or laparoscopy. A small gastric sleeve is created by sectioning the greater curvature of the stomach, such as in the sleeve technique. Subsequently, the duodenum is transected respecting the pylorus. A duodenum-intestinal anastomosis is carried out between 250 centimetres (98 in) and 300 centimetres (120 in) from the ileocecal valve. Therefore, this distance becomes the length of the common channel where nutrients are absorbed.
Advantages
The SADI-S is a single anastomosis bariatric surgery. It is different from the classic duodenal switch, the gastric bypass (RNY) or sleeve gastrectomy. It is a type of bariatric surgery carried out to lose weight.
Disadvantages
Patients will need to take vitamin supplements A, D, E, K and minerals throughout their lives. Analytical monitoring is necessary to prevent malnutrition. Stones in the gallbladder, flatulence and diarrhea are more frequent. The surgical risks are similar as in other bariatric techniques, including intestinal perforation, anastomotic leaks, infection, abscess, venous thrombosis and pulmonary embolism. In the long term, it can produce a bowel obstruction. There is a greater chance of bile reflux than a traditional duodenal switch. As of 2018, it is still classified as experimental by all insurance companies and has no long term follow-up data. There is no research to indicate that it has any significant reduction in vitamin or mineral supplementation as compared to the classic duodenal switch.
See also
SIPS surgery
Bibliography
- DeMeester, TR; Fuchs, KH; Ball, CS; Albertucci, M; Smyrk, TC; Marcus, JN (October 1987). "Experimental and clinical results with proximal end-to-end duodenojejunostomy for pathologic duodenogastric reflux". Annals of Surgery. 206 (4): 414–426. doi:10.1097/00000658-198710000-00003. ISSN 0003-4932. PMC 1493213. PMID 3662657.
- Payne, JH; DeWind, LT; Commons, RR (August 1963). "Metabolic observations in patients with jejunocolic shunts". American Journal of Surgery. 106 (2): 273–89. doi:10.1016/0002-9610(63)90017-5. ISSN 0002-9610. PMID 14042557.
- Rutledge, R (June 2001). "The mini-gastric bypass: experience with the first 1274 cases". Obesity Surgery. 11 (3): 276–80. doi:10.1381/096089201321336584. ISSN 0960-8923. PMID 11433900. S2CID 25555293.
- Sánchez-Pernaute, A; Pérez-Aguirre, E; Díez-Valladares, L; Robin, A; Talavera, P; Rubio, MA; Torres García, A. (May 2005). "'Right-angled' stapled latero-lateral duodenojejunal anastomosis in the duodenal switch". Obesity Surgery. 15 (5): 700–2. doi:10.1381/0960892053923914. ISSN 0960-8923. PMID 15946463. S2CID 33650911.
- Sánchez-Pernaute, A (2007). "La secreción biliar: en la encrucijada de la carcinogénesis colorrectal" [Bile secretion: At the crossroads of colorectal carcinogenesis]. Revista Española de Enfermedades Digestivas (in Spanish). 99 (9): 487–490. doi:10.4321/S1130-01082007000900001. ISSN 1130-0108. PMID 18052641.
- Sánchez-Pernaute, A; Rubio Herrera, MA; Pérez-Aguirre, E; García Pérez, JC; Cabrerizo, L; Díez Valladares, L; Fernández, C; Talavera, P; Torres, A (December 2007). "Proximal duodeno-ileal end-to-side bypass with sleeve gastrectomy: proposed technique". Obesity Surgery. 17 (2): 1614–8. doi:10.1007/s11695-007-9287-8. ISSN 0960-8923. PMID 18040751. S2CID 26436505.
- Sánchez-Pernaute, A; Herrera, MA; Pérez-Aguirre, ME; Talavera, P; Cabrerizo, L; Matía, P; Díez-Valladares, L; Barabash, A; Martín-Antona, E; García-Botella, A; García-Almenta, EM; Torres, A (December 2012). "Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). One to three-year follow-up". Obesity Surgery. 20 (12): 1720–6. doi:10.1007/s11695-010-0247-3. ISSN 0960-8923. PMID 20798995. S2CID 31863329.
- Sánchez-Pernaute, A; Rubio, MA; Pérez Aguirre, E; Barabash, A; Cabrerizo, L; Torres, A (September–October 2013). "Single-anastomosis duodenoileal bypass with sleeve gastrectomy: metabolic improvement and weight loss in first 100 patients". Surgery for Obesity and Related Diseases. 9 (5): 731–5. doi:10.1016/j.soard.2012.07.018. ISSN 1550-7289. PMID 22963820.
- Scopinaro, N; Gianetta, E; Civalleri, D; Bonalumi, U; Bachi, V (September 1979). "Bilio-pancreatic bypass for obesity: II. Initial experience in man". British Journal of Surgery. 66 (9): 618–620. doi:10.1002/bjs.1800660906. ISSN 0007-1323. PMID 497645. S2CID 36950227.
- Scott, HW; Law, DH; Sandstead, HH; Lanier, VC; Younger, RK (1970). "Jejunoileal shunt in surgical treatment of morbid obesity". Annals of Surgery. 171 (5): 770–80. doi:10.1097/00000658-197005000-00017. ISSN 0003-4932. PMC 1396821. PMID 5445664.
External links
Media related to SADI-S surgery at Wikimedia Commons- Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). One to three-year follow-up.