Digestive Disease Interventions 2021; 05(04): 338-345
DOI: 10.1055/s-0041-1736171
Review Article

Single-Anastomosis Procedures in Metabolic Surgery

Yaqeen Qudah
1   Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
,
Juan S. Barajas-Gamboa
1   Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
,
Helen Sun
1   Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
,
Gabriel Díaz Del Gobbo
1   Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
,
Matthew Kroh
1   Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
2   Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio
,
Ricard Corcelles
1   Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
2   Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio
› Author Affiliations

Abstract

The most effective long-term treatment for severe obesity is bariatric surgery with improvement or resolution of obesity-related comorbidities. Single-anastomosis procedures including single-anastomosis duodenoileal bypass and one-anastomosis gastric bypass are relatively new procedures that are gaining popularity worldwide. These surgical techniques are perceived to be less complex with a shorter learning curve in comparison to the standard biliopancreatic diversion with duodenal switch and Roux-en-Y gastric bypass; however, long-term outcomes and complications remain controversial. This article aims to review one-anastomosis procedures, evaluate their outcomes, and review potential complications.



Publication History

Received: 04 January 2021

Accepted: 29 July 2021

Article published online:
15 November 2021

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  • References

  • 1 English WJ, DeMaria EJ, Hutter MM. et al. American Society for Metabolic and Bariatric Surgery 2018 estimate of metabolic and bariatric procedures performed in the United States. Surg Obes Relat Dis 2020; 16 (04) 457-463
  • 2 Sánchez-Pernaute A, Rubio Herrera MA, Pérez-Aguirre E. et al. Proximal duodenal-ileal end-to-side bypass with sleeve gastrectomy: proposed technique. Obes Surg 2007; 17 (12) 1614-1618
  • 3 Surve A, Zaveri H, Cottam D, Belnap L, Medlin W, Cottam A. Mid-term outcomes of gastric bypass weight loss failure to duodenal switch. Surg Obes Relat Dis 2016; 12 (09) 1663-1670
  • 4 Lee Y, Ellenbogen Y, Doumouras AG, Gmora S, Anvari M, Hong D. Single- or double-anastomosis duodenal switch versus Roux-en-Y gastric bypass as a revisional procedure for sleeve gastrectomy: a systematic review and meta-analysis. Surg Obes Relat Dis 2019; 15 (04) 556-566
  • 5 Surve A, Cottam D, Sanchez-Pernaute A. et al. The incidence of complications associated with loop duodeno-ileostomy after single-anastomosis duodenal switch procedures among 1328 patients: a multicenter experience. Surg Obes Relat Dis 2018; 14 (05) 594-601
  • 6 Brown WA, Ooi G, Higa K, Himpens J, Torres A. IFSO-Appointed Task Force Reviewing the Literature on SADI-S/OADS. Single anastomosis duodenal-ileal bypass with sleeve gastrectomy/one anastomosis duodenal switch (SADI-S/OADS) IFSO position statement. Obes Surg 2018; 28 (05) 1207-1216
  • 7 Kallies K, Rogers AM. American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. American Society for Metabolic and Bariatric Surgery updated statement on single-anastomosis duodenal switch. Surg Obes Relat Dis 2020; 16 (07) 825-830
  • 8 Cylke R, Skrzypek P, Ziemiański P, Domienik-Karlowicz J, Kosieradzki M, Lisik W. Single-anastomosis duodeno-ileal - new revision procedure in a patient with insufficient weight loss after sleeve gastrectomy. Wideochir Inne Tech Malo Inwazyjne 2018; 13 (03) 407-411
