Abstract
Background
Single-anastomosis duodenoileal bypass with sleeve gastrectomy is a simplified 1-loop
duodenal switch with a 200–250 common channel. Our objective was to analyze the weight
loss and metabolic results of the technique on a series of 100 consecutively operated
patients at a tertiary center university hospital.
Methods
A total of 100 patients consecutively underwent surgery. The criteria of inclusion
were morbid obesity or metabolic disease. In the first 50 cases, the common/efferent
limb measured 200 cm. The length was changed to 250 cm to reduce the hypoproteinemia
rate.
Results
No mortality and no severe complications developed. The mean excess weight loss was
>95% maintained during the follow-up period. More than 90% of the patients experimented
complete remission of type 2 diabetes mellitus. Two conversions to a standard duodenal
switch with a longer alimentary channel were required because of recurrent hypoproteinemia.
Hypertension was controlled in 98% of the patients, with a 58% remission rate. The
mean number of bowel movements was 2.5/d.
Conclusion
Single-anastomosis duodenoileal bypass with sleeve gastrectomy is a simplified duodenal
switch procedure that is safe and quicker to perform and offers good results for the
treatment of both morbid obesity and its metabolic complications.
Keywords
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Article info
Publication history
Published online: August 09, 2012
Accepted:
July 28,
2012
Received:
March 10,
2012
Footnotes
Supported in part by a grant from the Medical Foundation of the Mutua Madrileña del Automovilista.
Identification
Copyright
© 2013 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
