Obesity Surgery最新文献

{"title":"Safety of Same-Day Discharge Bariatric Surgery: A Comprehensive Analysis of 457 Cases Across Multiple Procedure Types.","authors":"Sunil Sharma, Amit Surve, Daniel Cottam, Ashley Wooley, Jaycee Christensen, Smita Sharma, Tristan Patel","doi":"10.1007/s11695-025-07874-w","DOIUrl":"10.1007/s11695-025-07874-w","url":null,"abstract":"<p><strong>Background: </strong>Outpatient bariatric surgery offers reduced hospital stays and healthcare costs, with promising safety outcomes. This study analyzes the short-term results of stand-alone primary and revision bariatric surgeries, alongside concomitant foregut and abdominal surgeries associated with bariatric procedures, to assess their safety and efficacy in an outpatient setting at a free-standing ambulatory center.</p><p><strong>Methods: </strong>A retrospective study was conducted on 457 same-day discharge (SDD) bariatric cases performed by a single surgeon at a free-standing ambulatory center between January 2021 and July 2024. The procedures included sleeve gastrectomy (SG), duodenal switch (DS), adjustable gastric band (AGB) removal, and Roux-en-Y gastric bypass (RYGB). Concomitant foregut and abdominal surgeries associated with bariatric procedures, such as hiatal hernia repair (HHR), cholecystectomy, fundoplication, and ventral hernia repair, were performed when clinically indicated.</p><p><strong>Results: </strong>Of the 457 cases, 97.8% were primary surgeries, and 2.1% were revisions. Stand-alone procedures accounted for 39.3%, and 60.6% were concomitant. SG constituted 74.8% of cases, followed by HHR (16.1%), DS (5.4%), AGB removal (2.6%), and RYGB (.8%). The mean operative time was 79.9 ± 24.3 min, with a mean length of stay of 3 h 52 min (± 1:10). The 30-day complication rate was 2.1%, with Clavien-Dindo grade IIIb complications in .8% of patients. Patient satisfaction was high, with a mean score of 9.8.</p><p><strong>Conclusions: </strong>Outpatient bariatric surgeries demonstrated strong safety with minimal complications, underscoring their viability in carefully selected patients. Staged approaches for complex cases further optimized outcomes, making outpatient settings a robust option for a wide range of bariatric procedures.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2101-2110"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors for Type 2 Diabetes Mellitus Relapse in More Than 5-Year Follow-up After Sleeve Gastrectomy with Transit Bipartition.","authors":"Cüneyt Kırkıl, Mesut Yur, İlayda Aydın, Ahmet Bozdağ, Ahmet Aslan, Mehmet Fatih Ebiloğlu","doi":"10.1007/s11695-025-07906-5","DOIUrl":"10.1007/s11695-025-07906-5","url":null,"abstract":"<p><strong>Background: </strong>In some patients who achieved complete remission (CR) of type 2 diabetes mellitus (T2DM) after sleeve gastrectomy with transit bipartition (TB), T2DM relapses after a while. ABCD scoring predicts the likelihood of remission following TB. However, the factors affecting T2DM relapse are unknown.</p><p><strong>Methods: </strong>The data of patients with CR after TB who were followed for more than 5 years was analyzed retrospectively.</p><p><strong>Results: </strong>The median follow-up of 56 patients, 29 of whom were female (51.8%), was 71 months (range: 61 to 101). Eleven of 56 patients (19.6%) had relapse in T2DM. Patients with an ABCD score less than 4 had a significantly higher rate of relapse. Its sensitivity and specificity rates were 90.9% and 93.3%, respectively. Preoperative C-peptide level (OR 0.032 [CI 0.003-0.295], p = 0.002), LDL-cholesterol level (OR 1.025 [CI 1.005-1.045], p = 0.013), duration of T2DM (OR 1.553 [1.216-1.983], p < 0.001), ABCD score (OR 0.047 [0.006-0.361], p = 0.003), and FIB-4 index (OR 6.073 [1.496-24.656], p = 0.012) were risk factors.</p><p><strong>Conclusions: </strong>Patients with longer durations of T2DM, higher LDL-cholesterol levels, lower C-peptide levels and ABCD scores, and worse liver fibrosis are at a higher risk of relapse after achieving initial CR of T2DM with TB.