  • 9 Shoar S, Poliakin L, Rubenstein R, Saber AA. Single anastomosis duodeno-ileal switch (SADIS): a systematic review of efficacy and safety. Obes Surg 2018; 28 (01) 104-113
  • 10 Tat C, Del Gobbo GD, Klingler M, Corcelles R, How I. How i do it: robotic single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADIS). J Gastrointest Surg 2020; 24 (12) 2893-2895
  • 11 Tarascó Palomares J, Caballero Boza A, Sánchez Haro E, Herrero Vicente C, Moreno Santabàrbara P. Really totally robotic SADI-S in a patient with extreme morbid obesity and non-reducible umbilical hernia: case report. Obes Surg 2020; 30 (10) 4171-4173
  • 12 Surve A, Rao R, Cottam D. et al. Early outcomes of primary SADI-S: an Australian experience. Obes Surg 2020; 30 (04) 1429-1436
  • 13 Mahawar KK. Defining short-term, medium-term, long-term, and very long-term follow-up after bariatric surgery. Obes Surg 2018; 28 (05) 1425-1426
  • 14 Ceha CMM, van Wezenbeek MR, Versteegden DPA, Smulders JF, Nienhuijs SW. Matched short-term results of SADI versus GBP after sleeve gastrectomy. Obes Surg 2018; 28 (12) 3809-3814
  • 15 Moon RC, Kirkpatrick V, Gaskins L, Teixeira AF, Jawad MA. Safety and effectiveness of single- versus double-anastomosis duodenal switch at a single institution. Surg Obes Relat Dis 2019; 15 (02) 245-252
  • 16 Zaveri H, Surve A, Cottam D. et al. Mid-term 4-year outcomes with single anastomosis duodenal-ileal bypass with sleeve gastrectomy surgery at a single US center. Obes Surg 2018; 28 (10) 3062-3072
  • 17 Finno P, Osorio J, García-Ruiz-de-Gordejuela A. et al. Single versus double-anastomosis duodenal switch: single-site comparative cohort study in 440 consecutive patients. Obes Surg 2020; 30 (09) 3309-3316
  • 18 Cottam S, Ng P, Sharp L, Medlin W, Cottam DR. Single-anastomosis duodenal ileostomy with sleeve is a safe and effective option for patients in an ambulatory surgical center. Surg Obes Relat Dis 2019; 15 (11) 1990-1993
  • 19 Moon RC, Gaskins L, Teixeira AF, Jawad MA. Safety and effectiveness of single-anastomosis duodenal switch procedure: 2-year result from a single US institution. Obes Surg 2018; 28 (06) 1571-1577
  • 20 Laferrère B. Diabetes remission after bariatric surgery: is it just the incretins?. Int J Obes 2011; 35 (Suppl. 03) S22-S25
  • 21 Lebel S, Dion G, Marceau S, Biron S, Robert M, Biertho L. Clinical outcomes of duodenal switch with a 200-cm common channel: a matched, controlled trial. Surg Obes Relat Dis 2016; 12 (05) 1014-1020
  • 22 Sánchez-Pernaute A, Rubio MÁ, Cabrerizo L, Ramos-Levi A, Pérez-Aguirre E, Torres A. Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) for obese diabetic patients. Surg Obes Relat Dis 2015; 11 (05) 1092-1098
  • 23 Cottam A, Cottam D, Medlin W. et al. A matched cohort analysis of single anastomosis loop duodenal switch versus Roux-en-Y gastric bypass with 18-month follow-up. Surg Endosc 2016; 30 (09) 3958-3964
  • 24 Surve A, Cottam D, Medlin W. et al. Long-term outcomes of primary single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). Surg Obes Relat Dis 2020; 16 (11) 1638-1646
  • 25 Topart P, Becouarn G. The single anastomosis duodenal switch modifications: a review of the current literature on outcomes. Surg Obes Relat Dis 2017; 13 (08) 1306-1312
  • 26 Horsley B, Cottam D, Cottam A. et al. Bowel reconstruction to treat chronic diarrhea and hypoproteinemia following single anastomosis duodenal-ileal bypass with sleeve gastrectomy: a single-site experience. Obes Surg 2019; 29 (08) 2387-2391
  • 27 Jammu GS, Sharma R. A 7-year clinical audit of 1107 cases comparing sleeve gastrectomy, Roux-en-Y gastric bypass, and mini-gastric bypass, to determine an effective and safe bariatric and metabolic procedure. Obes Surg 2016; 26 (05) 926-932
