Hand-Sewn vs. Stapled Anastomosis in SADI-S: Early Postoperative Complications.

Hand-Sewn vs. Stapled Anastomosis in SADI-S: A Prospective Randomized Trial of Early Postoperative Complications.

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).

Inclusion Criteria:

1. Age between 18-70
2. Patients who will undergo SADI-S surgery

Exclusion Criteria:

1. Patients with severe medical conditions such as heart failure and interstitial lung disease.
2. Patients with short bowel
3. Patients with severe GERD
4. Patients with cognitive and intellectual impairment with poor compliance to treatment and dietary supplements
5. Difficulty in intraoperative bowel measurement, i.e., extensive adhesions.