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2227-2233"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First-in-Human Linear Magnetic Jejuno-Ileal Bipartition: Preliminary Results with Incisionless, Sutureless, Swallowable Technique.","authors":"Michel Gagner, Martin Fried, David Michalsky, Karen Dolezalova, Petra Sramkova, Jan Brezina, Dasa Baliarova, Lucie Hlavata, Michal Novak, Jaroslav Bartos, Sarka Mullerova","doi":"10.1007/s11695-025-07861-1","DOIUrl":"10.1007/s11695-025-07861-1","url":null,"abstract":"<p><strong>Background: </strong>Minimally invasive surgery may be further advanced with the novel biofragmentable magnetic anastomosis compression system. Two magnets may be swallowed, or placed by flexible endoscopy, in a side-to-side magnetic jejuno-ileostomy (MagJI) bipartition for weight and type 2 diabetes (T2D) reduction. MagJI markedly reduces the major complications of enterotomy, stapling/suturing, and retained foreign materials.</p><p><strong>Methods: </strong>This was a prospective first-in-human investigation of feasibility, safety, and preliminary efficacy in adults with body mass index (BMI, kg/m²) ≥ 30.0- ≤ 40.0. After serial introduction via swallowing or endoscopy, linear magnets were laparoscopically guided to the distal ileum and proximal jejunum where they were aligned. Magnets fused over 7-21 days forming jejuno-ileostomy.</p><p><strong>Primary endpoints: </strong>feasibility and severe adverse event (SAEs) incidence (Clavien-Dindo grade); secondary endpoints: weight, T2D reduction.</p><p><strong>Results: </strong>Between 3-1 - 2024 and 6-30 - 2024, nine patients (mean BMI 37.3 ± 1.1) with T2D (all on T2D medications; mean HbA1_C 7.1 ± 0.2%, glucose 144.8 ± 14.3 mg/dL) underwent MagJI. Mean procedure time: both magnets swallowed, 86.7 ± 6.3 min; one magnet swallowed with second delivered endoscopically, 113.3 ± 17.0 min. Ninety-day feasibility confirmed in 100.0%: 0.0% bleeding, leakage, infection, mortality. Most AEs grade I-II; no SAEs. At 6-month radiologic confirmation, all anastomoses were patent. Excess weight loss 17.5 ± 2.8 kg; mean BMI reduction 2.2 ± 0.3, HbA1_C 6.1 ± 0.1% (p < 0.01), glucose 115.5 ± 6.5 mg/dL (p = 0.19); 83.0% dropped below 6.5% HbA1_C and had markedly reduced anti-T2D medications.</p><p><strong>Conclusions: </strong>The swallowable, biofragmentable magnetic anastomosis system appeared to be feasible and safe in achieving incisionless, sutureless jejuno-ileostomy. The first-in-human MagJI procedure may offer minimally complicated anastomosis creation and moderate MBS weight loss and T2D reduction.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2067-2080"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One-Year Outcomes of SADI-S in Chinese Patients with Type 2 Diabetes and BMI < 35 kg/m²: A Single-Center Retrospective Study.","authors":"Zheng Zhang, Tao Jiang","doi":"10.1007/s11695-025-07872-y","DOIUrl":"10.1007/s11695-025-07872-y","url":null,"abstract":"<p><strong>Background: </strong>There is limited evidence on the efficacy and safety of single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) in treating type 2 diabetes mellitus (T2DM) in patients with body mass index (BMI) < 35 kg/m².</p><p><strong>Methods: </strong>This study included clinical data from 22 T2DM patients with BMI < 35 kg/m² who received SADI-S treatment. Changes in diabetes-related indicators, weight-related indicators, and patient nutritional outcomes were analyzed.</p><p><strong>Results: </strong>SADI-S was successfully performed in all 22 cases, with no conversions to laparotomy or resulting deaths. The incidence of surgical complications was 4.54% (1/22). One-year postsurgery, there was a significant decrease in BMI from 32.42 ± 2.18 to 22.11 ± 1.86 kg/m² (P < 0.05) and a significant decrease in mean HbA1c from 8.76 ± 1.74 to 5.25 ± 0.76% (P < 0.05). The %EWL and %TWL were 145.78 ± 35.97% and 31.60 ± 6.34% respectively at 1 year. The remission rate for T2DM was 94.7% (18/19) at 1 year. Following SADI-S, the incidence rates of zinc deficiency and vitamin D deficiency at 1 year were 38.46% (5/13) and 30.77% (4/13), respectively, significantly higher than presurgery.</p><p><strong>Conclusions: </strong>SADI-S is considered an efficient, safe, and feasible surgical approach for patients with T2DM and a BMI < 35 kg/m². Nevertheless, additional research, including potentially multi-center collaborative studies, is warranted to assess the procedure's long-term outcomes.