  • 28 Noun R, Skaff J, Riachi E, Daher R, Antoun NA, Nasr M. One thousand consecutive mini-gastric bypass: short- and long-term outcome. Obes Surg 2012; 22 (05) 697-703
  • 29 Surve A, Cottam D, Horsley B. Internal hernia following primary laparoscopic SADI-S: the first reported case. Obes Surg 2020; 30 (05) 2066-2068
  • 30 Ansar H, Zamaninour N, Pazouki A, Kabir A. Weight loss after one anastomosis gastric bypass-mini gastric bypass (OAGB-MGB): patient-related perioperative predictive factors. Obes Surg 2020; 30 (04) 1316-1323
  • 31 Khrucharoen U, Juo YY, Chen Y, Dutson EP. Indications, operative techniques, and outcomes for revisional operation following mini-gastric bypass-one anastomosis gastric bypass: a systematic review. Obes Surg 2020; 30 (04) 1564-1573
  • 32 Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis 2009; 5 (04) 469-475
  • 33 Yashkov Y, Bordan N, Torres A, Malykhina A, Bekuzarov D. SADI-S 250 vs Roux-en-Y duodenal switch (RY-DS): results of 5-year observational study. Obes Surg 2021; 31 (02) 570-579
  • 34 Pereira AM, Guimarães M, Pereira SS, Ferreira de Almeida R, Monteiro MP, Nora M. Single and dual anastomosis duodenal switch for obesity treatment: a single-center experience. Surg Obes Relat Dis 2021; 17 (01) 12-19
  • 35 Topart P, Becouarn G, Sallé A, Ritz P. Biliopancreatic diversion requires multiple vitamin and micronutrient adjustments within 2 years of surgery. Surg Obes Relat Dis 2014; 10 (05) 936-941
  • 36 Sanchez-Pernaute. Single anastomosis duodeno-ileal bypass vs standard duodenal switch as a second step after sleeve gastrectomy in the super-morbid obese patient (SADI vs CD). September 14, 2012. NCT01685177.
  • 37 De Luca M, Tie T, Ooi G. et al. Mini gastric bypass-one anastomosis gastric bypass (MGB-OAGB)-IFSO position statement. Obes Surg 2018; 28 (05) 1188-1206
  • 38 Parikh M, Eisenberg D, Johnson J, El-Chaar M. American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. American Society for Metabolic and Bariatric Surgery review of the literature on one-anastomosis gastric bypass. Surg Obes Relat Dis 2018; 14 (08) 1088-1092
  • 39 Rheinwalt KP, Plamper A, Rückbeil MV, Kroh A, Neumann UP, Ulmer TF. One anastomosis gastric bypass-mini-gastric bypass (OAGB-MGB) versus Roux-en-Y gastric bypass (RYGB) - a mid-term cohort study with 612 patients. Obes Surg 2020; 30 (04) 1230-1240
  • 40 Angrisani L, Santonicola A, Iovino P. et al. IFSO Worldwide Survey 2016: primary, endoluminal, and revisional procedures. Obes Surg 2018; 28 (12) 3783-3794
  • 41 Ruiz-Mar G, Ruelas-Ayala A, Ornelas-Oñate LA, Ramirez-Velasquez JE. The one anastomosis gastric bypass technique: results after one year of follow-up. Arq Bras Cir Dig 2019; 32 (04) e1476
  • 42 Elgeidie A, Abou El-Magd ES, Elghadban H, Abdelgawad M, Hamed H. Protein energy malnutrition after one-anastomosis gastric bypass with a biliopancreatic limb ≤200 cm: a case series. J Laparoendosc Adv Surg Tech A 2020; 30 (12) 1320-1328
  • 43 Aleman R, Lo Menzo E, Szomstein S, Rosenthal RJ. Efficiency and risks of one-anastomosis gastric bypass. Ann Transl Med 2020; 8 (Suppl. 01) S7
  • 44 Marc-Hernández A, Ruiz-Tovar J, Jimenez JM. et al. Short-term changes on body composition and bone mass after one-anastomosis gastric bypass: a prospective observational study. Obes Surg 2020; 30 (09) 3514-3521
  • 45 Salman MA, Abdallah A, Mikhail HMS. et al. Long-term impact of mini-gastric bypass on inflammatory cytokines in cohort of morbidly obese patients: a prospective study. Obes Surg 2020; 30 (06) 2338-2344
  • 46 Neuberg M, Blanchet MC, Gignoux B, Frering V. Long-term outcomes after one-anastomosis gastric bypass (OAGB) in morbidly obese patients. Obes Surg 2020; 30 (04) 1379-1384
