Ospina Jaramillo A, Riscanevo Bobadilla AC, Espinosa MO, Valencia A, Jiménez H, Montilla Velásquez MDP, Bastidas M. Clinical outcomes and complications of single anastomosis duodenal-ileal bypass with sleeve gastrectomy: A 2-year follow-up study in Bogotá, Colombia. World J Clin Cases 2023; 11(21): 5035-5046 [PMID: 37583868 DOI: 10.12998/wjcc.v11.i21.5035]
Corresponding Author of This Article
Angie Carolina Riscanevo Bobadilla, PsyD, Surgeon, Department of General Surgery, Fundación Universitaria Sanitas, Av. C. 127 #20-78, Bogotá, Bogotá D.C 11162, Colombia. caroriscanevo@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 26, 2023; 11(21): 5035-5046 Published online Jul 26, 2023. doi: 10.12998/wjcc.v11.i21.5035
Clinical outcomes and complications of single anastomosis duodenal-ileal bypass with sleeve gastrectomy: A 2-year follow-up study in Bogotá, Colombia
Andres Ospina Jaramillo, Angie Carolina Riscanevo Bobadilla, Mariana Ospina Espinosa, Alvaro Valencia, Humberto Jiménez, Maria del Pilar Montilla Velásquez, Maria Bastidas
Andres Ospina Jaramillo, Alvaro Valencia, Humberto Jiménez, Maria Bastidas, Department of General Surgery, Clínica Reina Sofia, Colsanitas, Bogotá D.C 110151, Colombia
Angie Carolina Riscanevo Bobadilla, Department of General Surgery, Fundación Universitaria Sanitas, Bogotá D.C 11162, Colombia
Mariana Ospina Espinosa, Department of General Surgery, Universidad del Rosario, Bogotá 110151, Colombia
Maria del Pilar Montilla Velásquez, Department of Epidemiology, Fundación Universitaria Sanitas, Bogotá 110151, Colombia
Author contributions: Ospina Jaramillo A, Riscanevo Bobadilla AC, and Espinosa MO contributed equally to this work; Ospina Jaramillo A, Valencia A, and Jiménez H designed the research; Ospina Jaramillo A and Riscanevo Bobadilla AC performed the research; Montilla Velásquez MDP contributed new reagents/analytic tools; Riscanevo Bobadilla AC and Bastidas M analyzed the data; Ospina Jaramillo A, Riscanevo Bobadilla AC, and Espinosa MO wrote the paper.
Institutional review board statement: After approval by the research and ethics committees of the institution, the study was conducted following the 1964 Helsinki Declaration and subsequent revisions.
Informed consent statement: The surgical informed consent that patients signed for the surgery included the use of personal and surgical data, images, and videos for scientific purposes. Therefore, all study participants or their legal guardians possess prior written informed consent for the study.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Angie Carolina Riscanevo Bobadilla, PsyD, Surgeon, Department of General Surgery, Fundación Universitaria Sanitas, Av. C. 127 #20-78, Bogotá, Bogotá D.C 11162, Colombia. caroriscanevo@gmail.com
Received: March 20, 2023 Peer-review started: March 20, 2023 First decision: April 21, 2023 Revised: May 15, 2023 Accepted: June 26, 2023 Article in press: June 26, 2023 Published online: July 26, 2023 Processing time: 129 Days and 1.1 Hours
ARTICLE HIGHLIGHTS
Research background
The latest health survey in Colombia (ENSIN 2015) found that 37.8% of adults in our country were overweight, while 18.7% were obese. With over half of the population (56.5%) being overweight or obese, this is considered a public health problem in Colombia.
Research motivation
Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is a safe and effective procedure for weight loss 2 years post-surgery. SADI-S improves and resolves obesity-related comorbidities. SADI-S has shorter operative time compared to duodenal switch.
Research objectives
The primary objective was to assess the safety of the procedure in terms of intraoperative complications and complications within 30 d postoperatively. The secondary objective was to evaluate weight loss and complications during the follow-up period.
Research methods
Retrospective data were collected from patients with extreme obesity who underwent laparoscopic SADI-S as a primary or revision procedure after sleeve gastrectomy at Clínica Reina Sofía in Bogotá.
Research results
The results of this study support the efficacy and safety of SADI-S as a treatment for extreme obesity.
Research conclusions
SADI-S is an effective procedure for patients with extreme obesity. It has a low rate of intraoperative and postoperative complications, with good outcomes in terms of weight loss and improvement/resolution of associated comorbidities. Our experience confirms the reproducibility of the technique when performed in referral centers.
Research perspectives
The significance of the study lies in being the first case series published in Spanish-speaking countries in South America, which helps promote the use of this surgery as a viable alternative for patients with extreme obesity, with very low perioperative mortality and good weight loss results up to the observation period.
