Abstract
Single-anastomosis duodenal switch (SADS) has become increasingly popular. This review compared the conceptual difference between Eastern (SADS-E) and Western (SADS-W) countries. After searching for SADS through PubMed and high-impact journals, 19 articles with 2280 patients were included for analysis. We found SADS-W was reserved for patients with a high body mass index (BMI) without type 2 diabetes mellitus (T2DM). Surgeons performing SADS-W used larger bougies and preferred shorter common channels. However, SADS-E was mainly preferred in T2DM patients with a low BMI. SADS-E bypassed less bowel and used smaller bougies. The spectra of major postoperative complications, nutritional deficiencies, and gastrointestinal disorders were different between SADS-E and SADS-W. SADS-W yielded better weight loss and better T2DM remission than SADS-E. SADS are effective bariatric and metabolic procedures with promising therapeutic outcomes and acceptable safety.
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This study was funded by Bethune Charitable Foundation (HZB-20190528-1) and Jiangsu Key Medical Discipline (General Surgery) (ZDXKA2016005).
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Li, C., Lin, S. & Liang, H. Single-Anastomosis Duodenal Switch: Conceptual Difference between East and West. OBES SURG 31, 3296–3302 (2021). https://doi.org/10.1007/s11695-021-05441-7
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DOI: https://doi.org/10.1007/s11695-021-05441-7