Comparison of MGB with SADI-S: Revision of Sleeve Gastrectomy to MGB or Single Anastomosis Duodeno-Ileostomy (SADI)
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.
KeywordsMini-gastric bypass MGB Single anastomosis duodeno-ileostomy SADI Robotic MGB Robotic SADI Sleeve gastrectomy revision Bariatric surgery
- 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
- 6.Weiner RA, Theodoridou S, Weiner S. Failure of laparoscopic sleeve gastrectomy: further procedure? Obes Facts. 2011;4(Suppl 1):42–6.Google Scholar
- 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