Journal ArticleDOI
Stomach Intestinal Pylorus Sparing (SIPS) Surgery for Morbid Obesity: Retrospective Analyses of Our Preliminary Experience
Brian Mitzman,Daniel Cottam,Richie Goriparthi,Samuel Cottam,Hinali Zaveri,Amit Surve,Mitchell Roslin +6 more
TLDR
Modification of the classic DS to one with a single anastomosis and a longer common channel had effective weight loss results and Morbidity seems comparable to other stapling reconstructive procedures.Abstract:
Although the duodenal switch (DS) has been the most effective weight loss surgical procedure, it is a small minority of the total bariatric surgical cases performed. Modifications that can make the operation technically simpler and reduce a long-term risk of short bowel syndrome would be of benefit. The aim of this study was to detail our initial experience with a modified DS called stomach intestinal pylorus sparing (SIPS) procedure. Data from patients who underwent a primary SIPS procedure performed by two surgeons at two centers from January 2013 to August 2014 were retrospectively analyzed. All revisions of prior bariatric procedures were excluded. Regression analyses were performed for all follow-up weight loss data. One hundred twenty-three patients were available. One hundred two patients were beyond 1 year postoperative, with data available for 64 (62 % followed up). The mean body mass index (BMI) was 49.4 kg/m2. Two patients had diarrhea (1.6 %), four had abdominal hematoma (3.2 %), and one had a stricture (0.8 %) in the gastric sleeve. Two patients (1.6 %) were readmitted within 30 days. One patient (0.8 %) was reoperated due to an early postoperative ulcer. At 1 year, patients had an average change in BMI of 19 units (kg/m2), which was compared to an average of 38 % of total weight loss or 72 % of excess weight loss. Modification of the classic DS to one with a single anastomosis and a longer common channel had effective weight loss results. Morbidity seems comparable to other stapling reconstructive procedures. Future analyses are needed to determine whether a SIPS procedure reduces the risk of future small bowel obstructions and micronutrient deficiencies.read more
Citations
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Journal ArticleDOI
Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update: cosponsored by american association of clinical endocrinologists/american college of endocrinology, the obesity society, american society for metabolic & bariatric surgery, obesity medicine association, and american society of anesthesiologists*
Jeffrey I. Mechanick,Caroline M. Apovian,Stacy A. Brethauer,W. Timothy Garvey,Aaron M. Joffe,Julie Kim,Robert F. Kushner,Richard Lindquist,Rachel Pessah-Pollack,Jennifer Seger,Richard D. Urman,Stephanie Adams,John B. Cleek,Riccardo Correa,M. Kathleen Figaro,Karen Flanders,Jayleen Grams,Daniel L. Hurley,Shanu N. Kothari,Michael V. Seger,Christopher D. Still +20 more
TL;DR: These updated clinical practice guidelines for bariatric procedures remain a safe and effective intervention for higher-risk patients with obesity and clinical decision-making should be evidence-based within the context of a chronic disease.
Journal ArticleDOI
Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures - 2019 update: cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists.
Jeffrey I. Mechanick,Jeffrey I. Mechanick,Caroline M. Apovian,Stacy A. Brethauer,W. Timothy Garvey,W. Timothy Garvey,Aaron M. Joffe,Julie Kim,Robert F. Kushner,Richard Lindquist,Rachel Pessah-Pollack,Jennifer Seger,Richard D. Urman,Stephanie Adams,John B. Cleek,Riccardo Correa,M. Kathleen Figaro,Karen Flanders,Jayleen Grams,Jayleen Grams,Daniel L. Hurley,Shanu N. Kothari,Michael V. Seger,Christopher D. Still +23 more
TL;DR: Bariatric procedures remain a safe and effective intervention for higher-risk patients with obesity and clinical decision-making should be evidence-based within the context of a chronic disease.
Journal ArticleDOI
Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures – 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists
Jeffrey I. Mechanick,Caroline M. Apovian,Stacy A. Brethauer,W. Timothy Garvey,Aaron M. Joffe,Julie Kim,Robert F. Kushner,Richard Lindquist,Rachel Pessah-Pollack,Jennifer Seger,Richard D. Urman,Stephanie Adams,John B. Cleek,Riccardo Correa,M. Kathleen Figaro,Karen Flanders,Jayleen Grams,Daniel L. Hurley,Shanu N. Kothari,Michael V. Seger,Christopher D. Still +20 more
TL;DR: The updated clinical practice guidelines (CPGs) were developed by the American Association of Clinical Endocrinologists (AACE), The Obesity Society (TOS), American Society for Metabolic and Bariatric Surgery (ASMBS), Obesity Medicine Association (OMA), and American Society of Anesthesiologists (ASA) Boards of Directors in adherence with the AACE 2017 protocol for standardized production of CPGs, algorithms, and checklists as mentioned in this paper.
Journal ArticleDOI
Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy/One Anastomosis Duodenal Switch (SADI-S/OADS) IFSO Position Statement
TL;DR: The IFSO commissioned a task force to determine if SADI-S/OADS is an effective and safe procedure and if it should be considered a surgical option for the treatment of adiposity and adiposity-based chronic diseases.
Journal ArticleDOI
Single Anastomosis Duodeno-Ileal Switch (SADIS): A Systematic Review of Efficacy and Safety
TL;DR: As a modified bariatric procedure, SADIS has promising outcomes for weight loss and comorbidity resolution in morbidly obese patients and when measured, there was a high prevalence of macro-nutrient deficiencies following S ADIS.
References
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Journal ArticleDOI
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Nicolas V. Christou,John S. Sampalis,Moishe Liberman,Didier Look,Stephane Auger,A. P. H. Mclean,Lloyd D. MacLean +6 more
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Journal ArticleDOI
Biliopancreatic Diversion with a Duodenal Switch
Douglas S. Hess,Douglas W Hess +1 more
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