Discussion on the treatment strategy of subpyloric in Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S)

doi:10.3877/cma.j.issn.1674-3946.2021.05.008

Abstract

Abstract:

Objective

To discussion on the treatment strategy of subpyloric in Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S).

Methods

Medical records and video material of 20 patients who received 3D laparoscopic SADI-S at our Center during the period from January 2016 to January 2018 were included in a retrospective analysis.

Results

SADI-S was conducted in all the 20 patients under 3D laparoscopy, without conversion to open surgery. The surgical duration was 95~210 min (mean, 110.4±12.8 min), the intraoperative bleeding volume was 20~100 ml (mean, 32.3±4.7 ml), the postoperative hospital stay was 5~14 d (mean, 8.1±1.6 d). After surgery, 1 patient vomited foam-like substance intermittently; 1 patient experienced persistent pain below the xiphoid process, both improved after symptomatic and conservative treatment. Other patients showed no symptoms of anastomotic leakage, duodenal stump leakage, intraabdominal hemorrhage, ileus, trocar hernia and other complications.

Conclusions

Tunnel-type dissociation of the infrapyloric area in SADI-S could avoid affecting blood supply around duodenum. It is therefore a simple and safe treatment.

Key words: Laparoscopes, Single-anastomosis duodenoileal bypass with sleeve gastrectomy, Subpyloric

Li Cao, Peng Chen, Guanglong Dong. Discussion on the treatment strategy of subpyloric in Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S)[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(05): 493-496.

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