Bibliographic Details
| Title: |
Primer SADI-S en el Instituto Mexicano del Seguro Social. |
| Alternate Title: |
First SADI-S in the Mexican Institute of Social Security. |
| Authors: |
Alberto Gutiérrez-Rojas, Carlos1 laparoscopicaybariatrica@gmail.com, Daniel Alvarez-Sores, Erik1, Lara-Mejía, Aldo1, Fernando Cabrera-Eraso, Diego1, Manuel Vargas-Sahagún, César1, Antonio Martínez-Ortiz, César1 |
| Source: |
Revista Medica del IMSS. jul/ago2024, Vol. 62 Issue 4, p1-7. 7p. |
| Abstract (English): |
Background: Sleeve gastrectomy is the most frequently performed bariatric surgery, however several patients did not achieve satisfactory weight loss or suffer of weight regain. The SADI-S has been proposed as an acceptable revision surgery with good results and low complications rate. Our objective is to present the first case of SADI-S performed in the Mexican Institute of Social Security as surgical revision after sleeve gastrectomy for weight regain. Clinic case: A 50-year-old man presented with a history of type 3 obesity, hypertension, dyslipidemia, and obstructive sleep apnea, summited to sleeve gastrectomy on 2019 with weight regain of 49.5 % of excess weight lost in 2 years so we decided to perform a SADI, with preoperative weight 138 kg and BMI 40.3 kg/m2. The surgery occurred without complications, and he was discharged on postoperative day 2. At six months of follow-up continue with satisfactory weight loss, comorbidities remission, asymptomatic and laboratory tests without data of malnutrition or anemia. Conclusions: The SADI-S seems to be the best option for revisional surgery after sleeve gastrectomy for unsatisfied weight loss or weight regain, so it was the procedure of choice in our case with satisfactory outcomes. We consider the SADI-S as a secure and efficient option for patients with resistance to weight loss. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Introducción: la manga gástrica es la cirugía bariátrica más realizada, sin embargo, un porcentaje de los pacientes sometidos a este procedimiento no logran una pérdida de peso satisfactoria o sufren reganancia. El SADI-S se ha propuesto como una cirugía de revisión aceptable con buenos resultados y baja tasa de complicaciones. Nuestro objetivo es presentar el primer caso de SADI-S realizado en el Instituto Mexicano del Seguro Social como cirugía de revisión por reganancia de peso posterior a manga gástrica. Caso clínico: hombre de 50 años con obesidad grado 3, hipertensión, dislipidemia y apnea obstructiva del sueño, sometido a manga gástrica en 2019 con reganancia del 49.5 % de la pérdida del exceso de peso en 2 años por lo que se decide realizar SADI con peso prequirúrgico de 138 kg e IMC: 40.3 kg/m2. Se realiza cirugía sin complicaciones, egresando al segundo día postquirúrgico. A seis meses de seguimiento con pérdida de peso satisfactoria, remisión de comorbilidades, adecuado estado clínico y paraclínicos sin datos de desnutrición ni anemia. Conclusiones: el SADIS-S se perfila como la mejor opción para cirugía de revisión de manga gástrica por pérdida de peso ineficiente, por lo que fue el de elección en nuestro paciente con resultados satisfactorios. Consideramos al SADIS como opción segura y eficaz para pacientes resistentes a la pérdida de peso. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
