Emphasis on the whole clinical process quality control of single anastomosis duodenal-ileal bypass with sleeve gastrectomy

doi:10.3877/cma.j.issn.2095-9605.2024.01.003

Abstract

Abstract:

In recent years, laparoscopic sleeve gastrectomy (LSG) has become the most commonly performed surgical procedure for the treatment of morbid obesity and related metabolic diseases. However, the clinical outcomes for some patients remain suboptimal. The single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), as a simplified version of the biliopancreatic diversion with duodenal switch (BPD-DS), has shown good efficacy in controlling obesity and diabetes-related metabolic diseases, gaining wide recognition and recommendation in the field. Nevertheless, the clinical efficacy of SADI-S lacks support from prospective multicenter research data and universally accepted surgical quality standards. Therefore, it is crucial to strictly define surgical indications and establish a quality control system for SADI-S procedures. This paper discusses the quality control issues of SADI-S surgery, including its recent clinical efficacy and risks, based on domestic and international studies, as well as the clinical experience and research progress of the author's institution.

Key words: Sleeve gastrectomy, Single anastomosis duodenal-ileal bypass, Bariatric surgery, Metabolic surgery, Obesity, Type 2 diabetes mellitus, Quality control

Wen Zhao, Hao Liu, Dingchang Li, Wenxing Gao, Xianqiang Liu, Xiansheng Wu, Guanglong Dong. Emphasis on the whole clinical process quality control of single anastomosis duodenal-ileal bypass with sleeve gastrectomy[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2024, 10(01): 15-20.

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