Manueli Laos Emiliano G, Ducas Alvaro, Potts Carson, Schlottmann Francisco, Masrur Mario A
University of Illinois at Chicago, Chicago, USA.
Hospital Alemán, Buenos Aires, Argentina.
Obes Surg. 2025 Mar;35(3):784-789. doi: 10.1007/s11695-025-07691-1. Epub 2025 Jan 24.
Single anastomosis duodeno-ileal bypass (SADI) has emerged as a safe and effective bariatric procedure. Its simplicity and robust weight loss outcomes have contributed to its increasing popularity. While traditionally performed as an inpatient procedure, recent trends towards ambulatory surgery have prompted interest in outpatient SADI.
This study aims to assess the safety profile of outpatient SADI cases reported in the MBSAQIP database, providing valuable insights into the feasibility and potential benefits of this approach.
This retrospective study analyzed data from the MBSAQIP database. Patients who underwent SADI and were discharged on the same day of surgery were included. Demographic, medical history, and postoperative outcomes, including readmission, complication, and reoperation rates, were analyzed.
A total of 192 patients who underwent SADI and were discharged on the same day of surgery were included. The majority of patients were female, with a mean age of 44.3 years. Thirty-day readmission and reoperation rates were 4.69% and 2.6%, respectively.
Outpatient SADI can be a safe and effective option for appropriately selected patients, with similar complication and readmission rates to inpatient SADI and other outpatient bariatric procedures.
单吻合十二指肠空肠旁路术（SADI）已成为一种安全有效的减肥手术。其操作简便且减肥效果显著，这促使其越来越受欢迎。虽然传统上该手术是作为住院手术进行的，但最近门诊手术的趋势引发了对门诊SADI的兴趣。
本研究旨在评估MBSAQIP数据库中报告的门诊SADI病例的安全性，为这种方法的可行性和潜在益处提供有价值的见解。
这项回顾性研究分析了MBSAQIP数据库中的数据。纳入了接受SADI手术并在手术当天出院的患者。分析了人口统计学、病史和术后结果，包括再入院率、并发症发生率和再次手术率。
总共纳入了192例接受SADI手术并在手术当天出院的患者。大多数患者为女性，平均年龄为44.3岁。30天再入院率和再次手术率分别为4.69%和2.6%。
对于适当选择的患者，门诊SADI可以是一种安全有效的选择，其并发症和再入院率与住院SADI及其他门诊减肥手术相似。
