Duodenal switch: long-term results.

Published on Nov 1, 2007in Obesity Surgery4.129
· DOI :10.1007/S11695-008-9435-9
Picard Marceau43
Estimated H-index: 43
(Laval University),
Simon Biron35
Estimated H-index: 35
(Laval University)
+ 5 AuthorsSerge Simard31
Estimated H-index: 31
Sources
Abstract
Background: This report summarizes our 15-year experience with duodenal switch (DS) as a primary procedure on 1,423 patients from 1992 to 2005. Methods: Within the last 2 years, follow-up of these patients, including clinical biochemistry evaluation by us or by their local physician is 97%. Results: Survival rate was 92% after DS. The risk of death (Excess Hazard Ratio (EHR)) was 1.2, almost that of the general population. After a mean of 7.3 years (range 2-15), 92% of patients with an initial BMI ≤50 kg/m 2 obtained a BMI 50 obtained a BMI 5 was decreased by 86%. Patients’ satisfaction in regard to weight loss was graded 3.6 on a basis of 5, and 95% of patients were satisfied with the overall results. Operative mortality was 1% which is comparable with gastric bypass surgery. The need for revision for malnutrition was rare (0.7%) and total reversal was exceptional (0.2%). Failure to lose >25% of initial excess weight was 1.3%. Revision for failure to lose sufficient weight was needed in only 1.5%. Severe anemia, deficiency in vitamins or bone damage were exceptional, easily treatable, preventable and no permanent damage was documented. Conclusion: In the long term, DS was very efficient in terms of cure rate for morbid obesity and its comorbidities. In terms of risk/benefit, DS was very sucessful with an appropriate system of follow-up.
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Background Duodenal switch (DS) operation combines both restrictive and malabsorptive components and has become an accepted operation in selected patients with morbid obesity. Complications develop in some patients, which are refractory to dietary supplementation. We report a series of 33 patients who required partial revision of the DS. Study Design During the 10-year period after September 1992, 701 patients had DS operation performed; of these, 33 (5 men and 28 women) patients required revisi...
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Diabetes mellitus presently affects more than 150 million people worldwide,1 a number expected to double by the year 2025.2 More than 90% of patients suffer from the type 2 form,3 a progressive disorder associated with life-threatening complications and whose etiology remains still elusive. The resolution of type 2 diabetes has been observed as an additional outcome of surgical treatment of morbid obesity (body mass index [BMI] >40 kg/m2).4 Two procedures, the Roux-en-Y gastric bypass (RYGBP) an...
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There are no comparative studies on the long-term outcomes after the primary traditional duodenal switch (DS) and single-anastomosis duodeno-ileostomy with sleeve gastrectomy (SADI-S). This study aims to compare the long-term outcomes in a matched cohort. This study took place in a single private institute, in the USA. Data from 266 patients who underwent a primary laparoscopic traditional DS or primary laparoscopic SADI-S from September 2011 to December 2015 by four surgeons were used for a ret...
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#1Yury I YashkovH-Index: 5
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There are only a small number of studies providing a comparison between SADI-S and Hess-Marceau’s BPD/Duodenal Switch (RY-DS) operations. We aimed to compare 5-year results of SADI-S 250 (common limb 250 cm) with RY-DS. Data of patients who underwent open SADI-S (n 226) and RY-DS (n 528) were retrospectively studied. EWL(%), EBMIL(%), TWL(%), antidiabetic effect, complications, and revision rate were compared between the two groups. After the first 12 months, EWL% (77.0% vs 73.3%) and TWL% (39.4...
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BACKGROUND Duodenal switch (DS) is considered one of the most effective bariatric techniques for long-term weight and comorbidity control. After these operations, some patients may get severe complications related to malnutrition and a few of them may need surgical revision. Lengthening the common channel (CC) is usually the solution: changing the Roux anastomosis or with a side-to-side anastomosis (kissing X). We propose that when simplified construction of the DS is used, conversion to single ...
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Abstract Background The long-term outcomes of primary single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) have never been reported in the literature. Aim The study aimed to evaluate the long-term outcomes following primary laparoscopic SADI-S (LSADI-S) Setting Single private institute, United States. Methods Data from 750 patients who underwent a primary LSADI-S from June 2013 through November 2019 by three surgeons were retrospectively analyzed. Results Seven hundred and fi...
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