Comparison of MGB with SADI-S: Revision of Sleeve Gastrectomy to MGB or Single Anastomosis Duodeno-Ileostomy (SADI)

  • Arun Prasad
Chapter

Abstract

SADI-S is a sleeve gastrectomy (SG) with proximal duodenal division and end-to-side anastomosis 250 cm proximal to ileocecal valve. SADI-S appears to have some disadvantages compared to the MGB. Both show excellent improvement in co-morbidities, but no comparison has been reported.

Revision of SG for inadequate weight loss or weight regain is now becoming the main reason for revision bariatric surgery. Two revisions` which appear technically simple but give good weight and metabolic results are the MGB and the SADI. We did a comparative study of these procedures with a 2-year follow-up. Both procedures were done robotically by a single surgeon in patients with comparable demography. While weight loss was comparable after both procedures, nutritional deficiencies and GI symptoms were higher with SADI. Thus, MGB is our preferred choice.

Keywords

Mini-gastric bypass MGB Single anastomosis duodeno-ileostomy SADI Robotic MGB Robotic SADI Sleeve gastrectomy revision Bariatric surgery 

References

  1. 1.
    Sánchez-Pernaute A, Rubio Herrera MA, Pérez-Aguirre E, et al. Proximal duodenal-ileal end-to-side bypass with sleeve gastrectomy: proposed technique. Obes Surg. 2007;17:1614–8.CrossRefGoogle Scholar
  2. 2.
    Sanchez-Pernaute A, Rubio MA, Cabrerizo L, Ramos-Levi A, Perez-Aguirre E, Torres A. Single anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) for obese diabetic patients. Surg Obes Relat Dis. 2015;11:1092–8.CrossRefGoogle Scholar
  3. 3.
    Musella M, Apers J, Rheinwalt K, Ribeiro R, Manno E, Greco F, Milone M, Di Stefano C, Guler S, Van Lessen IM, Guerra A, Maglio MN, Bonfanti R, Novotna R, Coretti G, Piazza L. Efficacy of bariatric surgery in type 2 diabetes mellitus remission: the role of mini gastric bypass/one anastomosis gastric bypass and sleeve gastrectomy at 1 year of follow-up. A European survey. Obes Surg. 2016;26:933–40.CrossRefGoogle Scholar
  4. 4.
    Jammu GS, Sharma R. An eight-year experience with 189 type 2 diabetic patients after mini-gastric bypass. Integr Obes Diabetes. 2016;2(4):246–9.  https://doi.org/10.15761/IOD.1000154.CrossRefGoogle Scholar
  5. 5.
    Summerhays C, Cottam D, Cottam A. Internal hernia after revisional laparoscopic loop duodenal switch surgery. Surg Obes Relat Dis. 2016;12:e13–5.CrossRefGoogle Scholar
  6. 6.
    Weiner RA, Theodoridou S, Weiner S. Failure of laparoscopic sleeve gastrectomy: further procedure? Obes Facts. 2011;4(Suppl 1):42–6.Google Scholar
  7. 7.
    Gagner M, Deitel M, Erickson AL, Crosby RD. Survey on laparoscopic sleeve gastrectomy (LSG) at the fourth international consensus summit on sleeve gastrectomy. Obes Surg. 2013;23:2013–7.CrossRefGoogle Scholar
  8. 8.
    Lauti M, Kularatna M, Hill AG, MacCormick AD. Weight regain following sleeve gastrectomy—a systematic review. Obes Surg. 2016 Jun;26(6):1326–34.CrossRefGoogle Scholar
  9. 9.
    Kulich KR, Madisch A, Pacini F, Pique JM, Regula J, Van Rensburg CJ, et al. Reliability and validity of the gastrointestinal symptom rating scale (GSRS) and quality of life in reflux and dyspepsia (QOLRAD) questionnaire in dyspepsia: a six-country study. Health Qual Life Outcomes. 2008;6:12.  https://doi.org/10.1186/1477-7525-6-12.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Arun Prasad
    • 1
  1. 1.Department of Gastrointestinal, Robotic, Bariatric & ThoracoscopyApollo HospitalNew DelhiIndia

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