Técnicas malabsortivas en cirugía bariátrica

  1. A. Sánchez-Pernaute 1
  2. A. Torres 1
  3. M. Á. Rubio 1
  4. M. E. Pérez-Aguirre 1
  1. 1 Servicio de Cirugía y Servicio de Endocrinología. Hospital Clínico San Carlos. Madrid.
Revista:
Cirugía Andaluza

ISSN: 2695-3811,  1130-3212

Año de publicación: 2019

Volumen: 30

Número: 4

Páginas: 471-476

Tipo: Artículo

DOI: 10.37351/2019304.7 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Cirugía Andaluza

Objetivos de desarrollo sostenible

Resumen

Introduction: malabsorptive operations were the first bariatric techniques developed. From the initial jejunoileal and jejunocolic bypass, malabsorptive techniques evolved to biliopancreatic diversion and duodenal switch, which offered very good weight loss results with less complications and secondary effects. Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is a simplification of the duodenal switch that eliminates one anastomosis, what decreases operative complexity and secondary effects of malabsorption. Patients: from 2007 to 2014, 169 patients were submitted to SADI-S in our Institution. Mean age fo the series was 46 years, mean BMI 46 kg/m2, and 64% of the patients were female. Ninety-seven patients were diabetics, 81 had obstructive sleep apnoea, 91 hypertension and 126 dyslipidemia. SADI-S was performed with a 200 cm common limb in the first 50 patients and with a 250 cm one in the other 119. Results: there was no postoperative mortality. Two patients suffered from anastomotic leakage. Excess weight loss was 92% in the first postoperative year and 89% at 5 years from surgery. Five percent of the patients did not achieve a 50% excess weight loss. Ten patients were re-operated for recurrent hypoproteinemia, 6 had been submitted to SADI-S with a 2 meter common limb and 4 to SADI-S with a 2,5 meter limb. Diabetes remission was 73% at 5 years. Conclusions: SADI-S is a simplified duodenal switch that offers similar results than old malabsorptive techniques with a lower operative complications rate and long-term sequelae.

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Fuente de los datos: Dialnet