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Pylorus-preserving single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-SG) is a modified duodenal switch technique. Gastric plication (GP) is an alternate to SG.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Morbidly obese (BMI of\u2009&gt;\u200940, or\u2009&gt;\u200935 in the presence of diabetes or prediabetes) patients were recruited and operated on to perform SADI with GP. Complications related to surgery were recorded to assess the feasibility of the procedure. Weight-loss outcomes were analysed to determine efficacy. Minnesota Multiphasic Personality Inventory 2 (MMPI-2) was recorded after 1\u00a0year of follow-up, and test scales were used to describe physiological phenomena.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Seventeen middle-aged (mean: 40\u00a0years) patients were involved in our study; 15 of them were females. The mean duration of surgery was 205\u00a0min. There were no complications of conversion, death, bleeding, VTE or 30-day readmission to hospital. We did experience CD4a (pulmonary insufficiency due to chronic lung disease) and a CD3b (anastomosis leakage treated laparoscopically) complications. Vomiting occurred in three cases (CD1). Obesity-related comorbidities showed favourable resolution rates (77.8% for hypertension, 81.2% for dyslipidaemia, 100% for diabetes at the 1-year follow-up). Weight-loss outcomes were favourable (53.20 EWL%, and 35.58 TWL% at 1-year follow-up). Greater weight loss caused significantly higher levels of Depression (<jats:italic>t<\/jats:italic>(13.958)\u2009=\u2009\u2009\u2212\u20092.373; <jats:italic>p<\/jats:italic>\u2009=\u20090.00; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) and Low Positive Emotions (<jats:italic>t<\/jats:italic>(13.301)\u2009=\u2009\u2009\u2212\u20092.954; <jats:italic>p<\/jats:italic>\u2009=\u20090.00; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) and Introversion\/Low Positive Emotionality (<jats:italic>t<\/jats:italic>(13.408)\u2009=\u2009\u2009\u2212\u20091.914; <jats:italic>p<\/jats:italic>\u2009=\u20090.02; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) in MMPI-2 data.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>According to our safety study, SADI-GP is a promising malabsorptive procedure, but a long-term high-volume case series or a randomised controlled trial is necessary to evaluate complication rates and weight-loss outcomes. Emotional dysregulation is common among bariatric surgery patients according to personality inventory data; therefore, psychological follow-up and psychotherapeutic support are necessary for weight-loss maintenance.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00423-021-02276-9","type":"journal-article","created":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T08:03:56Z","timestamp":1629187436000},"page":"845-860","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A safety study of laparoscopic single-anastomosis duodeno-ileal bypass with gastric plication (SADI-GP) in the management of morbid obesity"],"prefix":"10.1007","volume":"407","author":[{"given":"Istvan Bence","family":"Balint","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferenc","family":"Csaszar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lajos","family":"Orban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Radics","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akos","family":"Farics","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gergo","family":"Manfai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronika","family":"Hari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebeka","family":"Javor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,8,17]]},"reference":[{"issue":"13","key":"2276_CR1","doi-asserted-by":"publisher","first-page":"1391","DOI":"10.1161\/CIRCULATIONAHA.117.029617","volume":"137","author":"IJ Neeland","year":"2018","unstructured":"Neeland IJ, Poirier P, Despr\u00e9s JP (2018) Cardiovascular and metabolic heterogeneity of obesity: clinical challenges and implications for management. 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