title: Single-Anastomosis Pylorus-Preserving Bariatric Procedures: Review of the Literature.
abstract: 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.
authors.affiliation: Digestive and Bariatric Unit, Joseph Ducuing Hospital, Toulouse, France.
authors.forename: Francesco
authors.initials: F
authors.lastname: Martini
authors.affiliation: Digestive and Bariatric Unit, Joseph Ducuing Hospital, Toulouse, France.
authors.forename: Luca
authors.initials: L
authors.lastname: Paolino
authors.affiliation: Pole Obésité Etang de Berre, Clinique de Martigues, Martigues, France.
authors.forename: Ettore
authors.initials: E
authors.lastname: Marzano
authors.affiliation: Pole Obésité Etang de Berre, Clinique de Martigues, Martigues, France.
authors.forename: Jacopo
authors.initials: J
authors.lastname: D'Agostino
authors.affiliation: Digestive Unit, Centre Hospitalier Intercommunal de Creteil, Créteil, France.
authors.forename: Andrea
authors.initials: A
authors.lastname: Lazzati
authors.affiliation: Digestive Unit, Archet 2 Hospital, University Hospital of Nice, F-06202, Nice, France.|Inserm, U1065, Team 8 "Hepatic Complications of Obesity", F-06204, Nice, France.|University of Nice Sophia-Antipolis, F-06107, Nice, France.
authors.forename: Anne-Sophie
authors.initials: AS
authors.lastname: Schneck
authors.affiliation: Department of Surgery, Hospital Clínico San Carlos, Madrid, Spain.
authors.forename: Andrés
authors.initials: A
authors.lastname: Sánchez-Pernaute
authors.affiliation: Department of Surgery, Hospital Clínico San Carlos, Madrid, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Torres
authors.affiliation: Digestive Unit, Archet 2 Hospital, University Hospital of Nice, F-06202, Nice, France. iannelli.a@chu-nice.fr.|Inserm, U1065, Team 8 "Hepatic Complications of Obesity", F-06204, Nice, France. iannelli.a@chu-nice.fr.|University of Nice Sophia-Antipolis, F-06107, Nice, France. iannelli.a@chu-nice.fr.
authors.forename: Antonio
authors.initials: A
authors.lastname: Iannelli
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D050110:Bariatric Surgery / Q000379:methods; D004386:Duodenum / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007081:Ileostomy; D007582:Jejunostomy; D009765:Obesity / Q000601:surgery*; D011708:Pylorus / Q000601:surgery*; D016896:Treatment Outcome
keywords: Duodeno-ileal bypass; Duodeno-jejunal bypass; Omega loop; Pylorus preserving; SADI; Single anastomosis