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2142-2149"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hair Loss and Metabolic and Bariatric Surgery: An Updated Systematic Review and Meta-analysis.","authors":"Nima Taghizadeh, Hussein Salhab, Ali Alirezaei, Khosrow Najjari, Wah Yang, Raziyhe Abedi-Kichi, Ali Esparham, Shahab Shahabi Shahmiri","doi":"10.1007/s11695-025-07903-8","DOIUrl":"10.1007/s11695-025-07903-8","url":null,"abstract":"<p><p>The current updated systematic review and meta-analysis aims to investigate the rate of hair loss after metabolic and bariatric surgery (MBS). A systematic search was done on PubMed, Scopus, Google Scholar, and Web of Science. The primary outcome of this study was to investigate the incidence of hair loss following MBS. In this meta-analysis of 41 articles with 7044 patients, our results showed that the incidence of hair loss after MBS was 47%. In addition, Roux-en-Y gastric bypass had a significantly higher rate of hair loss than sleeve gastrectomy (OR = 1.91). On the other hand, Roux-en-Y gastric bypass had a significantly lower rate of hair loss compared to duodenal switch (OR = 0.41). Hair loss is a common complication after MBS, especially after the duodenal switch and Roux-en-Y gastric bypass.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":"2370-2380"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Acceptability of Post-bariatric Nutritional-Behavioral and Supervised Exercise Intervention (BARI-LIFESTYLE): A Mixed Methods Evaluation.","authors":"Friedrich C Jassil, Raissa Hamelmann, Adrian Brown, Alisia Carnemolla, Helen Kingett, Jacqueline Doyle, Amy Kirk, Neville Lewis, Gemma Montagut, Parastou Marvasti, Kusuma Chaiyasoot, Roxanna Zakeri, Jessica Mok, Kalpana Devalia, Chetan Parmar, Janine Makaronidis, Rachel L Batterham","doi":"10.1007/s11695-025-07927-0","DOIUrl":"https://doi.org/10.1007/s11695-025-07927-0","url":null,"abstract":"<p><strong>Background: </strong>The BARI-LIFESTYLE trial explored the impacts of a combined nutritional-behavioral tele-counselling and supervised exercise intervention in the first year following bariatric surgery. While the program did not elicit additional weight loss or improvements in health outcomes, evaluating its acceptability remains critical to refining future research and intervention design.</p><p><strong>Methods: </strong>A mixed-methods approach was employed. First, the acceptability of the intervention program was determined through randomization refusal rate, dropout rate, intervention refusal rate, and attendance rate. Data from the self-reported exit questionnaire completed at the final study visit were analyzed using descriptive statistics, and free-text responses were examined using a content analysis approach.</p><p><strong>Results: </strong>A total of 79 participants (74.7% female; mean ± SD age 44.8 ± 10.8 years; mean BMI 42.1 ± 5.8 kg/m²) were randomly assigned to the BARI-LIFESTYLE program. The randomization refusal rate was 2%. The tele-counselling achieved high acceptability, as evidenced by a low refusal rate (1.3%), and high attendance (79%), with 96.8% reporting the sessions as useful. Qualitative data further highlighted its role in supporting post-bariatric surgery lifestyle adaptation. In contrast, the supervised exercise program exhibited moderate acceptability, with a higher refusal rate (21.6%) and an attendance rate of 72.4%. Despite this, 98.1% of regular attendees found the sessions beneficial, particularly for addressing physical and psychological barriers to exercise. Key barriers to participation in both interventions included competing demands and scheduling conflicts. To improve the acceptability of future interventions, recommendations include the integration of mobile technology, increasing the frequency of tele-counselling sessions, enhancing accessibility to exercise classes, and providing personalized exercise programs.</p><p><strong>Conclusions: </strong>Participant-reported outcomes suggest that the BARI-LIFESTYLE program provided holistic support, addressing diet, exercise, social, and psychological aspects of life after bariatric surgery.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Freedom of Choice in the United States: Patient Autonomy Is Driving Decision-Making in Bariatric Surgery.","authors":"Peter Habib, Christen Chaconas, Vadim Lyuksemburg, Marc Sarran, Francisco Quinteros, Rami Lutfi","doi":"10.1007/s11695-025-07918-1","DOIUrl":"https://doi.org/10.1007/s11695-025-07918-1","url":null,"abstract":"<p><strong>Background: </strong>Obesity affects over 650 million adults worldwide, with bariatric surgery being the most effective long-term treatment. