Document Detail

Preliminary results of the duodenal switch.
MedLine Citation:
PMID:  9730508     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The duodenal switch (DS), as a modification of the bilio-pancreatic diversion (BPD), is a 'complex' hybrid operation. METHODS: Sixty patients were operated on during the last 3 years. RESULTS: Two patients died early (3.3%); two late deaths occurred at 4 and 7 months, one due to liver failure and the other due to malnutrition and refeeding syndrome (3.57%); three patients required conversions (5.3%). The two early deaths and all the patients who required conversions had a previous vertical banded gastroplasty. Eleven patients had minor liver abnormalities corrected with medications, and one patient had severe diarrhea for more than a year. Eleven female patients have iron deficiency anemia that requires parenteral supplementation. Mean percent excess weight loss was 86% at 2.5 years. CONCLUSIONS: The DS has been, in our experience, an unsafe operation with unacceptably high operative and postoperative mortality. The conversion rate is acceptable. Weight loss, quality of food intake and life have been excellent. Inadequate follow-up can be dangerous if patients fail to report for regular visits.
A Baltasar; J del Rio; C Escrivá; F Arlandis; R Martínez; C Serra
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  7     ISSN:  0960-8923     ISO Abbreviation:  Obes Surg     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-09-24     Completed Date:  1998-09-24     Revised Date:  2007-12-05    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  500-4     Citation Subset:  IM    
The Surgical Service, Virgen de los Lirios Hospital, Alcoy, Alicante, Spain.
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MeSH Terms
Anemia, Iron-Deficiency / drug therapy,  etiology
Biliopancreatic Diversion / adverse effects,  methods*
Cause of Death
Diarrhea / etiology
Duodenum / surgery*
Follow-Up Studies
Gastroplasty / methods
Intraoperative Complications
Liver Diseases / drug therapy,  etiology
Liver Failure / etiology
Middle Aged
Nutrition Disorders / etiology
Quality of Life
Weight Loss

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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