First SADI-S in the Mexican Institute of Social Security

Authors

  • Carlos Alberto Gutiérrez-Rojas <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p> http://orcid.org/0000-0002-6098-8204
  • Erik Daniel Alvarez-Sores <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p> http://orcid.org/0000-0002-4600-6382
  • Aldo Lara-Mejía <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p> http://orcid.org/0009-0006-1852-0735
  • Diego Fernando Cabrera-Eraso <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p> http://orcid.org/0009-0000-0008-9509
  • César Manuel Vargas-Sahagún <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p> http://orcid.org/0000-0003-0164-0432
  • César Antonio Martínez-Ortiz <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p> http://orcid.org/0000-0002-4469-9170

DOI:

https://doi.org/10.5281/zenodo.11397278

Keywords:

Revision Surgery, Weight Loss, Morbid, Obesity

Abstract

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.

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Author Biographies

  • Carlos Alberto Gutiérrez-Rojas, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p>

    Cirujano General y Cirujano Bariatra adscrito al servicio de Gastrocirugía del Hospital de Especialidades "Dr. Bernardo Sepúlveda" del Centro Médico Nacional Siglo XXI, IMSS

    Titular del curso de Alta Especialidad en Cirugía Bariátrica del Hospital de Especialidades "Dr. Bernardo Sepúlveda" del Centro Médico Nacional Siglo XXI, avalado por el CMCOEM

     

  • Erik Daniel Alvarez-Sores, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p>

    Fellow Cirugía Bariatrica Hospital de Especialidades “Dr. Bernardo Sepúlveda Gutiérrez”, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, avalado por la UNAM y el CMCOEM

  • Aldo Lara-Mejía, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p>

    Residente de Cirugía General del Hospital de Especialidades “Dr. Bernardo Sepúlveda Gutiérrez”, Servicio de Gastrocirugía. Ciudad de México, México. 

  • Diego Fernando Cabrera-Eraso, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p>

    Cirujano Bariatra 

  • César Manuel Vargas-Sahagún, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p>

    Cirujano Bariatra certificado

  • César Antonio Martínez-Ortiz, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional Siglo XXI, Hospital de Especialidades &ldquo;Dr. Bernardo Sep&uacute;lveda Guti&eacute;rrez&rdquo;, Servicio de Gastrocirug&iacute;a. Ciudad de M&eacute;xico, M&eacute;xico.</p>

    Jefe de Servicio de Gastrocirugía Hospital de Especialidades “Dr. Bernardo Sepúlveda Gutiérrez”, del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México 

    Profesor adjunto curso de Alta Especialidad en Cirugía Bariátrica del Hospital de Especialidades "Dr. Bernardo Sepúlveda" del Centro Médico Nacional Siglo XXI, avalado por el CMCOEM

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Published

2024-07-18

Issue

Vol. 62 No. 4 (2024): July-August

Section

Clinical Cases

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