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most commonly performed procedures in the USA. Increased access to online information allows patients to self-educate, often leading to predetermined surgical choices. This study evaluates how self-education influences decision-making and whether specialist consultation alters patient preferences.</p><p><strong>Methods: </strong>A prospective cohort study (May 2021-May 2022) included adults eligible for SG or RYGB. Patients completed surveys on surgical preferences and educational sources before receiving standardized consultations. Those with diabetes were presented with an evidence-based diabetes remission calculator (Cleveland Clinic, Individualized Metabolic Surgery Score). Final surgical choices were analyzed before and after consultation.</p><p><strong>Results: </strong>Among 429 patients, 74.1% had a predetermined surgical choice, with 81.4% preferring SG. Internet searches influenced 67%, and 51% self-referred via online research. Despite evidence-based recommendations, only 34% of diabetic patients changed their predetermined choice after consulting a specialist. Many remained committed to their preference despite objective data suggesting a more optimal option.</p><p><strong>Conclusions: </strong>Patient self-education, often based on non-evidence-based sources, significantly influences surgical decision-making, sometimes contradicting medical recommendations. This presents a challenge for healthcare providers striving to balance patient autonomy with evidence-based care. More patients are arriving with predetermined surgical choices, effective strategies are needed to navigate these dynamics, enhance patient understanding, and optimize both surgical outcomes and satisfaction.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Staying on Track: Factors Influencing 10-Year Follow-Up Adherence After Sleeve Gastrectomy.","authors":"Natalia Dowgiałło-Gornowicz, Mateusz Wityk, Paweł Lech","doi":"10.1007/s11695-025-07954-x","DOIUrl":"https://doi.org/10.1007/s11695-025-07954-x","url":null,"abstract":"<p><strong>Background: </strong>Sleeve gastrectomy (SG) is currently the most frequently performed bariatric procedure worldwide. While its popularity continues to grow due to favorable surgical outcomes and acceptable complication rates, maintaining long-term postoperative follow-up remains a major challenge. This study aimed to identify factors influencing adherence to 10-year follow-up in patients who underwent SG and to evaluate their long-term clinical outcomes.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 150 patients who underwent SG between 2013 and 2014 at a single center in Poland. Data included demographics, obesity-related diseases, surgical details, and follow-up adherence. Logistic regression was used to identify predictors of long-term follow-up. Outcomes such as weight loss, obesity-related diseases remission, and surgical complications were assessed in accordance with ASMBS guidelines.</p><p><strong>Results: </strong>Of 150 patients, 101 (67.3%) completed the 10-year follow-up. Age was the only independent predictor of long-term follow-up adherence (OR = 1.03, CI = 1.00-1.07, p = 0.048). Neither distance from the hospital nor size of the city of residence significantly impacted follow-up rates. Among the patients with follow-up, the median total weight loss (%TWL) was 21.5%, and remission of type 2 diabetes and hypertension occurred in 55.6% and 36.8% of patients, respectively. Additional surgery was performed in 16 patients, mainly due to recurrent weight gain and gastroesophageal reflux disease. Complication rate was 4.0%, with no mortality reported.</p><p><strong>Conclusions: </strong>Older patients had slightly higher follow-up adherence after SG. Despite multiple measures to maintain contact, a substantial proportion of patients were lost to follow-up.