Bariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT 84102, USA.
Bariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT 84102, USA.
Surg Clin North Am. 2021 Apr;101(2):189-198. doi: 10.1016/j.suc.2020.12.010.
Single-anastomosis duodenal ileostomy with sleeve gastrectomy (SADI-S) is an important emerging procedure in bariatric surgery as an alternative to performing the Roux-en-Y gastric bypass (RYGB) or the Roux-en-Y duodenal switch. With this significant weight loss and low weight regain, SADI-S has low complication rates. SADI-S, because of its anatomic configuration, also does not increase ulcer risk in patients, with almost no ulcers observed. Because of the short common channel, malnutrition is a risk. Diabetes resolution is higher than with RYGB. Overall SADI-S is a safe and effective procedure for patients with higher body mass index and patients with diabetes.
单吻合口十二指肠空肠旁路术（SADI-S）联合袖状胃切除术是减重手术中的一种新兴术式，可作为 Roux-en-Y 胃旁路术（RYGB）或 Roux-en-Y 十二指肠转位术的替代方案。SADI-S 可显著减轻体重，且体重反弹率低，因此具有较低的并发症发生率。由于其解剖结构，SADI-S 也不会增加患者的溃疡风险，几乎观察不到溃疡。由于共同通道较短，可能会发生营养不良。糖尿病的缓解率高于 RYGB。总体而言，SADI-S 是一种安全有效的手术方法，适用于体重指数较高的患者和糖尿病患者。
