Single-‐Anastomosis Duodeno-‐Ileal bypass as a second step after sleeve gastrectomy. Long-‐term follow up. A Sánchez-‐Pernaute, E Martín-‐Antona, M Josa, V Muñoz, E Pérez-‐Aguirre, MA Rubio, AJ Torres Hospital Clínico San Carlos, Madrid -‐ Spain Patients & Method 24 👩
N =35 Weight los failure or Programmed
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Age – 42 BMI – 53 T2DM – 43% 6 Oral 5 Insulin 17 – HT 15 -‐ OSA Common limb: 250 – 300 cm
T2DM 93% remission 1 under treatment
Results
Weight loss
1. Sleeve No complications Max EWL: 60,9%, mean time: 12 months
Max
2nd step 82
86 75
75
61
2. SADI
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No complications 33 months (11 – 111) from the sleeve Mean EWL: 42% (20 – 69) F.Up: 2 lost 1st y 2nd y 3rd y 4th y 5th y 35
24
20 16 11
CONCLUSIONS Safe Procedure & Good Weight Loss
Supplementation Iron: 54% Calcium: 51% Vitamin D: 66%
Failures Malnutrition – 1 case, 2,8% -‐ liver failure – proximalization Insufficient weight loss – 2 cases, 5,7% -‐ re-‐sleeve
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