关键词: 胃袖状切除术, 单吻合口十二指肠-回肠旁路术, 减重与代谢手术, 营养不良, 胃食管反流病, 胆汁反流, 肥胖, 糖尿病

Abstract: The value, existing problems and countermeasures of single anastomosis duodenal-ileal bypass with sleeve gastrectomy in the treatment of obesity and metabolic diseases        JIANG Tao*,WANG Lun, HU Li-fu. *Department of Bariatric and Metabolic Surgery & Department of Hepatobiliary-Pancreatic Surgery, China-Japan Union Hospital of Jilin University, Changchun 130033,China
Corresponding author: JIANG Tao, E-mail: jiangtao99@jlu.edu.cn
Abstract    As a revision surgery of biliopancreatic diversion with duodenal switch (BPD-DS), single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) has shown a very significant curative effect on obesity and metabolic diseases, and its effect is much greater than sleeve gastrectomy and Roux-en-Y gastric bypass, and it has lower operation difficulty and fewer surgical complications than the later. Therefore, the value of SADI-S in the treatment of obesity and metabolic diseases should be fully affirmed. Nevertheless, there are still a small number of patients who experienced dystrophic liver disease, hypoalbuminemia, and bile reflux after SADI-S, which is the major reason for revision surgery, facing these problems is conducive to better use of this operation in the treatment of patients with obesity. Based on the existing literature and the author’s experience, we suggests that strict preoperative screening for patients, precise measurement of intestine during operation, formulation “personalized” common channel parameters, and strict postoperative follow-up are effective measures to reduce malnutrition and reflux after SADI-S.

Key words: sleeve gastrectomy, single anastomosis duodenal-ileal bypass, metabolic and bariatric surgery, malnutrition, gastroesophageal reflux disease, bile reflux, obesity, diabetes mellitus