Single-Anastomosis Duodeno-ileal Bypass with Sleeve Gastrectomy as an Ultimate Option for Diabetics with Severe Obesity: A Scoping Review

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••Sánchez-Pernaute A, Herrera MÁR, Ferré NP, Rodríguez CS, Marcuello C, Pañella C, et al. Long-term results of single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). Obes Surg. 2022;32(3):682–9. This study presents the 5- to 10-year results of a consecutive series of patients who underwent primary SADI-S at a single institution. It represents the largest series with over 5 years of follow-up, including 139 patients, and is the sole report presenting data at the 10-year post-surgery. In the long term, SADI-S offers satisfactory weight loss and comorbidities resolution.

•Spinos D, Skarentzos K, Esagian SM, Seymour KA, Economopoulos KP. The effectiveness of single-anastomosis duodenoileal bypass with sleeve gastrectomy/one anastomosis duodenal switch (SADI-S/OADS): an updated systematic review. Obes Surg. 2021;31:1790–800. This review provides additional evidence in multiple comorbid states, that at the twelve months following SADI-S, the rates of resolution for comorbidities were 72.6% for diabetes, 77.2% for dyslipidemia, and 59.0% for hypertension. Reoperation necessity emerged as the primary postoperative complication. Despite some patients experiencing nutrient deficiencies, SADI-S appears to be a generally safe and successful bariatric procedure.

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