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Background <p>Single anastomosis duodeno-ileal bypass (SADI) has emerged as a safe and effective bariatric procedure. Its simplicity and robust weight loss outcomes have contributed to its increasing popularity. While traditionally performed as an inpatient procedure, recent trends towards ambulatory surgery have prompted interest in outpatient SADI.</p> Objective <p>This study aims to assess the safety profile of outpatient SADI cases reported in the MBSAQIP database, providing valuable insights into the feasibility and potential benefits of this approach.</p> Methods <p>This retrospective study analyzed data from the MBSAQIP database. Patients who underwent SADI and were discharged on the same day of surgery were included. Demographic, medical history, and postoperative outcomes, including readmission, complication, and reoperation rates, were analyzed.</p> Results <p>A total of 192 patients who underwent SADI and were discharged on the same day of surgery were included. The majority of patients were female, with a mean age of 44.3&#xa0;years. Thirty-day readmission and reoperation rates were 4.69% and 2.6%, respectively.</p> Conclusion <p>Outpatient SADI can be a safe and effective option for appropriately selected patients, with similar complication and readmission rates to inpatient SADI and other outpatient bariatric procedures.</p>

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Outpatient Single Anastomosis Duodeno-ileal Bypass: Is It a Safe Option? A MBSAQIP Database Analysis

  • 期刊论文

  • 发表日期：

    2025年1月24日

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  • Emiliano G. Manueli Laos,
  • Alvaro Ducas,
  • Carson Potts,
  • Francisco Schlottmann,
  • Mario A. Masrur

摘要

Background

Single anastomosis duodeno-ileal bypass (SADI) has emerged as a safe and effective bariatric procedure. Its simplicity and robust weight loss outcomes have contributed to its increasing popularity. While traditionally performed as an inpatient procedure, recent trends towards ambulatory surgery have prompted interest in outpatient SADI.

Objective

This study aims to assess the safety profile of outpatient SADI cases reported in the MBSAQIP database, providing valuable insights into the feasibility and potential benefits of this approach.

Methods

This retrospective study analyzed data from the MBSAQIP database. Patients who underwent SADI and were discharged on the same day of surgery were included. Demographic, medical history, and postoperative outcomes, including readmission, complication, and reoperation rates, were analyzed.

Results

A total of 192 patients who underwent SADI and were discharged on the same day of surgery were included. The majority of patients were female, with a mean age of 44.3 years. Thirty-day readmission and reoperation rates were 4.69% and 2.6%, respectively.

Conclusion

Outpatient SADI can be a safe and effective option for appropriately selected patients, with similar complication and readmission rates to inpatient SADI and other outpatient bariatric procedures.