1. A Switch to the Duodenal Switch
- Author
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Marcelo Bengochea, Rafael Bou, Aniceto Baltasar, Nieves Pérez, and Carlos Serra
- Subjects
Bariatric surgery ,Weight loss ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Sleeve-Forming Gastrectomy ,lcsh:R ,lcsh:Medicine ,Private institution ,Duodenal switch ,Surgery ,Morbid obesity ,mental disorders ,medicine ,Duodenal Switch ,lcsh:Q ,Gastrectomy ,Biliary pancreatic diversion ,medicine.symptom ,lcsh:Science ,business ,Biliopancreatic Diversion - Abstract
Background. Duodenal Switch (DS) is a procedure that combines a Sleeve-Forming Gastrectomy (SFG) plus a biliopancreatic diversion (BPD) for the treatment of morbid obesity (MO) with a higher weight loss and resolution of comorbidities. Objectives. Report our experience with 950 consecutive DS operations performed from 1994 to 2016. Setting. Mix of teaching and private institution in a county hospital of Spain. Methods. We report an observational, retrospective and longitudinal study of 950 consecutive morbidly obese patients treated by DS surgery. Results. We performed 518 open and 432 laparoscopic DS. Operative mortality was 0.84% (1.38% in DS and 0.38% in LDS), 4.84% had leaks, two had hepatic failures (0.2%) and malnutrition was present in 3.1%. At 5 years, the percentage of BMI lost was 80%, and percentage of expected BMI loss was more than 100%. Conclusions. DS is the most aggressive bariatric surgery (BS) technique, but with the best long-term weight loss. We describe operative complications and long-term follow-up guidelines.
- Published
- 2019
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