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ArticleObesity surgery2026

Perioperative Outcomes Following Single-Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S): Analysis of a National Multicenter Mexican Cohort.

Guillermo Ponce de Leon-Ballesteros, Christian Rodriguez-Lopez, Sandy Martinez-Castro, Carlos Perez-Padron, Fernando Garcia-Govea, Cristobal Garza-Torres, Carlos Alberto Gutierrez-Rojas, Alejandro Lopez-Ortega, Manuel Alejandro Meza-Jasso, Jesus Elias Ortiz-Gomez and 11 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

21 authors.

Guillermo Ponce de Leon-BallesterosDepartment of Surgery, Hospital Angeles Morelia, Morelia, Mexico. guillermoplb@hotmail.com.
Christian Rodriguez-LopezBody Art Bariatrics, Tijuana, Mexico.
Sandy Martinez-CastroBody Art Bariatrics, Tijuana, Mexico.
Carlos Perez-PadronSurgery Department, Centro Médico ABC, Mexico City, Mexico.
Fernando Garcia-GoveaTijuana Bariatric Center, Tijuana, Mexico.
Cristobal Garza-TorresClinica de Especialistas, Piedras Negras, Mexico.
Carlos Alberto Gutierrez-RojasDepartment of Surgery, Centro Medico Nacional Siglo XXI, Mexico City, Mexico.
Alejandro Lopez-OrtegaHospital Puerta de Hierro, Guadalajara, Mexico.
Manuel Alejandro Meza-JassoHospital Moscati, Queretaro, Mexico.
Jesus Elias Ortiz-GomezCentro Medico Bariatrico, Tijuana, Mexico.
Luis PadillaHospital Sainte Marie, Monclova, Mexico.
Liza Maria Pompa-GonzalezInternational Bariatric Surgery Center, Tijuana, Mexico.
Jaime Ponce de Leon-PalomaresObesity Goodbye Center, Tijuana, Mexico.
Jose Rodriguez-VillarealHospital Angeles Ciudad Juarez, Ciudad Juarez, Mexico.
Jeffrey Romero-ManzanoObesity Goodbye Center, Tijuana, Mexico.
Hugo Alejandro Sanchez-AguilarSurgery Department, Centro Médico ABC, Mexico City, Mexico.
Eduardo Vidrio-DuarteHospital Angeles Metropolitano, Mexico City, Mexico.
Jesus VillalobosObesity Goodbye Center, Tijuana, Mexico.
Sergio VerboonenObesity Goodbye Center, Tijuana, Mexico.
Miguel F HerreraSurgery Department, Centro Médico ABC, Mexico City, Mexico.
Carlos ZerrweckSurgery Department, Centro Médico ABC, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSingle-Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) is widely recognized as an effective metabolic bariatric procedure. However, limited data are available regarding its perioperative safety in Latin American populations.

objectivesTo evaluate the perioperative safety of SADI-S, describe the type and frequency of complications, and identify clinical factors associated with adverse outcomes across multiple centers in Mexico.

methodsA retrospective multicenter cohort study was conducted including adults who underwent primary or revisional SADI-S between January 2019 and April 2025 in 15 accredited bariatric centers in Mexico. Demographic, clinical, and perioperative variables were analyzed. Associated factors for complications were assessed using multivariable binary logistic regression analyses.

resultsA total of 520 patients were included, 76.2% women, with a median age of 46 years and a median BMI of 59 kg/m². Revisional procedures accounted for 27.7%. Postoperative complications occurred in 2.5% of patients, including bleeding (1%), leaks (0.6%), and abscesses (0.4%), with no mortality. Operative time and estimated blood loss were independently associated with complications. Outcomes were comparable between primary and revisional SADI-S cases within this cohort.

conclusionsSADI-S can be performed with acceptable perioperative morbidity by experienced bariatric surgeons, even in high-BMI and revisional cases. Longer operative time and increased estimated blood loss were associated with a higher risk of perioperative complications.

Indexed as

Bariatric SurgeryDuodenumGastrectomyIleumObesity, MorbidPostoperative ComplicationsAdultAnastomosis, SurgicalFemaleHumansMaleMexicoMiddle AgedReoperationRetrospective StudiesTreatment OutcomeBariatric surgeryComplicationsMexicoMorbiditySADI-SSafetySingle-anastomosis duodeno-ileal bypass with sleeve gastrectomy

Identifiers

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Textmetadata
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Registered trials

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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.