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SADI-S with Extended Duodeno-Bulb Preservation: Case Report

2023Journal article Open access
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dc.contributor.authorRamos Mussa Dib, V
dc.contributor.authorScussel Madalosso, CA
dc.contributor.authorEsselin de Melo, PR
dc.contributor.authorRibeiro, R
dc.contributor.authorTrentin Scortegagna, G
dc.contributor.authorAdami Chaim, E
dc.date.accessioned2023-02-28T21:21:41Z
dc.date.available2023-02-28T21:21:41Z
dc.date.issued2023
dc.description.abstractObesity has been growing in Brazil and in the world. It is reaching epidemic proportions, and bariatric surgery is the most effective treatment for patients with this disease. Among the procedures described in the literature, ileal surgeries such as biliopancreatic diversion with duodenal switch (BPD-DS) and single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) present better long-term results in terms of weight loss and comorbidities control. However, there are concerns regarding long term nutritional problems with these procedures. In this case report the aim is to demonstrate the technical feasibility of preserving an extended duodenal bulb segment, in the SADIS-S procedure, when there are difficulties in dissecting the retrobulbar region, as occurred here, due to fibrosis in this area. This assures the maintenance of the proposed surgical technique, in such a situation. The dissection and transection of the duodenum was done 7 cm distally to the pylorus, under endoscopic view, proximally to the papillae, where the tissue was normal. Additionally, due the importance of the duodenal mucosa on minerals and trace elements absorption and the release of important hormones in this region, this case report elicits the evaluation of the impact of this technical modification, which occurred casually, in the nutritional, hormonal and metabolic results, long term. In this case report, the extended duodenal length has demonstrated reasonable weight loss, adequate comorbidities control and good nutritional status, so far. These aspects must be evaluated in the long term, by clinical trials.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSurgical Science. 2023: 14:131-142.pt_PT
dc.identifier.doi10.4236/ss.2023.142017pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/43985
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectGastrectomiapt_PT
dc.subjectBypass Gástricopt_PT
dc.subjectObesidade Mórbidapt_PT
dc.subjectGastrectomypt_PT
dc.subjectGastric Bypasspt_PT
dc.subjectObesity, Morbidpt_PT
dc.titleSADI-S with Extended Duodeno-Bulb Preservation: Case Reportpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage142pt_PT
oaire.citation.issue02pt_PT
oaire.citation.startPage131pt_PT
oaire.citation.titleSurgical Sciencept_PT
oaire.citation.volume14pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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