Aniceto Baltasar*, Carlos Serra and Nieves Pérez
Center of Excellence for the Treatment of the Obesity and Diabetes, Hospital: Alcoy Hospital and San Jorge Clinic of Alcoy, SpainFulltext PDF
Background: Duodenal Switch (DS) is a procedure that combines a Sleeve Gastrectomy (SG) plus a biliopancreatic diversion (BPD).
Objectives: Report our experience with 950 consecutive DS in 950morbidly obese patients performed from 1994 to 2011 and 22 years follow up. Setting: Mix of teaching and private institution in a community hospital of Spain.
Methods: Retrospective review of 950 consecutive morbidly obese patients treated by DS surgery.
Results: We performed 518 open and 432 laparoscopic DS. Operative mortality was 0.73% (1.6% in DS and 0.47% in LDS), 4.84% had a leak, two had hepatic failure (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 technique, but with the best long-term weight loss. We describe operative complications and long-term follow-up guidelines.
Morbid obesity; Duodenal switch; Bariatric surgery; Gastrectomy and biliary pancreatic diversion; Weight loss
Baltasar A, Serra C, Pérez N. Long-Term Experience with Duodenal Switch in the Community Hospital. Ann Obes Relat Dis. 2018;1(1):1002.