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Single-Anastomosis Pylorus-Preserving Bariatric Procedures: Review of the Literature

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Abstract

Single-anastomosis pylorus-preserving procedures (SAPPP) were recently introduced into bariatric surgery in order to combine the physiologic advantages of a post-pyloric reconstruction with the technical advantages of an omega loop. Surgery consists of a sleeve gastrectomy that is performed first, followed by a duodeno-enterostomy. Two main variants exist: proximal and distal SAPPP, with duodeno-jejunostomy and duodeno-ileostomy, respectively. This review describes the SAPPP reported in the literature and analyzes their outcomes in comparison with the most frequently performed bariatric techniques. Preliminary results appear as promising in terms of both safety and effectiveness on weight loss and comorbidities improvement.

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Authors and Affiliations

  1. Digestive and Bariatric Unit, Joseph Ducuing Hospital, Toulouse, France

    Francesco Martini & Luca Paolino

  2. Pole Obésité Etang de Berre, Clinique de Martigues, Martigues, France

    Ettore Marzano & Jacopo D’Agostino

  3. Digestive Unit, Centre Hospitalier Intercommunal de Creteil, Créteil, France

    Andrea Lazzati

  4. Digestive Unit, Archet 2 Hospital, University Hospital of Nice, F-06202, Nice, France

    Anne-Sophie Schneck & Antonio Iannelli

  5. Inserm, U1065, Team 8 “Hepatic Complications of Obesity”, F-06204, Nice, France

    Anne-Sophie Schneck & Antonio Iannelli

  6. University of Nice Sophia-Antipolis, F-06107, Nice, France

    Anne-Sophie Schneck & Antonio Iannelli

  7. Department of Surgery, Hospital Clínico San Carlos, Madrid, Spain

    Andrés Sánchez-Pernaute & Antonio Torres

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  1. Francesco Martini
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Correspondence to Antonio Iannelli.

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Martini, F., Paolino, L., Marzano, E. et al. Single-Anastomosis Pylorus-Preserving Bariatric Procedures: Review of the Literature. OBES SURG 26, 2503–2515 (2016). https://doi.org/10.1007/s11695-016-2310-1

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