Document Detail


Duodenal switch--the initial experience in New Zealand.
MedLine Citation:
PMID:  24806246     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
AIMS: The duodenal switch (DS) has now established itself as an effective, durable and safe bariatric procedure. We present our initial experience on 60 patients from May 2008 to November 2012.
METHODS: Retrospective case series from a prospective database. 94.8% follow-up over 4 years.
RESULTS: 45 patients have completed 1-year follow-up and 28 patients completed 2-year follow-up. The mean initial body mass index (BMI) was 52.8 kg/m2 (range 40=66 kg/m2). The excess weight loss has been 69.5% at 1 year (n=45) and 73.1% at 2 years (n=28) respectively. The mean hospital stay is 5.08 days (range 3-18). The range of bowel motions at 1 year is one to two movements per day. Comorbidity resolution rates were 95% (n=18) for diabetes, 100% (n=9) for obstructive sleep apnoea, 72% (18/25) or hypertension, and 92% (33/36) or dyslipidaemia. One death from liver failure occurred 9 months following surgery resulting from poor compliance with follow-up and intake of multivitamins.
CONCLUSION: In our short-term analysis DS appears to be very efficient in terms of cure rate for morbid obesity and its comorbidities. In terms of risk/benefit DS has appeared safe with adherence to the appropriate follow-up regimen.
Authors:
Martyn L Humphreys; Steven J Robinson; Caryne McKeand; Hisham Hammodat
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Publication Detail:
Type:  Journal Article     Date:  2014-04-11
Journal Detail:
Title:  The New Zealand medical journal     Volume:  127     ISSN:  1175-8716     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  2014  
Date Detail:
Created Date:  2014-05-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  38-47     Citation Subset:  IM    
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