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Primary SADI-S in Chinese with Diabetes and BMI < 35 kg/m2: a Retrospective Study with 2-Year Follow-up

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Abstract

Background

Single-anastomosis duodeno–ileal bypass with sleeve gastrectomy (SADI-S) is a bariatric procedure based on the standard duodenal switch surgery. It was first introduced in 2007 as a procedure for individuals with clinically severe obesity. Till date, primary SADI-S has not been used on Chinese with diabetes and body mass index (BMI) < 35 kg/m2.

Objectives

Here, we account the use of this novel surgery in Chinese with diabetes and BMI < 35 kg/m2.

Methods

All relevant medical information, involving patients with diabetes and BMI < 35 kg/m2, who received primary SADI-S at Bei**g Shijitan Hospital from June 2017 to December 2018, was retrospectively assessed.

Results

Twenty-six patients were selected for evaluation, and all of them completed a 2-year follow-up. The age, diabetic duration, and preoperative BMI were 35.5 (range 20–63) years, 3.5 (range 0.5–18) years, and 34.40 (range 28.74–34.96) kg/m2, respectively. At 24 months, the percentage of total body weight loss (%TWL) and BMI were 26.26 (range 13.33–43.88) and 24.72 (range 17.96–29.07) kg/m2, respectively. There were no serious complications or sequelae within a 2-year follow-up. In addition, for diabetes, 20/23 people achieved complete remission, whereas 3 achieved partial remission.

Conclusion

SADI-S is a highly effective and feasible bariatric surgery for Chinese having diabetes and BMI < 35 kg/m2. However, care must be taken to follow a strict criteria for patient selection and to monitor patients carefully for the detection of postoperative nutritional sequelae.

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Funding

This article was funded by Bei**g Municipal Science and Technology Commission (Grant No. Z191100006619043).

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Authors and Affiliations

  1. Surgery Centre of Diabetes Mellitus, Capital Medical University Affiliated Bei**g Shijitan Hospital, Bei**g, 100038, China

    Liang Wang, Qiqige Wuyun, Dexiao Du, Qing Sang, Xue**g Zheng, Dongbo Lian & Nengwei Zhang

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  1. Liang Wang
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  2. Qiqige Wuyun
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  3. Dexiao Du
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  4. Qing Sang
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  5. Xue**g Zheng
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Correspondence to Dexiao Du or Nengwei Zhang.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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The first authors are Liang Wang and Qiqige Wuyun.

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Wang, L., Wuyun, Q., Du, D. et al. Primary SADI-S in Chinese with Diabetes and BMI < 35 kg/m2: a Retrospective Study with 2-Year Follow-up. OBES SURG 31, 3116–3122 (2021). https://doi.org/10.1007/s11695-021-05371-4

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