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Bariatric Surgery on Long Term Outcomes of Patients Undergoing Joint Arthroplasty: A Meta-Analysis.","authors":"Yuan Feng, Hongqing Ju, Lili Chen, Yan Zhou","doi":"10.1007/s11695-025-07953-y","DOIUrl":"https://doi.org/10.1007/s11695-025-07953-y","url":null,"abstract":"<p><strong>Background: </strong>Bariatric surgery is increasingly performed in obese patients, and its potential impact on subsequent joint arthroplasty outcomes remains unclear. Understanding this relationship is essential, as obesity significantly influences joint health and surgical success. This meta-analysis aims to assess the influence of bariatric surgery on various long-term outcomes following joint arthroplasty, specifically examining whether bariatric surgery affects the risk of complications post-surgery.</p><p><strong>Methods: </strong>A systematic search was conducted across Scopus, EMBASE, PubMed, Chinese National Knowledge Infrastructure, WangFeng databases, Cochrane Library, and Google Scholar. Nineteen studies were included, and data were pooled using a random-effects inverse-variance model with a DerSimonian-Laird estimate of tau². Subgroup analyses were performed for total knee arthroplasty, total hip arthroplasty, and either procedure.</p><p><strong>Results: </strong>Prior bariatric surgery showed no significant effect on the overall risk of periprosthetic infections (OR 1.018, 95% CI: 0.694 to 1.493), fractures (OR 1.052, 95% CI: 0.880 to 1.259), or revision rates (OR 1.169, 95% CI: 0.903 to 1.514). However, an increased risk of dislocation was observed in the total hip arthroplasty subgroup (OR 1.918, 95% CI: 1.036 to 3.552). High heterogeneity was noted across several outcomes.</p><p><strong>Conclusions: </strong>Bariatric surgery does not significantly impact most long-term joint arthroplasty outcomes, although it may increase the risk of dislocation in total hip arthroplasty patients. These findings underscore the importance of considering a patient's surgical history in preoperative evaluations for joint arthroplasty, particularly in the context of obesity management and its implications for surgical outcomes.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-Term Safety and Complication Profile of Outpatient SADI-S: A Comprehensive Multicenter Analysis.","authors":"Tatum Cottam, Amit Surve, Daniel Cottam, Riley Ward, Walter Medlin, Bo Neichoy, Bleu Schniederjan, Sunil Sharma, Brian Mooers, Calista Kee, David Daynes","doi":"10.1007/s11695-025-07944-z","DOIUrl":"https://doi.org/10.1007/s11695-025-07944-z","url":null,"abstract":"<p><strong>Background: </strong>Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), is an effective weight-loss surgery for clinically severe obesity and has established safety profiles in inpatient hospital settings. However, its safety in outpatient settings with same-day discharge remains unexplored.</p><p><strong>Objective: </strong>The study aimed to evaluate the short-term safety and complication profile of primary SADI-S procedures performed in outpatient settings across multiple centers.</p><p><strong>Methods: </strong>A retrospective analysis was performed using data from a prospectively maintained database, encompassing 327 instances of outpatient primary SADI-S procedures conducted between May 2020 and January 2023. Six surgeons performed these procedures at three distinct U.S. surgical centers. No standardized surgical techniques or enhanced recovery after surgery protocols were uniformly applied across these centers.</p><p><strong>Results: </strong>A total of 327 patients were included in the final analysis. The mean preoperative BMI was 45.2 ± 7.2 kg/m². Preoperative obstructive sleep apnea (26.2%), hypertension (25.3%), gastroesophageal reflux disease (22%), hyperlipidemia (18.9%), and type 2 diabetes (16.2%) were observed in the patient cohort. Intraoperative complications occurred in .3% of cases, with no instances of open conversion. The mean skin-to-skin operative time was 65.2 ± 24.6 min, and the average length of stay was 5 h and 7 min ± 2 h. The 30-day rates of complication, reintervention, ER visits, readmissions, and reoperations were 3.6%, 1.8%, 1.5%, .9%, and .9%, respectively.</p><p><strong>Conclusion: </strong>In carefully selected patients, outpatient SADI-S was associated with favorable short-term safety outcomes, including low rates of complications, reinterventions, and readmissions, suggesting feasibility in specialized centers pending further prospective validation.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}