Department of General and Digestive Surgery, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain.
Endocrine, Metabolic and Bariatric Unit, Department of General and Digestive Surgery, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Center of Excellence for the EAC-BC, Barcelona, Spain.
J Laparoendosc Adv Surg Tech A. 2021 Feb;31(2):152-160. doi: 10.1089/lap.2020.0798. Epub 2020 Dec 21.
The single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) has been introduced in the past few years for the treatment of morbid obesity. SADI-S has shown good results in terms of long-term results and short-term complications. However, the management of patients undergoing SADI-S and suffering from a leak is a great challenge for surgeons. We present an extensive review of the currently available literature on the management of leak after SADI in morbid obese (MO) patients. We aim at providing objective information regarding the optimal management, including diagnosis, technical options for the different strategies that have been proposed, to facilitate the selection of the best individual approach for each MO patient.
近年来，用于治疗病态肥胖的单吻合口十二指肠空肠旁路术加袖状胃切除术（SADI-S）已经问世。SADI-S 在长期结果和短期并发症方面均显示出良好的效果。然而，对于接受 SADI-S 手术且患有漏的患者的管理对外科医生来说是一个巨大的挑战。我们对目前关于病态肥胖（MO）患者 SADI 后漏的管理的可用文献进行了广泛的回顾。我们旨在提供有关最佳管理的客观信息，包括诊断，以及已经提出的不同策略的技术选择，以方便为每个 MO 患者选择最佳的个体化方法。
