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Chiappetta S, Stier C, Scheffel O, et al. The first case report of failed single-anastomosis-duodeno-ileal bypass converted to One anastomosis gastric bypass/Mini-gastric bypass. Int J Surg Case Rep. 2017;35:68-72doi: 10.1016/j.ijscr.2017.04.020.
Chiappetta, S., Stier, C., Scheffel, O., Theodoridou, S., & Weiner, R. (2017). The first case report of failed single-anastomosis-duodeno-ileal bypass converted to One anastomosis gastric bypass/Mini-gastric bypass. International journal of surgery case reports, 3568-72. https://doi.org/10.1016/j.ijscr.2017.04.020
Chiappetta, Sonja, et al. "The first case report of failed single-anastomosis-duodeno-ileal bypass converted to One anastomosis gastric bypass/Mini-gastric bypass." International journal of surgery case reports vol. 35 (2017): 68-72. doi: https://doi.org/10.1016/j.ijscr.2017.04.020
Chiappetta S, Stier C, Scheffel O, Theodoridou S, Weiner R. The first case report of failed single-anastomosis-duodeno-ileal bypass converted to One anastomosis gastric bypass/Mini-gastric bypass. Int J Surg Case Rep. 2017;35:68-72. doi: 10.1016/j.ijscr.2017.04.020. Epub 2017 Apr 18. PMID: 28448862; PMCID: PMC5406540.
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Int J Surg Case Rep. 2017;35:68-72. doi: 10.1016/j.ijscr.2017.04.020. Epub 2017 Apr 18.

The first case report of failed single-anastomosis-duodeno-ileal bypass converted to One anastomosis gastric bypass/Mini-gastric bypass.

International journal of surgery case reports

Sonja Chiappetta, Christine Stier, Oliver Scheffel, Sophia Theodoridou, Rudolf Weiner

Affiliations

  1. Department of Obesity and Metabolic Surgery, Sana Klinikum Offenbach, Offenbach/Main, Germany. Electronic address: [email protected].
  2. Department of Obesity and Metabolic Surgery, Sana Klinikum Offenbach, Offenbach/Main, Germany. Electronic address: [email protected].
  3. Department of Obesity and Metabolic Surgery, Sana Klinikum Offenbach, Offenbach/Main, Germany. Electronic address: [email protected].
  4. Department of Obesity and Metabolic Surgery, Sana Klinikum Offenbach, Offenbach/Main, Germany. Electronic address: [email protected].
  5. Department of Obesity and Metabolic Surgery, Sana Klinikum Offenbach, Offenbach/Main, Germany. Electronic address: [email protected].

PMID: 28448862 PMCID: PMC5406540 DOI: 10.1016/j.ijscr.2017.04.020

Abstract

INTRODUCTION: The established single-anastomosis-duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is based on a sleeve gastrectomy (SG) as the restrictive part of the procedure. Due to preserved pylorus, SG has the disadvantage of a high-pressure system with de novo or worsening of existing gastroesophageal reflux disease (GERD).

CASE PRESENTATION: A female patient presented herself due to protracted GERD and weight regain after multiple bariatric surgeries. At an initial weight of 158kg (BMI 62.5kg/m

CONCLUSION: SG as the restrictive part of SADI-S may lead to GERD and consequently to pathologic eating of "soft" calories, that defeats the operation and results in weight regain. OAGB/MGB might be a simple method to rescue such failed SADI-S patients.

Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Keywords: Case report; GERD; OAGB/MGB; Revisional surgery; SADI-S; Weight regain

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