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One-Stage Vs. Two-Step One Anastomosis Duodenal Switch (OADS/SADI-S): A Safety and Efficacy Single-Center Propensity-Score Matched Analysis.
One-Stage Vs. Two-Step One Anastomosis Duodenal Switch (OADS/SADI-S): A Safety and Efficacy Single-Center Propensity-Score Matched Analysis.
- Source :
-
Obesity surgery [Obes Surg] 2024 Jul; Vol. 34 (7), pp. 2293-2302. Date of Electronic Publication: 2024 May 17. - Publication Year :
- 2024
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Abstract
- Introduction: One Anastomosis Duodenal Switch (OADS/SADI-S) is used both as a one stage and a second-step procedure, either planned or revisional after a failed sleeve gastrectomy. However, there is lack of adjusted comparative evidence validating its use.<br />Material and Methods: Propensity-score matched comparison between patients submitted to one-stage vs. two-step OADS, adjusted by age, gender, and initial body mass index (BMI).<br />Results: One hundred ninety-five patients (130 one-stage and 65 two-step OADS) were included, with mean initial BMI 52.4 kg/m <superscript>2</superscript> . Overall complication rate was 6.6% in the short-term (3.3% Clavien-Dindo ≥ III), and 7.3% in the long-term, with no differences between groups. Follow-up at 1 and 3 years was 83.6% and 61.5%. After one-stage OADS, total weight loss was 36.6 ± 8.2% at 1 year and 30.4 ± 10.3% at 3 years, vs. 30.2 ± 9.4% and 25.6 ± 10.2% after two-steps OADS (p = 0.021). Resolution rates of diabetes mellitus, hypertension, dyslipidemia, and obstructive sleep apnea were 86.4%, 80.4%, 78.0%, and 73.3%, with no differences between groups.<br />Conclusion: One-stage OADS is a safe and effective bariatric technique for patients with grade III and IV obesity. The two-step strategy does not reduce postoperative risks and may compromise weight loss results at mid-term.<br /> (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
- Subjects :
- Humans
Female
Male
Adult
Middle Aged
Treatment Outcome
Gastrectomy methods
Weight Loss
Body Mass Index
Retrospective Studies
Reoperation statistics & numerical data
Bariatric Surgery methods
Bariatric Surgery statistics & numerical data
Laparoscopy methods
Propensity Score
Duodenum surgery
Obesity, Morbid surgery
Postoperative Complications epidemiology
Anastomosis, Surgical
Subjects
Details
- Language :
- English
- ISSN :
- 1708-0428
- Volume :
- 34
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Obesity surgery
- Publication Type :
- Academic Journal
- Accession number :
- 38758514
- Full Text :
- https://doi.org/10.1007/s11695-024-07280-8