Publications by authors named "R Pescarus"
Background: Single Anastomosis Duodeno-Ileal bypass (SADI) is becoming a key option as a revision procedure after laparoscopic sleeve gastrectomy (LSG). However, its safety as an ambulatory procedure (length of stay < 12 h) has not been widely described.
Methods: A prospective bariatric study of 40 patients undergoing SADI robotic surgery after LSG with same day discharge (SDD), was undertaken in April 2021.
Article Synopsis
- Recent guidelines on bariatric and metabolic surgery exist, but their quality is uncertain, prompting this study to assess them for perioperative care decisions.
- A thorough search of medical databases identified 26 guidelines for evaluation using the AGREE II framework, which measures guideline quality across several domains.
- Findings revealed mixed results: while guidelines were clear and targeted well, they often lacked stakeholder input, rigorous development, and attention to resource impacts, with only six guidelines scoring above 70%.*
Purpose: Compare primary single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) and two-stage SADI after sleeve gastrectomy (SG) in terms of weight loss, reduction/remission of comorbidities, and morbidity.
Methods: Retrospective study including 179 patients treated laparoscopically between 2016 and 2020. A 50Fr bougie was used for the SG in the primary SADI-S (group 1) and 36/40Fr for the two-stage procedure (group 2).