Single-Anastomosis Pylorus-Preserving Bariatric Procedures: Review of the Literature

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• 作者：Francesco Martini ; Luca Paolino ; Ettore Marzano ; Jacopo D’Agostino…
• 关键词：Single anastomosis ; Omega loop ; Pylorus preserving ; Duodeno ; ileal bypass ; Duodeno ; jejunal bypass ; SADI
• 刊名：Obesity Surgery
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：26
• 期：10
• 页码：2503-2515
• 全文大小：452 KB
• 刊物主题：Surgery;
• 出版者：Springer US
• ISSN：1708-0428
• 卷排序：26

文摘

Single-anastomosis pylorus-preserving procedures (SAPPP) were recently introduced into bariatric surgery in order to combine the physiologic advantages of a post-pyloric reconstruction with the technical advantages of an omega loop. Surgery consists of a sleeve gastrectomy that is performed first, followed by a duodeno-enterostomy. Two main variants exist: proximal and distal SAPPP, with duodeno-jejunostomy and duodeno-ileostomy, respectively. This review describes the SAPPP reported in the literature and analyzes their outcomes in comparison with the most frequently performed bariatric techniques. Preliminary results appear as promising in terms of both safety and effectiveness on weight loss and comorbidities improvement.