Pernaute, E Martín-‐Antona, M Josa, V Muñoz, E

A Sánchez-‐Pernaute, E Martín-‐Antona, M Josa, V Muñoz, E Pérez-‐Aguirre, MA Rubio, AJ Torres. Hospital Clínico ... Long-‐term follow up. Weight los failure.
871KB Größe 6 Downloads 33 vistas
Single-­‐Anastomosis  Duodeno-­‐Ileal bypass  as  a  second step after sleeve gastrectomy.  Long-­‐term follow up. A  Sánchez-­‐Pernaute,  E  Martín-­‐Antona,  M  Josa,  V  Muñoz,  E  Pérez-­‐Aguirre,  MA  Rubio,  AJ  Torres Hospital  Clínico  San  Carlos,  Madrid  -­‐ Spain Patients &  Method 24  👩

N  =35 Weight los  failure or Programmed

11  👨

Age – 42 BMI  – 53 T2DM  – 43% 6  Oral 5  Insulin 17  – HT 15  -­‐ OSA Common limb:   250  – 300  cm

T2DM 93%  remission 1  under treatment

Results

Weight loss

1.  Sleeve No  complications Max  EWL:  60,9%,  mean  time:  12  months

Max

2nd  step 82

86 75

75

61

2.  SADI

42

No  complications 33  months (11  – 111)  from the sleeve Mean  EWL:  42%  (20  – 69) F.Up:    2  lost 1st  y      2nd  y      3rd  y      4th  y      5th  y 35

24

20                16              11

CONCLUSIONS Safe Procedure &  Good Weight Loss

Supplementation Iron:  54% Calcium:  51% Vitamin D:  66%

Failures Malnutrition – 1  case,  2,8%  -­‐ liver failure – proximalization Insufficient weight loss – 2  cases,   5,7%  -­‐ re-­‐sleeve

72