  • 47 Lessing Y, Nevo N, Pencovich N. et al. One anastomosis gastric bypass as a revisional procedure after failed laparoscopic adjustable gastric banding. Obes Surg 2020; 30 (09) 3296-3300
  • 48 Scavone G, Caltabiano DC, Gulino F. et al. Laparoscopic mini/one anastomosis gastric bypass: anatomic features, imaging, efficacy and postoperative complications. Updates Surg 2020; 72 (02) 493-502
  • 49 Magouliotis DE, Tasiopoulou VS, Svokos AA, Svokos KA, Sioka E, Zacharoulis D. One-anastomosis gastric bypass versus sleeve gastrectomy for morbid obesity: a systematic review and meta-analysis. Obes Surg 2017; 27 (09) 2479-2487
  • 50 de la Cruz M, Büsing M, Dukovska R, Torres AJ, Reiser M. Short- to medium-term results of single-anastomosis duodeno-ileal bypass compared with one-anastomosis gastric bypass for weight recidivism after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis 2020; 16 (08) 1060-1066
  • 51 Rutledge R, Walsh TR. Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients. Obes Surg 2005; 15 (09) 1304-1308
  • 52 Lee WJ, Lin YH. Single-anastomosis gastric bypass (SAGB): appraisal of clinical evidence. Obes Surg 2014; 24 (10) 1749-1756
  • 53 Lee WJ, Yu PJ, Wang W, Chen TC, Wei PL, Huang MT. Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial. Ann Surg 2005; 242 (01) 20-28
  • 54 Piazza L, Ferrara F, Leanza S. et al. Laparoscopic mini-gastric bypass: short-term single-institute experience. Updates Surg 2011; 63 (04) 239-242
  • 55 Khalaj A, Mousapour P, Motamedi MAK. et al. Comparing the efficacy and safety of Roux-en-Y gastric bypass with one-anastomosis gastric bypass with a biliopancreatic limb of 200 or 160 cm: 1-year results of the Tehran Obesity Treatment Study (TOTS). Obes Surg 2020; 30 (09) 3528-3535
  • 56 Parmar CD, Zakeri R, Mahawar K. A systematic review of one anastomosis/mini gastric bypass as a metabolic operation for patients with body mass index ≤ 35 kg/m2 . Obes Surg 2020; 30 (02) 725-735
  • 57 Lee WJ, Almalki OM, Ser KH, Chen JC, Lee YC. Randomized controlled trial of one anastomosis gastric bypass versus Roux-en-Y gastric bypass for obesity: comparison of the YOMEGA and Taiwan studies. Obes Surg 2019; 29 (09) 3047-3053
  • 58 Sohrabi Maralani M, Azadnajafabad S, Elyasinia F. et al. Postoperative outcomes and advantages of hand-sewn laparoscopic one-anastomosis gastric bypass: experience on 805 patients. Obes Surg 2021; 31 (02) 627-633
  • 59 Genser L, Carandina S, Tabbara M. et al. Presentation and surgical management of leaks after mini-gastric bypass for morbid obesity. Surg Obes Relat Dis 2016; 12 (02) 305-312
  • 60 Mahawar K. We should now study bilio-pancreatic limb of 100 cm with one anastomosis gastric bypass. Obes Surg 2021; 31 (02) 877-878
  • 61 Hussain A, El-Hasani S. Anastomotic gastrojejunal ulcer perforation following one anastomosis gastric bypass. Obes Surg 2021; 31 (03) 1334-1335
  • 62 Carbajo MA, Luque-de-León E, Jiménez JM, Ortiz-de-Solórzano J, Pérez-Miranda M, Castro-Alija MJ. Laparoscopic one-anastomosis gastric bypass: technique, results, and long-term follow-up in 1200 patients. Obes Surg 2017; 27 (05) 1153-1167
  • 63 Kermansaravi M, Abbas A, Pishgahroudsari M, Pazouki A. Short-term outcomes of the conversion of one anastomosis gastric bypass to Roux-en-Y gastric bypass in symptomatic reflux patients without revising the size of the gastric pouch. J Minim Access Surg 2021; 17 (03) 318-321
  • 64 Baker RS, Foote J, Kemmeter P, Brady R, Vroegop T, Serveld M. The science of stapling and leaks. Obes Surg 2004; 14 (10) 1290-1298 [published correction appears in Obes Surg 2013;23(12):2124]
