Evidence mapPaperPMID 40783659Full record

ArticleObesity surgery2025

Long-Term Outcomes of Single and Dual Anastomosis Duodenal Switch.

Ana Marta Pereira, Sofia S Pereira, Mário Nora, Rui F Almeida, Mariana P Monteiro, Marta Guimarães

Abstract readComparative Study
In one paragraph

Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ana Marta PereiraDepartment of General Surgery, Unidade Local de Saúde de Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
Sofia S PereiraSchool of Medicine and Biomedical Sciences (ICBAS), University of Porto, Porto, Portugal.
Mário NoraDepartment of General Surgery, Unidade Local de Saúde de Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
Rui F AlmeidaDepartment of General Surgery, Unidade Local de Saúde de Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
Mariana P MonteiroSchool of Medicine and Biomedical Sciences (ICBAS), University of Porto, Porto, Portugal.
Marta GuimarãesDepartment of General Surgery, Unidade Local de Saúde de Entre o Douro e Vouga, Santa Maria da Feira, Portugal. mfguimaraes@icbas.up.pt.

Funding

Fundação para a Ciência e a Tecnologia UIDB/00215/2020, UIDP/00215/2020 and LA/P/0064/2020)
6 · The paper itself

Abstract

backgroundSingle anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) offers a streamlined alternative to biliopancreatic diversion with duodenal switch (BPD/DS), potentially with a lower risk of complications in patients with obesity grade III, although long-term comparative studies are lacking. PURPOSE: To compare long-term outcomes of patients undergoing SADI-S and BPD/DS.

methodsA cohort of 114 patients with a body mass index (BMI) equal to or greater than 45 kg/m

resultsAfter ≥ 60 months of follow-up, patients submitted to BPD/DS and SADI-S achieved a total weight loss (TWL) > 20% (96% vs 91%, p = 0.67) and similar remission rates of associated medical problems. Transient vitamin and micronutrient deficiencies during follow-up were observed in 44.8% of BPD/DS patients and 63.5% of SADI-S patients, anemia in 44.8% and 42.4%, and iron deficiency in 58.6% and 48.2%, respectively. Quality of life (QoL) scores were not significantly different between the groups (BPD/DS: 2.00 ± 0.22 vs. SADI-S: 2.15 ± 0.19, p = 0.08). After propensity score matching (n = 28 per group), differences in weight loss outcomes became more pronounced, favoring BPD/DS, while SADI-S was associated with significantly greater improvement in quality-of-life.

conclusionsThe long-term outcomes of BPD/DS and SADI-S in terms of obesity-related comorbidities remission and complication rates do not seem to differ, despite BPD/DS inducing greater weight loss and SADI-S being associated with greater improvements in quality of life.

Indexed as

DuodenumGastrectomyObesity, MorbidAdultAnastomosis, SurgicalBiliopancreatic DiversionBody Mass IndexFemaleFollow-Up StudiesHumansMaleMiddle AgedPostoperative ComplicationsQuality of LifeRetrospective StudiesTreatment OutcomeBiliopancreatic diversion with duodenal switch (BPD/DS)Long-term safety profilesQoLSingle anastomosis duodenoileal bypass with sleeve gastrectomy

Identifiers

PMID40783659
PMCPMC12457490

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.