An interventional study of Hand-sewn Single Anastomosis Duodeno-Ileal Sleeve (SADI-S) and Stapled Single Anastomosis Duodena-ileal Sleeve in Metabolic Surgery and Obesity & Overweight, sponsored by Kasr El Aini Hospital. Enrolling by invitation at 1 site in Egypt. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-09-22.
Sponsored by Kasr El Aini Hospital · Not applicable, Interventional, and Treatment
This study aims to compare the stapled and handsewn techniques of duodeno-ileal anastomosis in SADI-S regarding short-term outcomes in the form of anastomotic leak rate and anastomotic stricture rate, operative time, post-operative hospital stay, and complication rate (Clavien-Dindo≥ II).
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This study's planned enrollment of 82 is above the median of 67 across 9,006 interventional studies indexed under Obesity.
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Exclusion Criteria:
Procedure: Hand-sewn Single Anastomosis Duodeno-Ileal Sleeve (SADI-S)
Procedure: Stapled Single Anastomosis Duodena-ileal Sleeve
Arm 1 - Hand-sewn Duodeno-Ileal Anastomosis Following sleeve gastrectomy, a hand-sewn duodeno-ileal anastomosis is performed in two layers, with the inner layer constructed using absorbable barbed sutures and the outer reinforcing layer using absorbable monofilament sutures. Approximately 300 cm of the distal ileum from the ileocecal junction is used for the anastomosis. All procedures are performed by the same surgeon following a standardized operative protocol.
Arm 2 - Stapled Single Anastomosis Duodena-ileal Sleeve Following sleeve gastrectomy, a stapled duodeno-ileal anastomosis is created using endoscopic linear stapling devices, followed by closure of the enterotomy in a single layer using absorbable barbed sutures. Approximately 300 cm of the distal ileum from the ileocecal junction is used for the anastomosis. All procedures are performed by the same surgeon following a standardized operative protocol.
Intestinal Injury
Time frame: One month after surgery
Anastomotic Leak Rate
Time frame: one month after the surgery
Post operative Bleeding
Time frame: One month after surgery
Anastomotic Stircture
Time frame: Six months after surgery
Operative Time
Time frame: Immediately after surgery
Weight loss
Time frame: Six months after surgery
Length of Hosptial Stay
Time frame: One month after surgery
Plan to share: Undecided
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