  • 65 Nevo N, Lessing Y, Abu-Abeid S. et al. Roux-en-Y gastric bypass versus one anastomosis gastric bypass as a preferred revisional bariatric surgery after a failed silastic ring vertical gastroplasty. Obes Surg 2021; 31 (02) 654-658
  • 66 Musella M, Susa A, Manno E. et al. Complications following the mini/one anastomosis gastric bypass (MGB/OAGB): a multi-institutional survey on 2678 patients with a mid-term (5 years) follow-up. Obes Surg 2017; 27 (11) 2956-2967
  • 67 Chevallier JM, Arman GA, Guenzi M. et al. One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. Obes Surg 2015; 25 (06) 951-958
  • 68 Kansou G, Lechaux D, Delarue J. et al. Laparoscopic sleeve gastrectomy versus laparoscopic mini gastric bypass: one year outcomes. Int J Surg 2016; 33 (Pt A): 18-22
  • 69 Amor IB, Petrucciani N, Kassir R. et al. Laparoscopic conversion of one anastomosis gastric bypass to a standard Roux-en-Y gastric bypass. Obes Surg 2017; 27 (05) 1398
  • 70 Kermansaravi M, Pishgahroudsari M, Kabir A, Abdolhosseini MR, Pazouki A. Weight loss after one-anastomosis/mini-gastric bypass - the impact of biliopancreatic limb: a retrospective cohort study. J Res Med Sci 2020; 25: 5
  • 71 Solouki A, Kermansaravi M, Davarpanah Jazi AH, Kabir A, Farsani TM, Pazouki A. One-anastomosis gastric bypass as an alternative procedure of choice in morbidly obese patients. J Res Med Sci 2018; 23: 84
  • 72 Abou Hussein B, Al Marzouqi O, Khammas A. Anastomotic gastro-jejunal ulcer perforation following one anastomosis gastric bypass: clinical presentation and options of management-case series and review of literature. Obes Surg 2020; 30 (06) 2423-2428
  • 73 Poublon N, Chidi I, Bethlehem M. et al. One anastomosis gastric bypass vs. Roux-en-Y gastric bypass, remedy for insufficient weight loss and weight regain after failed restrictive bariatric surgery. Obes Surg 2020; 30 (09) 3287-3294
  • 74 Bashah M, Aleter A, Baazaoui J, El-Menyar A, Torres A, Salama A. Single anastomosis duodeno-ileostomy (SADI-S) versus one anastomosis gastric bypass (OAGB-MGB) as revisional procedures for patients with weight recidivism after sleeve gastrectomy: a comparative analysis of efficacy and outcomes. Obes Surg 2020; 30 (12) 4715-4723
  • 75 Landreneau JP, Barajas-Gamboa JS, Strong AT, Corcelles R, Kroh MD. Conversion of one-anastomosis gastric bypass to Roux-en-Y gastric bypass: short-term results from a tertiary referral center. Surg Obes Relat Dis 2019; 15 (11) 1896-1902
  • 76 Chen CY, Lee WJ, Lee HM. et al. Laparoscopic conversion of gastric bypass complication to sleeve gastrectomy: technique and early results. Obes Surg 2016; 26 (09) 2014-2021
  • 77 Genser L, Soprani A, Tabbara M, Siksik JM, Cady J, Carandina S. Laparoscopic reversal of mini-gastric bypass to original anatomy for severe postoperative malnutrition. Langenbecks Arch Surg 2017; 402 (08) 1263-1270
  • 78 Ramos AC, Chevallier JM, Mahawar K. et al; IFSO Consensus Conference Contributors. IFSO (International Federation for Surgery of Obesity and Metabolic Disorders) Consensus Conference Statement on One-Anastomosis Gastric Bypass (OAGB-MGB): results of a Modified Delphi Study. Obes Surg 2020; 30 (05) 1625-1634
  • 79 Level L, Rojas A, Piñango S, Avariano Y. One anastomosis gastric bypass vs. Roux-en-Y gastric bypass: a 5-year follow-up prospective randomized trial. Langenbecks Arch Surg 2021; 406 (01) 171-179
  • 80 Robert M, Espalieu P, Pelascini E. et al. Efficacy and safety of one anastomosis gastric bypass versus Roux-en-Y gastric bypass for obesity (YOMEGA): a multicentre, randomised, open-label, non-inferiority trial. Lancet 2019; 393 (10178): [published correction appears in Lancet 201930;393(10178):1298] 1299-1309