• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Comparative analysis of the Single Anastomosis Duodenal Switch 300cm common channel to established bariatric procedures: an assessment of 18 months postoperative data illustrating weight loss, risk profile, and nutritional status

Paul E Enochs, MD, FACS, FASMBS, David Pilati, MD, AFACS, Jon Bruce, MD, FACS, FASMBS, Scott Bovard, MD, FACS, FASMBS, Michael Tyner, MD, FASMBS. Bariatric Specialists of North Carolina

Background: A modification of the duodenal switch (MDS) utilizing a single anastomosis with 300cm common channel has been gaining popularity since first described by Dr. Torres in 2007. This procedure has gone by many names, including the single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI) and most recently, the Stomach, Intestinal, and Pylorus Sparing procedure (SIPS). However, there are very few studies illustrating definitive results of these procedures.

Methods: Utilizing our internal practice database and electronic medical records, clinical data was obtained for our set of 150 MDS patients who underwent a primary procedure at Centers of Excellence between July 2014 and July 2015. These results were compared with established data found in the literature discussing outcomes of the laparoscopic sleeve gastrectomy (SG), laparoscopic roux- en-y gastric bypass (RYGBP), and laparoscopic traditional duodenal switch (DS) procedures. The main outcomes evaluated at 18 months included excess weight loss; 30 day, 6 month, and 1 year readmission and reoperation rates; resolution of comorbidities; as well as postoperative metabolic and nutritional status.

Results: We analyzed 150 patients who underwent a primary laparoscopic MDS procedure and compared them to similar patients who underwent a laparoscopic sleeve gastrectomy (SG), laparoscopic roux-en-y gastric bypass (RYGBP), or laparoscopic duodenal switch (DS). The EWL in MDS patients at 18 months is similar to DS and greater than SG or RYGBP, while the risk profile, although slightly more than SG, is less than that of RYGBP or DS. The resolution of comorbidities is comparable across procedures as a function of weight loss, yet when focused specifically on diabetes, the MDS appears to show a greater percent resolution than RYGBP and is comparable with DS. At 18 months there have been no appreciable metabolic or nutritional deficiencies as compared to SG or RYGBP and when compared to DS, the metabolic and nutrition profile (specifically fat soluble vitamins A, D, E, and K) is superior at 18 months.

Conclusion: The use of laparoscopic malabsorptive procedures has been increasing on a national level. Compared with our other bariatric procedures, specifically the RYGBP and DS, the Modified Duodenal Switch is associated with a lower risk profile, an equivalent or improved nutritional status, and increased weight loss. Further studies will help to definitively define the role of this promising new procedure and how it plays within our bariatric armamentarium.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 79180

Program Number: S020

Presentation Session: Bariatric and Metabolic Surgery

Presentation Type: Podium

80

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons