A Prospective Randomized Trial Comparing Single Anastomosis Dudenoileal Bypass Versus Single Anastomosis Gastroileal Bypass After Failed Laparoscopic Sleeve Gastrectomy

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Abstract

Background: The reported revision rate after sleeve gastrectomy (SG) is ~28–37% at 5–7 years. The most common
reason for revision is unsatisfactory weight loss (WL) or weight regain. There are various surgical options available
for revision after a failed primary SG. However, it is important to identify the most optimal revisional procedure for
each patient. We aimed to compare between single anastomosis dudenoileal bypass (SADI) versus single anastomosis
gastroileal bypass (SAGI-OAGB) as a revision surgery for weight regain after failed SG focusing on WL, resolution of
comorbidities, and postoperative parameters.
Patients and Methods: This prospective randomized study was conducted on 30 patients with failed laparoscopic SG
to compare between SADI versus SAGI as a revision surgery for failed SG. Patients were divided into two equal groups:
group Ӏ patients were subjected to laparoscopic (SAGI-OAGB) with a fixed common limb 3 M from the ileocecal valve,
and group II patients were subjected to laparoscopic SADI with a fixed common limb 3 M from the ileocecal valve.
Results: Group II exhibited a statistically significant difference from group I concerning excess WL, a lower mean
hemoglobin A1c, and a longer mean length of hospital stay. Regarding the identified unfavorable outcomes, there was
insignificant difference between the groups under study.
Conclusion: The interventions applied in group II, which likely had a more significant impact on WL and glycemic
control, were accompanied by better outcomes compared with the interventions in group I.

Keywords

The Egyptian Journal of Surgery
Volume 44, Issue 2
April 2025
Pages 667-676

Files

Share

How to cite

Statistics