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Gastric Ischaemia After SADI with Right Gastric Artery Ligation

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Abstract

There are several bariatric procedures used for the effective management of obesity that employ restrictive or malabsorptive components to achieve effective weight loss and reduction in metabolic disease. The single anastomosis duodeno-ileal (SADI) bypass was first introduced as a simplification of the biliopancreatic diversion with a duodenal switch [1], often accompanied by sleeve gastrectomy (SADI-S) or as an alternative gastric sleeve revision procedure to Roux-en-Y gastric bypass [2]. SADI was developed to address the technical complexity associated with other bypass reconstructions by involving only one anastomosis while preserving pyloric function, minimising dumping symptoms. This procedure has been proven to be safe and effective for sustained weight loss and resolution of metabolic disease, particularly in patients with a high carbohydrate diet [3, 4]. Currently, the SADI/SADI-S procedure is still considered a relatively novel technique with no absolute consensus over the exact surgical technique, and serious postoperative complications can still occur. A key discussion point is the utility of right gastric artery ligation depending on surgeon preference. This paper aims to describe the presentation and management of the first reported case of gastric ischaemia following sleeve to SADI revision with right gastric artery ligation.

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Authors and Affiliations

  1. Department of General Surgery, St George Hospital, Kogarah, Sydney, NSW, Australia

    Melanie Mercado, Qiuye Cheng & Ken Loi

  2. Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia

    Melanie Mercado & Daniel Liu

  3. Department of Bariatric Surgery, St George Private Hospital, Kogarah, Sydney, NSW, Australia

    Qiuye Cheng & Ken Loi

Authors
  1. Melanie Mercado
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  2. Qiuye Cheng
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Correspondence to Melanie Mercado.

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Mercado, M., Cheng, Q., Liu, D. et al. Gastric Ischaemia After SADI with Right Gastric Artery Ligation. OBES SURG 32, 1366–1369 (2022). https://doi.org/10.1007/s11695-021-05863-3

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  • DOI: https://doi.org/10.1007/s11695-021-05863-3

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